CAJ | 학술논문

目的观察护理干预对辛香吸入止痛剂治疗癌性疼痛的影响，以期为改善癌痛患者的生活质量，提高生存几率提供临床依据。方法以本院2009年4月～2012年9月接收的178例确诊为癌症，并且存在明确疼痛的患者为研究对象，随机均分为观察组和对照组，两组患者均以辛香吸入止痛剂止痛，在此基础上，观察组进行护理干预。对两组患者的疼痛程度、止痛治疗依从性和生活质量进行调查，并对调查结果进行统计学分析。结果观察组与对照组相比较，无痛和轻度疼痛的患者明显增多，重度疼痛和极度疼痛的患者明显减少，其总体疼痛显著低于对照组（P＜0.05）；观察组患者的服药依从性明显高于对照组，两组的差异具有统计学意义（P＜0.05）；观察组患者生活质量与对照组相比，无干扰和轻度干扰明显提高，中度和重度干扰明显下降，差异均具有统计学意义（P＜0.05）。结论护理干预能够明显降低癌性疼痛患者的疼痛程度，提高患者对辛香吸入止痛剂止痛治疗的依从性，改善癌症疼痛病人的生活质量，可为辛香吸入止痛剂在临床上的广泛应用奠定基础。
목적관찰호리간예대신향흡입지통제치료암성동통적영향，이기위개선암통환자적생활질량，제고생존궤솔제공림상의거。방법이본원2009년4월～2012년9월접수적178례학진위암증，병차존재명학동통적환자위연구대상，수궤균분위관찰조화대조조，량조환자균이신향흡입지통제지통，재차기출상，관찰조진행호리간예。대량조환자적동통정도、지통치료의종성화생활질량진행조사，병대조사결과진행통계학분석。결과관찰조여대조조상비교，무통화경도동통적환자명현증다，중도동통화겁도동통적환자명현감소，기총체동통현저저우대조조（P＜0.05）；관찰조환자적복약의종성명현고우대조조，량조적차이구유통계학의의（P＜0.05）；관찰조환자생활질량여대조조상비，무간우화경도간우명현제고，중도화중도간우명현하강，차이균구유통계학의의（P＜0.05）。결론호리간예능구명현강저암성동통환자적동통정도，제고환자대신향흡입지통제지통치료적의종성，개선암증동통병인적생활질량，가위신향흡입지통제재림상상적엄범응용전정기출。
Objective To investigate the influence of nursing intervention on spicy inhalation analgesics in the treatment of cancer pain in order to provide clinical evidence to improve the quality of life and the chance of survival for cancer pain patients. Methods 178 patients diagnosed with cancer in our hospital from April 2009 to September 2012 who suffered from clear pain were selected as the study subjects and randomly divided into the observation group and the control group. Both groups were given spicy inhalation analgesics, on the basis of which the observation group was given additional nursing intervention. The degree of pain, pain treatment compliance and quality of life of the two groups of patients were investigated and analyzed statistically. Results Compared to the control group, the observation group had significantly increased number of patients with no pain and mild pain, significantly decreased number of patients with severe pain and extreme pain, and significantly lower overall pain (P < 0.05).The observation group had significantly higher medication compliance than the control group, with statistically significant difference ( P < 0.05).Compared to the control group, the observation group had significantly increased non-interference and mild interference and significantly decreased moderate and severe interference, with statistically significant difference (P < 0.05). Conclusion Nursing intervention can significantly reduce the level of pain for patients with cancer pain, improve their treatment compliance with spicy inhalation analgesics, and improve the quality of life of patients with cancer pain,which lays the foundation for the wild clinical application of spicy inhalation analgesics.