疼痛改善性护理联合正向激励对骨转移瘤患者疼痛评分及负面情绪的影响

Effects of pain improvement nursing combined with positive stimulation on pain scores and negative emotions in patients with bone metastases

目的探讨疼痛改善性护理联合正向激励对骨转移瘤患者疼痛评分及负面情绪的影响。方法选取2016年1月至2019年10月间汉中市中心医院收治的86例骨转移瘤患者,采用随机数表法分为观察组和对照组,每组43例。对照组患者在常规护理基础上采用正向激励护理干预,观察组患者在对照组基础上采用疼痛改善性护理,比较两组患者干预前后视觉模拟评分(VAS)、焦虑自评量表(SAS)、抑郁自评量表(SDS)和SF-36健康调查量表评分及护理满意度。结果干预前和干预7d后,两组患者VAS评分比较,差异无统计学意义(P> 0.05);干预14d后,观察组患者VAS评分低于对照组,差异有统计学意义(P <0.05)。干预后,两组患者SAS和SDS评分均降低,且观察组患者低于对照组,差异均有统计学意义(均P <0.05)。干预后,两组患者生理功能、生理职能、躯体疼痛、总体健康、精力、社会功能、情感职能及精神健康各项评分均升高,且观察组均高于对照组,差异均有统计学意义(均P <0.05)。观察组患者对疼痛知识指导、疾病知识指导、心理护理和整体护理质量满意度均高于对照组,差异均有统计学意义(均P <0.05)。结论疼痛改善性护理联合正向激励,能有效降低骨转移瘤患者的疼痛评分,改善负面情绪及生活质量,护理满意度较高,对临床护理工作有积极意义。

Objective To explore effects of pain improvement nursing combined with positive stimulation on pain scores and negative emotions in patients with bone metastases. Methods A total of 86 patients with bone metastases who were admitted to Hanzhong Central Hospital from January 2016 to October2019 were enrolled. They were divided into an observation group and a control group by random number table method with 43 patients in each group. On basis of routine nursing,the observation group was given pain improvement nursing combined with positive stimulation nursing intervention and control group was given positive stimulation nursing intervention. The scores of visual analogue scale( VAS),self-rating anxiety scale( SAS),self-rating depressing scale( SDS) and MOS 36-item short-form health survey( SF-36) were compared between the two groups before and after intervention. After the end of nursing,nursing satisfaction was statistically analyzed. Results There was no significant difference in VAS score between the two groups before the intervention and 7 d after the intervention( P > 0. 05). At 14 d after the intervention,scores of VAS were lower in the observation group than in the control group( P < 0. 05). After intervention,scores of SAS and SDS decreased in both groups with the observation group lower than the control group( all P < 0. 05). After the intervention,scores of physiological function,physical pain,overall health,energy,social function and mental health were increased in both groups with the observation group higher than the control group( all P < 0. 05). Patient satisfaction with pain knowledge guidance,disease knowledge guidance,psychological nursing and overall nursing quality was significantly higher in observation group than in the control group( all P < 0. 05). Conclusion Pain improvement nursing combined with positive stimulation can effectively reduce pain scores and negative emotions and improve quality of life,with high nursing satisfaction in patients with bone metastases,which is of positive significance for clinical nursing work.