标准化疼痛护理记录单在晚期肿瘤患者中的应用效果

The Effect of Standardized Pain Nursing Records in Patients with Advanced Tumors

目的 结合临床实践经验,对晚期肿瘤患者采用标准化疼痛护理记录单,并实施相应干预措施,以期缓解晚期肿瘤患者疼痛,提高其生活质量。方法 选取2020年10月1日-2022年12月31日某院收治的晚期肿瘤患者136例,根据患者所在房间单双号分为2组,对照组采用常规癌痛护理并记录,观察者在此基础上采用标准化疼痛护理记录单,在进行疼痛评估后进行护理措施并记录。比较2组患者干预前后疼痛状况评分,疼痛护理记录缺陷率,癌因性疲乏程度评分,焦虑抑郁评分。结果 观察组患者疼痛程度(19.26±1.52)分、疼痛对生活的影响(17.11±1.37)分、疼痛信念(22.78±2.04)分、均低于对照组(21.87±2.02、20.95±1.73、25.32±2.51)分,疼痛控制满意度(13.32±1.63)分高于对照组(11.54±1.29)分,差异具有统计学意义,P<0.05,观察组患者SAS评分(47.61±4.57)分和SDS评分明(42.87±4.43)分显低于对照组(55.69±5.13、54.76±5.78)分,差异具有统计学意义,P<0.05,观察组患者疼痛护理记录单缺陷发生率2.94%明显低于对照组20.59%,差异具有统计学意义,P<0.05。结论 采用标准化疼痛护理记录单并实施干预措施可减轻晚期肿瘤患者疼痛程度,提高其生活质量,改善癌因性疲乏程度,缓解患者负性情绪,值得进一步推广应用。

Objectives To adopt standardized pain nursing records for patients with advanced tumors and implement corresponding intervention measures based on clinical practice,in order to relieve pain and improve the quality of life of patients with advanced tumors.Methods A total of 136 patients with advanced cancer admitted to a hospital from October 1st,2020 to December 31st,2022 were selected and divided into the observation group and the control group according to the odd-even number of the room where the patients were located.The control group was treated with routine cancer pain care and recorded.On this basis,the observers were treated with standardized pain assessment nursing record sheet,and nursing measures were performed and recorded after pain assessment.The pain status scores of the two groups were compared before and after the intervention,the defect rate of the pain nursing records of the two groups were observed,and the score of cancer fatigue and anxiety and depression were compared between the two groups before and after the intervention.Results The pain degree(19.26±1.52)scores,the impact of pain on life(17.11±1.37)scores and pain belief(22.78±2.04)scores in the observation group were lower than those in the control group(21.87±2.02,20.95±1.73,25.32±2.51)scores.The satisfaction of pain control(13.32±1.63)was higher than that of control group(11.54±1.29),and the difference was statistically significant,P<0.05.SAS score(47.61±4.57)and SDS score(42.87±4.43)in observation group were significantly lower than those in control group(55.69±5.13,54.76±5.78),and the difference was statistically significant,P<0.05.The incidence of pain nursing record defects in observation group(2.94%)was significantly lower than that in control group(20.59%),the difference being statistically significant(P<0.05).Conclusions The use of standardized pain nursing records and the implementation of intervention measures could reduce the pain degree of patients with advanced tumors,improve their quality of life,improve the degree of cancer-related fatigue,and alleviate the negative emotions of patients,which was worthy of further promotion and application.