中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
5期
505-508
,共4页
袁丽%谭清和%陆勤美%张慎芳%葛晓霞%吉冬丽
袁麗%譚清和%陸勤美%張慎芳%葛曉霞%吉鼕麗
원려%담청화%륙근미%장신방%갈효하%길동려
镇痛药,阿片类%不良反应%晚期癌痛%护理干预
鎮痛藥,阿片類%不良反應%晚期癌痛%護理榦預
진통약,아편류%불량반응%만기암통%호리간예
Analgesics,opioid%Adverse reaction%Late-stage cancer pain%Nursing intervention
目的 探讨护理干预减少晚期癌痛患者阿片类药物不良反应的效果.方法 采用单纯随机抽样法将服用阿片类药物的晚期癌痛患者分为干预组和对照组,对照组给予常规护理,干预组在常规护理基础上给予认知、心理、健康行为、饮食以及用药等干预.结果 两组患者恶心呕吐、尿潴留发生率差异有统计学意义(x2值分别为3.948,4.241;P ＜0.05),便秘发生率差异有显著统计学意义(x2=7.394,P＜0.01),嗜睡、头晕、呼吸抑制发生率差异无统计学意义(P＞0.05).干预组患者整体生活质量得分高于对照组[(62.01±4.27)比(54.83±5.01)分],差异有显著统计学意义(=7.0145,P＜0.01),生存质量各分量表得分两组差异均有统计学意义(P＜0.01).结论 护理干预可有效降低晚期癌痛患者因阿片类药物引起的恶心、呕吐和尿潴留尤其是便秘的发生率,显著提高癌痛患者的生存质量.
目的 探討護理榦預減少晚期癌痛患者阿片類藥物不良反應的效果.方法 採用單純隨機抽樣法將服用阿片類藥物的晚期癌痛患者分為榦預組和對照組,對照組給予常規護理,榦預組在常規護理基礎上給予認知、心理、健康行為、飲食以及用藥等榦預.結果 兩組患者噁心嘔吐、尿潴留髮生率差異有統計學意義(x2值分彆為3.948,4.241;P ＜0.05),便祕髮生率差異有顯著統計學意義(x2=7.394,P＜0.01),嗜睡、頭暈、呼吸抑製髮生率差異無統計學意義(P＞0.05).榦預組患者整體生活質量得分高于對照組[(62.01±4.27)比(54.83±5.01)分],差異有顯著統計學意義(=7.0145,P＜0.01),生存質量各分量錶得分兩組差異均有統計學意義(P＜0.01).結論 護理榦預可有效降低晚期癌痛患者因阿片類藥物引起的噁心、嘔吐和尿潴留尤其是便祕的髮生率,顯著提高癌痛患者的生存質量.
목적 탐토호리간예감소만기암통환자아편류약물불량반응적효과.방법 채용단순수궤추양법장복용아편류약물적만기암통환자분위간예조화대조조,대조조급여상규호리,간예조재상규호리기출상급여인지、심리、건강행위、음식이급용약등간예.결과 량조환자악심구토、뇨저류발생솔차이유통계학의의(x2치분별위3.948,4.241;P ＜0.05),편비발생솔차이유현저통계학의의(x2=7.394,P＜0.01),기수、두훈、호흡억제발생솔차이무통계학의의(P＞0.05).간예조환자정체생활질량득분고우대조조[(62.01±4.27)비(54.83±5.01)분],차이유현저통계학의의(=7.0145,P＜0.01),생존질량각분량표득분량조차이균유통계학의의(P＜0.01).결론 호리간예가유효강저만기암통환자인아편류약물인기적악심、구토화뇨저류우기시편비적발생솔,현저제고암통환자적생존질량.
Objective To explore the effect of nursing intervention on reducing adverse reaction of opiates among late-stage cancer with pain.Methods Late-stage cancer patients were randomly divided into intervention group and control group,and the control group received the routine nursing,while the intervention group received the nursing intervention in the aspects of cognition,psychology,health behavior,diet and drug use on the base of routine nursing.Results After the intervention,significant difference was found in the incidence of nausea and vomit,urinary retention,and constipation between the two groups (x2 =3.948,4.241,7.394,respectively ;P ＜ 0.05),while the incidence of sleepiness,dizziness and respiratory depression in the two groups was not significant different (P ＞ 0.05).The global quality of life score of the intervention group was significantly higher than that of the control group [(62.01 ± 4.27) vs (54.83 ± 5.01) ; t =7.014 5,P ＜0.01],so as to the dimension scores (P ＜ 0.01).Conclusions Nursing intervention in late-stage cancer can significantly reduce the incidence of adverse reaction of opiates such as nausea and vomit,urinary retention,and constipation so as to improve their life quality.
