循证式规范化无痛随访对提高癌痛患者心理健康及生命质量的效果

Effect analysis of evidence-based standardized painless follow-up on improving mental health and quality of life in patients with cancer pain

目的探讨循证式规范化无痛随访对提高晚期恶性肿瘤癌性疼痛患者心理健康及生命质量的效果.方法将纳入的198例晚期恶性肿瘤癌痛患者按照随机数字表法分为对照组100例及观察组98例.两组患者在办理麻卡后均进行疼痛评分(numerical rating scale,NRS)、患者健康调查问卷(patient health ques-tionnaire,PHQ-9)、抑郁自评量表(self-rating depression scale,SDS)、广泛性焦虑障碍量表(generalized anxie-ty disorder,GAD-7)、Piper疲乏量表(Piper fatigue scale,PFS)及世界卫生生活质量量表(world quality of life scale,WHO-QOL-100)评分.对照组患者给予常规癌痛随访管理,观察组患者在常规癌痛管理基础上联合循证式无痛随访干预,两组患者随访四周后复查,再次进行NRS、PHQ-9、SDS、GAD-7、PFS及WHO-QOL-100评分,比较随访前后差异并评价随访效果.结果两组患者随访后NRS评分均低于随访前(P<0.05),且观察组低于对照组(P<0.05);观察组患者随访后PHQ-9、SDS、GAD-7及PFS量表评分均低于随访前(P<0.05),对照组则差异无统计学意义(P>0.05);两组患者随访后WHO-QOL-100评分均高于随访前(P<0.05),且观察组随访后高于对照组(P<0.05).结论循证式规范化无痛随访能够有效缓解癌痛患者疼痛症状,对于提高患者心理健康及生活质量均有显著效果.

Objective To investigate the effect of evidence-based standardized painless follow-up on improving mental health and quality of life in patients with advanced malignant cancer pain.Methods A total of 198 patients with advanced malignant tumor with can cer pain were divided into the control group(n=100)and observation group(n=98),according to the random number table method.All the patients received the evaluation by a numerical rating scale(NRS),patient health questionnaire(PHQ-9),self-rating depression scale(SDS),generalized anxiety disorder(GAD-7)questionnaire,Piper fatigue scale(PFS)and world quality of life scale(WHO-QOL-100)before follow-up.The patients in control group were followed up with routine process,while those in the observation group were followed up with evidence-based painless intervention management.After four weeks follow-up.The NRS,PHQ-9,SDS,GAD-7,PFS and WHO-QOL-100 scores were performed again to evaluate the effect.Results The NRS mean scores of the two groups were significantly lower than those before the follow-up(P V 0.05),and the mean score of the observation group was significantly lower than that of the control group(P<0.05).The PHQ-9,SDS,GAD-7 and PFS mean scores of the patients in the observation group were significantly lower than those before the follow-up(P V 0.05),but there was no significant difference in the control group(P>0.05).The WHO-QOL-100 mean scores of the two groups were significantly higher than those before follow-up(P<0.05),and the mean score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion Evidence-based standardized painless follow-up can effectively alleviate the pain of patients with advanced malignant tumor,and has significant effect on improving the mental health and quality of life of patients.