分析基于程序化管理下的疼痛干预在鼻咽癌放疗患者睡眠质量改善中的应用效果

Analysis of the Application Effect of Pain Intervention Based on Programmatic Management in Improving Sleep Quality of Nasopharyngeal Carcinoma Radiotherapy Patients

目的:分析基于程序化管理下的疼痛干预在鼻咽癌放疗患者睡眠质量改善中的应用效果。方法:选取2020年6月至2022年5月福建省泉州市第一医院收治的鼻咽癌放疗患者96例作为研究对象,按照随机数字表法分为观察组(n=50)和对照组(n=46),对照组给予常规护理干预,观察组给予程序化管理下疼痛护理干预。采用视觉模拟评分法(VAS)比较2组患者干预前后的疼痛感受,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用生命质量综合评定问卷量表(GQOLI-74)比较2组患者的生命质量,并比较2组患者的放疗临床相关症状指标。结果:干预后,2组VAS评分、PSQI评分均有所下降,且观察组显著低于对照组,2组临床吞咽咀嚼困难、口腔咽喉疼痛、口腔咽喉黏液、味觉异常、牙齿牙龈问题评分均下降,且观察组显著低于对照组,差异有统计学意义(P<0.05);干预后,2组GQOLI-74量表中社会、躯体、心理功能和物质生活各评分均有所上升,且观察组显著高于对照组,差异有统计学意义(P<0.05)。结论:在NPC放疗患者中实施程序化管理下的疼痛护理干预,能够有效减轻患者疼痛感、改善临床症状、提高睡眠质量和生命质量。

Objective:To analyze the application effect of pain intervention based on programmatic management in improving the sleep quality of nasopharyngeal carcinoma radiotherapy patients.Methods:A total of 96 nasopharyngeal carcinoma radiotherapy patients admitted to the First Hospital of Quanzhou City,Fujian Province,from June 2020 to May 2022 were selected as the research subjects.Using a random number table method,they were randomly divided into an observation group(n=50)and a control group(n=46).The control group received routine nursing intervention,while the observation group received pain nursing intervention under procedural management.Visual Analog Scale(VAS)was used to compare the pain perception of two groups of patients before and after intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality before and after intervention.The Comprehensive Quality of Life Questionnaire(GQOLI-74)was used to compare the quality of life of the two groups of patients,and the clinical symptom indicators related to radiotherapy were compared between the two groups of patients.Results:After intervention,the NRS score and PSQI score of both groups decreased,and the observation group was significantly lower than the control group.The clinical scores of swallowing and chewing difficulties,oral pharyngeal pain,oral pharyngeal mucus,taste abnormalities,and gum problems in both groups decreased,and the observation group was significantly lower than the control group.The difference between the two groups was statistically significant(P<0.05).After intervention,the social,physical,psychological,and material life scores of the two groups on the GQOLI-74 scale increased,and the observation group was significantly higher than the control group.The difference between the two groups was statistically significant(P<0.05).Conclusion:Implementing pain nursing interventions under programmatic management in NPC radiotherapy patients can alleviate pain,improve clinical symptoms,and improve sleep and quality of life.