CAJ | 학술논문

目的：进一步了解 Pro-self 疼痛管理项目对患者疼痛评分的影响。方法已证实有肿瘤骨转移的门诊病人随机分为 Pro-self 组(n=29)和标准护理组(n=30)。针对 Pro-self 组患者，疼痛专科护士分别在第1，4周电话访问，指导如何应对癌症疼痛及止痛药使用，以及与医师沟通，从而改进疼痛控制策略。标准护理组按常规护理。4周后患者对疼痛情况进行评分。结果 Pro-self 组在疼痛评分上降低，且与标准护理组有统计学差异(P<0.05)。两组在疼痛持续时间上没有统计学差异。结论 Pro-self 疼痛管理项目能有效提高患者自我护理能力，增强了癌症疼痛的管理。
목적：진일보료해 Pro-self 동통관리항목대환자동통평분적영향。방법이증실유종류골전이적문진병인수궤분위 Pro-self 조(n=29)화표준호리조(n=30)。침대 Pro-self 조환자，동통전과호사분별재제1，4주전화방문，지도여하응대암증동통급지통약사용，이급여의사구통，종이개진동통공제책략。표준호리조안상규호리。4주후환자대동통정황진행평분。결과 Pro-self 조재동통평분상강저，차여표준호리조유통계학차이(P<0.05)。량조재동통지속시간상몰유통계학차이。결론 Pro-self 동통관리항목능유효제고환자자아호리능력，증강료암증동통적관리。
Objective to better understand the effect of the Pro-self Pain control Program on pain scores. Methods:oncology outpatients with pain from bone metastasis were randomly assigned to the Pro-self intervention group (n=29) or standard care group (n=30). Pro-self group patients were taught how to cope with cancer pain and use an analgesic drug, and were given instructions on how to communicate with their doctors about unrelieved pain, at week 1 and 4 respectively. Patients in standard care group received routine nursing. Patients scored the pain intensity after 4weeks. Results Pain intensity scores in the PRO-SELF group decreased compared with pre-intervention, significantly lower than that in the standard care group (p<0.05). no differences were observed on hours per day in cancer pain between these two groups. Conclusions the use of Pro-self Pain control Program can improve self care ability and help to manage the cancer pain.