规范化疼痛评估及同伴教育在癌痛患者中的应用

Effects of standardized pain assessment and peer education in cancer pain patients

目的探讨规范化疼痛评估及同伴教育对癌痛患者自我效能感、生活质量和疼痛控制效果的影响。方法采用便利抽样法,选取河南省肿瘤医院于2019年1月—2020年1月收治的癌症住院患者162例作为研究对象,以患者病房尾号单双数为依据分为观察组(n=82)和对照组(n=80)。对照组患者接受常规健康教育及传统疼痛评估,观察组接受规范化疼痛评估及同伴教育,比较两组患者干预前后的自我效能感、生活质量、疼痛控制效果。结果干预前,两组患者的自我效能感、生活质量各维度得分及总分比较,差异无统计学意义(P>0.05)。干预后,两组癌痛患者自我效能感、生活质量各维度得分及总分均高于干预前,差异有统计学意义(P<0.01);观察组癌痛患者自我效能感、生活质量各维度得分及总分高于对照组,差异有统计学意义(P<0.01)。观察组癌痛患者总体疼痛控制效果优于对照组,差异有统计学意义(Z=-3.721,P<0.01)。结论规范化疼痛评估及同伴教育应用于癌痛患者疼痛管理中可有效提高疼痛控制效果和自我效能感,改善生活质量。

Objective To explore the effect of standardized pain assessment and peer education on self-efficacy,quality of life and pain control of cancer pain patients.Methods From January 2019 to January 2020,convenience sampling was used to select 162 inpatient cancer patients admitted to Henan Cancer Hospital as the research object.Patients were divided into observation group(n=82)and control group(n=80)based on the odd and even numbers of the patient's ward end number.Patients in control group received regular health education and traditional pain assessment.Observation group carried out standardized pain assessment and peer education.We compared self-efficacy,quality of life,pain control of two groups of patients before and after intervention.Results Before intervention,there was no statistically significant difference between the two groups of patients in terms of dimension scores and total scores of self-efficacy,quality of life(P>0.05).After intervention,dimension scores and total scores of self-efficacy and quality of life of cancer pain patients'pain between two groups were higher than those before intervention,and the differences were statistically significant(P<0.01).Dimension scores and total scores of self-efficacy and quality of life of cancer pain patients in observation group were higher than those in control group with statistical differences(P<0.01).The overall pain control effect of cancer pain patients in observation group was better than that in control group,and the difference was statistically significant(Z=-3.721,P<0.01).Conclusions Standardized pain assessment and peer education applied to the pain management of cancer pain patients can effectively improve the pain control effect and self-efficacy as well as the quality of life.