程序化模式疼痛护理联合营养支持对老年晚期肺癌患者癌性疼痛、营养状态及生活质量的影响

Effect of Programmed Model Pain Care Combined with Nutritional Support on Cancer Pain,Nutritional Status and Quality of Life in Elderly Patients with Advanced Lung Cancer

目的:探究程序化模式疼痛护理联合营养支持对老年晚期肺癌患者癌性疼痛、营养状态及生活质量的影响。方法:选取安阳市肿瘤医院2020年1月—2021年1月收治的130例老年晚期肺癌患者作为研究对象,采用随机数表法分为常规组和研究组,每组各65例。常规组采用常规护理干预联合营养支持,研究组在常规组的基础上采用程序化模式疼痛护理干预。比较两组患者护理前后癌性疼痛、睡眠质量、营养状态和生活质量。结果:干预后,两组患者视觉模拟量表(VAS)评分及匹兹堡睡眠质量指数(PSQI)各项评分均低于干预前,血清白蛋白(Alb)、转铁蛋白(TRF)、血红蛋白(Hb)水平均高于干预前,差异有统计学意义(P<0.05)。干预后,研究组VAS、PSQI各项评分低于常规组,Alb、TRF、Hb水平和世界卫生组织生存质量测定(WHOQOL-BREF)各项评分高于常规组,差异有统计学意义(t=17.537;t=8.527、7.579、4.804;t=10.610、14.876、14.842、26.356,P<0.05)。结论:程序化模式疼痛护理联合营养支持可有效降低老年晚期肺癌患者癌性疼痛,改善营养状态,提高患者睡眠质量和生活质量。

Objective:To investigate the effects of programmed model pain care combined with nutritional support on cancer pain,nutritional status and quality of life in elderly patients with advanced lung cancer.Methods:130 elderly patients with advanced lung cancer admitted to the hospital from January 2020 to January 2021 were selected as the study subjects,and were divided into conventional group and study group using the random number table method,with 65 cases in each group.The conventional group used conventional nursing interventions combined with nutritional support,and the study group used programmed model pain care interventions on its basis.The cancer pain,sleep quality,nutritional status and quality of life of patients in the two groups were compared before and after care.Results:After the intervention,the visual analog scale(VAS)scores and all scores of the Pittsburgh Sleep Quality Index(PSQI)were lower in both groups than before the intervention,and the serum albumin(Alb),transferrin(TRF),and hemoglobin(Hb)levels were higher than before the intervention,with statistically significant differences(P<0.05).After the intervention,the study group had lower scores of VAS and PSQI than the conventional group,and higher scores of Alb,TRF,Hb levels and World Health Organization Quality of Survival Measure(WHOQOL-BREF)than the conventional group,with statistically significant differences(t=17.537;t=8.527,7.579,4.804;t=10.610,14.87614.842,26.356,P<0.05).Conclusion:Programmed model pain care combined with nutritional support can effectively reduce cancer pain,improve nutritional status,sleep quality and quality of life in elderly patients with advanced lung cancer,with significant clinical efficacy.