家庭护理模式应用于自控镇痛泵治疗顽固性癌痛的临床护理研究

A study on home care model of self-control analgesia for the the treatment of patients with intractable chronic pain

目的分析吗啡鞘内镇痛泵治疗顽固性癌痛患者居家自我管理的现况,探索促进患者日常生活质量提高的护理模式。方法采用随机数字表法选择安装吗啡鞘内泵患者40例,对照组20例采用常规护理,实验组20例采用家庭护理模式护理,应用评价工具VAS疼痛评分、日常生活质量评分及《医院感染诊断标准(试行)》来研究两组患者的感染率、脱管率、不良反应发生率、日常生活质量及镇痛疗效的差异。结果家庭护理模式护理组感染率、脱管率、不良反应发生率明显小于常规护理组,其日常生活质量及镇痛疗效提高,两组比较差异有统计学意义(P<0.05)。结论通过采用家庭护理模式护理吗啡鞘内自控镇痛泵治疗顽固性癌痛的患者,减少了感染率、脱管率、药物不良反应发生率,提高了患者日常生活质量及镇痛效果。

Objective To analyze current situation of self-management at home by means of the the morphine intrathecal analgesia pump for the treatment of the patients with intractable pain and to explore the nursing mode to promote the daily life quality of the patients at the same time. Methods Forty patients with morphine sheath pumpby random number table method were divided into 2 groups at random,20 cases by routine nursing in the control group and 20 cases in the experimental group.The infection rate,the rate of detachment tube and incidence of adverse reactions,daily life quality and curative effect of analgesia between these 2 groups were compared by VAS pain score, daily life quality score and diagnostic criteria of nosocomial infection(trial). Results The infection rate, the rate of detachment tube and incidence of adverse reactions in the group of family nursing model were obviously lower than those of the group of routine nursing.The daily life quality and the curative effect of analgesia obviously increased.The difference was statistically signiifcant between two groups (P<0.05). Conclusion The infection rate,the rate of detachment tube and incidence of adverse reactions obviously decreased and the daily life quality and the curative effect of analgesia obviously increased by means of home care model of self-control analgesia for the the treatment of patients with intractable chronic pain.