中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
27期
3468-3472
,共5页
护理干预%癌性疼痛%生活质量%肝胆外科
護理榦預%癌性疼痛%生活質量%肝膽外科
호리간예%암성동통%생활질량%간담외과
Nursing intervention%Cancer pain%Life quality%Department of hepatobiliary surgery
目的：探讨癌痛护理干预对于缓解肝胆外科晚期恶性肿瘤患者癌性疼痛的应用效果和对其生活质量的影响。方法选取肝胆外科恶性肿瘤患者120例，按照患者入院时间分为对照组（ n＝60）和干预组（ n＝60）。对照组实施常规护理，干预组在常规护理的基础上实施癌痛护理干预。采用数字疼痛评分表（NRS）、癌症疼痛控制障碍问卷（BQ）和中文版癌症患者生命质量通用量表（FACTG）评价两组患者癌性疼痛程度、对癌痛自我控制障碍水平和生活质量的差异。结果干预后干预组与对照组的平均癌痛程度得分分别为（1．63±0．53），（3．14±0．87）分，最严重癌痛程度得分分别为（3．64±1．39），（4.89±1．78）分，两组比较差异均有统计学意义（t值分别为-2．453，-2．135；P＜0．05）。干预后干预组与对照组对癌痛自我控制障碍的总均分别为（1．08±0．32），（2．84±0．47）分，生活质量总均分分别为（3．56±1．03），（2．34±0．81）分，两组比较差异均有统计学意义（t值分别为-2．585，2．101；P＜0．05）。干预组患者平均住院时间为（14．57±5．13） d，对照组为（22．14±6．44） d，两组比较差异有统计学意义（ t＝-7．974，P＜0．01）。结论癌痛护理干预能有效地缓解肝胆外科晚期恶性肿瘤患者的癌性疼痛，提高患者癌痛自我控制水平和生活质量，能有效缩短患者的住院日期，建议将其进一步推广应用。
目的：探討癌痛護理榦預對于緩解肝膽外科晚期噁性腫瘤患者癌性疼痛的應用效果和對其生活質量的影響。方法選取肝膽外科噁性腫瘤患者120例，按照患者入院時間分為對照組（ n＝60）和榦預組（ n＝60）。對照組實施常規護理，榦預組在常規護理的基礎上實施癌痛護理榦預。採用數字疼痛評分錶（NRS）、癌癥疼痛控製障礙問捲（BQ）和中文版癌癥患者生命質量通用量錶（FACTG）評價兩組患者癌性疼痛程度、對癌痛自我控製障礙水平和生活質量的差異。結果榦預後榦預組與對照組的平均癌痛程度得分分彆為（1．63±0．53），（3．14±0．87）分，最嚴重癌痛程度得分分彆為（3．64±1．39），（4.89±1．78）分，兩組比較差異均有統計學意義（t值分彆為-2．453，-2．135；P＜0．05）。榦預後榦預組與對照組對癌痛自我控製障礙的總均分彆為（1．08±0．32），（2．84±0．47）分，生活質量總均分分彆為（3．56±1．03），（2．34±0．81）分，兩組比較差異均有統計學意義（t值分彆為-2．585，2．101；P＜0．05）。榦預組患者平均住院時間為（14．57±5．13） d，對照組為（22．14±6．44） d，兩組比較差異有統計學意義（ t＝-7．974，P＜0．01）。結論癌痛護理榦預能有效地緩解肝膽外科晚期噁性腫瘤患者的癌性疼痛，提高患者癌痛自我控製水平和生活質量，能有效縮短患者的住院日期，建議將其進一步推廣應用。
목적：탐토암통호리간예대우완해간담외과만기악성종류환자암성동통적응용효과화대기생활질량적영향。방법선취간담외과악성종류환자120례，안조환자입원시간분위대조조（ n＝60）화간예조（ n＝60）。대조조실시상규호리，간예조재상규호리적기출상실시암통호리간예。채용수자동통평분표（NRS）、암증동통공제장애문권（BQ）화중문판암증환자생명질량통용량표（FACTG）평개량조환자암성동통정도、대암통자아공제장애수평화생활질량적차이。결과간예후간예조여대조조적평균암통정도득분분별위（1．63±0．53），（3．14±0．87）분，최엄중암통정도득분분별위（3．64±1．39），（4.89±1．78）분，량조비교차이균유통계학의의（t치분별위-2．453，-2．135；P＜0．05）。간예후간예조여대조조대암통자아공제장애적총균분별위（1．08±0．32），（2．84±0．47）분，생활질량총균분분별위（3．56±1．03），（2．34±0．81）분，량조비교차이균유통계학의의（t치분별위-2．585，2．101；P＜0．05）。간예조환자평균주원시간위（14．57±5．13） d，대조조위（22．14±6．44） d，량조비교차이유통계학의의（ t＝-7．974，P＜0．01）。결론암통호리간예능유효지완해간담외과만기악성종류환자적암성동통，제고환자암통자아공제수평화생활질량，능유효축단환자적주원일기，건의장기진일보추엄응용。
Objective To explore the effect of nursing intervention on alleviating the cancer pain and improving the life quality of advanced malignant tumor patients in the department of hepatobiliary surgery . Methods One hundred and twenty patients with advanced malignant tumor in the department of hepatobiliary surgery were chosen and divided into the control group and the intervention group according to the admission time, each with 60 cases.The control group received the routine nursing , and the intervention group received the cancer pain nursing intervention on the basis of the routine nursing .The degree of cancer pain , the level of self-control disorder for the cancer pain and life quality was compared between two groups .Results The average scores of the degree of cancer pain were respectively (1.63 ±0.53), (3.14 ±0.87) in the intervention group and the control group, and the scores of most serious degree of cancer pain were respectively (3.64 ±1.39), (4.89 ±1.78) in two groups, and the differences were statistically significant (t =-2.453, -2.135, respectively;P<0.05).The scores of the level of self -control disorder for the cancer pain were respectively (1.08 ±0.32),(2.84 ±0.47) in the intervention group and the control group , and the scores of life quality were respectively (3.56 ±1.03),(2.34 ±0.81) in two groups, and the differences were statistically significant (t =-2.585,2.101, respectively;P <0.05).The average hospital time was (14.57 ±5.13) d in the intervention group , and was ( 22 .14 ±6 .44 ) d in the control group , and the difference was statistically significant (t=-7.974,P<0.01).Conclusions The nursing intervention can effectively relieve cancer pain in the advanced malignant tumor patients in the department of hepatobiliary surgery , and improve their levels of self-control for the cancer pain and life quality , and shorten the hospital time , and is worthy of further clinical promotion and application .
