系统化疼痛护理模式在居家癌性疼痛患者中的应用效果

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摘要目的探讨系统化疼痛护理模式在居家癌性疼痛患者中的应用效果。方法选取2020年3月至12月中山大学附属第八医院（深圳福田）收治的130 例居家癌性疼痛患者作为研究对象，采用随机数字表法将其分为对照组（65 例）和观察组（65 例）。对照组采用常规疼痛护理，观察组在此基础上采用系统化疼痛护理。对比两组患者的疼痛数字评分表（NRS）评分、爆发痛次数、匹兹堡睡眠质量指数量表（PSQI）得分、癌症疲乏量表（CFS）得分及疼痛控制满意率。结果两组干预前的NRS 评分、爆发痛次数、PSQI 得分、CFS 得分比较，差异无统计学意义（P>0.05）；两组干预后的NRS 评分均低于干预前，爆发痛次数均少于干预前，PSQI、CFS 得分均低于干预前，且观察组患者干预后的NRS 评分低于对照组，爆发痛次数少于对照组，PSQI 得分、CFS 得分低于对照组，疼痛控制总满意度高于对照组，差异有统计学意义（P<0.05）。结论系统化疼痛护理模式能有效减轻居家癌症患者的疼痛程度和爆发痛次数，降低癌因性疲乏程度，提高患者的睡眠质量和疼痛控制满意率。

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	何晓芳
	曾丽吟
	曾秋萍
	吕金凤

关键词 ：系统化模式, 疼痛护理, 癌性疼痛, 居家管理

Abstract：Objective To explore the application effect of systematic pain nursing model in patients with cancer pain at home. Methods From March to December 2020, 130 patients with cancer pain at home admitted to the Eighth Affiliated Hospital of Sun Yat-sen University (Shenzhen Futian) were selected as the research objects, and they were divided into the control group (65 cases) and the observation group (65 cases) by random number table method. The control group received routine pain nursing, and the observation group received systematic pain nursing on this basis. The two groups of patients were compared with the numerical rating scale (NRS) score, the number of burst pain, Pittsburgh sleep quality index (PSQI) score, cancer fatigue scale (CFS) score and the satisfaction rate of pain control. Results There were no statistically significant differences in NRS score, burst pain time, PSQI score, and CFS score between the two groups before intervention (P>0.05). The NRS score of the two groups after intervention was lower than those before intervention, the burst pain time was less than that before intervention, and the PSQI and CFS scores were lower than those before intervention, the differences were statistically significant (P<0.05). The NRS score of the observation group after intervention was lower than that of the control group, the burst pain time was less than that of the control group, the PSQI score and CFS score were lower than those in the control group, and the total pain control satisfaction rate was higher than that of the control group, the differences were statistically significant (P<0.05). Conclusion The systematic pain nursing model can effectively reduce the pain degree and burst pain frequency of patients with cancer pain at home, reduce the degree of cancer-related fatigue, and improve the patient′s sleep quality and pain control satisfaction rate.

Key words： Systematic mode Pain nursing Cancer pain Home management

基金资助:广东省深圳市福田区卫生公益性科研项目（FTWS 2018025）

引用本文:

何晓芳；曾丽吟；曾秋萍；吕金凤. 系统化疼痛护理模式在居家癌性疼痛患者中的应用效果[J]. 中国当代医药, 2022, 29(8): 189-192.
HE Xiaofang； ZENG Liyin；ZENG Qiuping； LYU Jinfeng. Application effect of systemic pain nursing model in patients with cancer pain at home. 中国当代医药, 2022, 29(8): 189-192.

链接本文:

https://www.dangdaiyiyao.com/CN/ 或 https://www.dangdaiyiyao.com/CN/Y2022/V29/I8/189

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