中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
18期
96-99
,共4页
周燕红%鄢云平%朱妹媛%王春福
週燕紅%鄢雲平%硃妹媛%王春福
주연홍%언운평%주매원%왕춘복
集束化护理%癌痛%规范化治疗
集束化護理%癌痛%規範化治療
집속화호리%암통%규범화치료
Bundles of care%Cancer pains%Standardized treatment
目的：探讨集束化护理在癌痛规范化治疗中对癌痛患者疼痛强度和疼痛影响是否有明显的缓解。方法：将本科2013年6月-2014年3月收治的80例病理确诊为恶性肿瘤，存在癌性疼痛，并接受三级阶梯止痛药物镇痛治疗的患者随机分成对照组和试验组，每组40例。对照组按照规范的三级阶梯止痛原则进行护理，试验组采用集束化护理措施，包括：评估癌痛→实施镇痛→健康教育→观察与记录→定期随访。观察两组癌痛患者干预前后疼痛强度、疼痛影响及止痛药的不良反应。结果：护理干预后，两组在疼痛强度与疼痛影响方面评分均明显下降（P<0.01），试验组下降程度较对照组更明显（P<0.01）；试验组癌痛缓解率明显高于对照组（P<0.01），且药物不良反应较低（P<0.05）。结论：集束化护理措施能明显降低癌痛患者的疼痛程度和疼痛对生活质量的影响，值得推广应用。
目的：探討集束化護理在癌痛規範化治療中對癌痛患者疼痛彊度和疼痛影響是否有明顯的緩解。方法：將本科2013年6月-2014年3月收治的80例病理確診為噁性腫瘤，存在癌性疼痛，併接受三級階梯止痛藥物鎮痛治療的患者隨機分成對照組和試驗組，每組40例。對照組按照規範的三級階梯止痛原則進行護理，試驗組採用集束化護理措施，包括：評估癌痛→實施鎮痛→健康教育→觀察與記錄→定期隨訪。觀察兩組癌痛患者榦預前後疼痛彊度、疼痛影響及止痛藥的不良反應。結果：護理榦預後，兩組在疼痛彊度與疼痛影響方麵評分均明顯下降（P<0.01），試驗組下降程度較對照組更明顯（P<0.01）；試驗組癌痛緩解率明顯高于對照組（P<0.01），且藥物不良反應較低（P<0.05）。結論：集束化護理措施能明顯降低癌痛患者的疼痛程度和疼痛對生活質量的影響，值得推廣應用。
목적：탐토집속화호리재암통규범화치료중대암통환자동통강도화동통영향시부유명현적완해。방법：장본과2013년6월-2014년3월수치적80례병리학진위악성종류，존재암성동통，병접수삼급계제지통약물진통치료적환자수궤분성대조조화시험조，매조40례。대조조안조규범적삼급계제지통원칙진행호리，시험조채용집속화호리조시，포괄：평고암통→실시진통→건강교육→관찰여기록→정기수방。관찰량조암통환자간예전후동통강도、동통영향급지통약적불량반응。결과：호리간예후，량조재동통강도여동통영향방면평분균명현하강（P<0.01），시험조하강정도교대조조경명현（P<0.01）；시험조암통완해솔명현고우대조조（P<0.01），차약물불량반응교저（P<0.05）。결론：집속화호리조시능명현강저암통환자적동통정도화동통대생활질량적영향，치득추엄응용。
To approach the effective of bundles of care for patients with cancer pains,whether it could relieve the intensity of pain and the influence of cancer pains.Method:80 cases who were diagnosed malignant tumors pathologically,suffered from cancer pains and receiving three-step method analgesia,were divided into the control group and the experimental group randomly,each group had 40 cases. The control group received standardized treatment of three-step method analgesia,while the experimental group received standardized treatment of bundles of care which include the following steps:the assessment of cancer pains→the implement of analgesia→the health education→the observation and recorde → the following-up. The scores of pain intensity and the scores of the influence of cancer pains as well as the adverse drug reaction of analgesics of two groups were observed.Result:After nursing intervention,the scores of pain intensity and the scores of the influence of cancer pains were decreased more significantly than those before intervention(P<0.01),but the scores in the experimental group were decreased more significantly than those in the control group(P<0.01);the relief rate of cancer pains in the experimental group were higher than that in the control group(P<0.01);the rate of the adverse drug reaction of analgesics in the experimental group were lower than that in the control group(P<0.05).Conclusion:The bundles of care intervention can decrease the cancer pains intensity and the influence of cancer pains on the life quality obviously,it is worth popularizing and applying.
