疼痛管理联合安宁疗护对卵巢癌晚期患者的影响研究

Effect of Pain Management Combined with Palliative Care on Patients with Advanced Ovarian Cancer

目的:探讨针对卵巢癌晚期患者实施疼痛管理联合安宁疗护的效果。方法:选择2020年8月—2021年4月赣州市人民医院收治的50例晚期卵巢癌患者作为研究对象,按随机数表法分为两组,每组各25例。对照组实施常规护理,观察组实施疼痛管理联合安宁疗护,持续干预1个月。对比两组患者心理状况、疼痛程度、癌因性疲乏、睡眠及生活质量。结果:护理后,观察组心理状况评分低于对照组,差异有统计学意义(t=10.004,P<0.05);护理后,观察组疼痛程度轻于对照组,差异有统计学意义(Z=2.123,P<0.05);护理后,观察组PFS-R评分低于对照组,差异有统计学意义(t=2.551,P<0.05);护理后,观察组睡眠质量各维度评分均低于对照组,差异有统计学意义(t=18.962、19.007、16.415、24.407、28.083、22.804、22.153,P<0.05);护理后,观察组生活质量各维度评分均高于对照组,差异有统计学意义(t=8.278、7.049、6.329、5.881,P<0.05)。结论:疼痛管理联合安宁疗护能够减轻晚期卵巢癌患者身心痛苦,提高睡眠与生活质量。

Objective:To explore the effect of pain management combined with palliative care for patients with advanced ovarian cancer.Methods:50 patients with advanced ovarian cancer who were admitted to the hospital from August 2020 to April 2021 were selected as the research subjects,and divided into two groups according to the random number table method,with 25 cases in each group.The control group received routine nursing,and the observation group received pain management combined with palliative care for 1 month.The psychological status,pain level,cancer-related fatigue,sleep and quality of life were compared between the two groups.Results:After nursing,the psychological status score of the observation group was lower than that of the control group,and the difference was statistically significant(t=10.004,P<0.05).After nursing,the pain degree of the observation group was lighter than that of the control group,and the difference was statistically significant(Z=2.123,P<0.05).After nursing,the PFS-R score of the observation group was lower than that of the control group,and the difference was statistically significant(t=2.551,P<0.05).After nursing,the scores of each dimension of sleep quality in the observation group were lower than those in the control group,and the difference was statistically significant(t=18.962,19.007,16.415,24.407,28.083,22.804,22.153,P<0.05).After nursing,the scores of each dimension of quality of life in the observation group were higher than those in the control group,and the difference was statistically significant(t=8.278,7.049,6.329,5.881,P<0.05).Conclusion:Pain management combined with palliative care can reduce physical and mental pain in patients with advanced ovarian cancer and improve sleep and quality of life.