肿瘤药学
腫瘤藥學
종류약학
ANTI-TUMOR PHARMACY
2014年
6期
473-477
,共5页
陈汝桂%黄桂连%李小梅%张妙珍%陈叙宇
陳汝桂%黃桂連%李小梅%張妙珍%陳敘宇
진여계%황계련%리소매%장묘진%진서우
癌痛护理干预%疼痛程度%生活质量%焦虑%抑郁
癌痛護理榦預%疼痛程度%生活質量%焦慮%抑鬱
암통호리간예%동통정도%생활질량%초필%억욱
Standardized pain nursing intervention%Pain degree%Quality of life%Anxiety%Depression
目的：探讨规范化癌痛护理干预对癌痛患者心理及生活质量的影响。方法选取我院肿瘤科收治的98例患者作为研究对象，采用随机数字表法分为对照组和观察组，每组各49例。对照组患者仅给予常规护理方案，观察者患者在常规护理方案的基础上给予规范化癌痛护理干预。在不同护理干预前后，采用疼痛视觉模拟评分表（VAS）评估患者的癌痛情况，通过焦虑自评量表（SAS）及抑郁自评量表（SDS）评估患者的心理焦虑及抑郁状况，根据SF-36量表评估患者的生活质量。结果护理干预前，两组患者的VAS评分、SAS、SDS评分以及SF-36量表得分比较，差异均无统计学意义（P>0.05）；护理干预后，观察组患者的VAS评分、SAS及SDS评分均明显低于对照组，差异均具有统计学意义（P<0.01），而SF-36量表得分明显高于对照组，差异有统计学意义（P<0.01）。结论采用规范化癌痛护理干预可有效减轻癌痛患者的焦虑、抑郁等负性心理，缓解躯体疼痛程度，提高患者整体生活质量，值得临床推广应用。
目的：探討規範化癌痛護理榦預對癌痛患者心理及生活質量的影響。方法選取我院腫瘤科收治的98例患者作為研究對象，採用隨機數字錶法分為對照組和觀察組，每組各49例。對照組患者僅給予常規護理方案，觀察者患者在常規護理方案的基礎上給予規範化癌痛護理榦預。在不同護理榦預前後，採用疼痛視覺模擬評分錶（VAS）評估患者的癌痛情況，通過焦慮自評量錶（SAS）及抑鬱自評量錶（SDS）評估患者的心理焦慮及抑鬱狀況，根據SF-36量錶評估患者的生活質量。結果護理榦預前，兩組患者的VAS評分、SAS、SDS評分以及SF-36量錶得分比較，差異均無統計學意義（P>0.05）；護理榦預後，觀察組患者的VAS評分、SAS及SDS評分均明顯低于對照組，差異均具有統計學意義（P<0.01），而SF-36量錶得分明顯高于對照組，差異有統計學意義（P<0.01）。結論採用規範化癌痛護理榦預可有效減輕癌痛患者的焦慮、抑鬱等負性心理，緩解軀體疼痛程度，提高患者整體生活質量，值得臨床推廣應用。
목적：탐토규범화암통호리간예대암통환자심리급생활질량적영향。방법선취아원종류과수치적98례환자작위연구대상，채용수궤수자표법분위대조조화관찰조，매조각49례。대조조환자부급여상규호리방안，관찰자환자재상규호리방안적기출상급여규범화암통호리간예。재불동호리간예전후，채용동통시각모의평분표（VAS）평고환자적암통정황，통과초필자평량표（SAS）급억욱자평량표（SDS）평고환자적심리초필급억욱상황，근거SF-36량표평고환자적생활질량。결과호리간예전，량조환자적VAS평분、SAS、SDS평분이급SF-36량표득분비교，차이균무통계학의의（P>0.05）；호리간예후，관찰조환자적VAS평분、SAS급SDS평분균명현저우대조조，차이균구유통계학의의（P<0.01），이SF-36량표득분명현고우대조조，차이유통계학의의（P<0.01）。결론채용규범화암통호리간예가유효감경암통환자적초필、억욱등부성심리，완해구체동통정도，제고환자정체생활질량，치득림상추엄응용。
Objective To explore the effects of standardized pain control intervention on the psychology and quality of life of patients with cancer pain. Methods A total of 98 cases of patients with cancer pain admitted in the oncology depart-ment of our hospital were selected and randomly divided into the control group which was applied conventional nursing the and the observation group which was added with standardized nursing intervention on the base of control group, 49 cases in each group. Before and after different nursing intervention, visual analog scale (VAS) was used to assess the patients’pain, self-rating anxiety scale (SAS) and self-rating depression scale (SDS) were used to assess the patients’psychological anxi-ety and depression status. SF-36 scale was used to assess the patients’quality of life. Results No significant difference was found in the VAS score, SAS and SDS score as well as SF-36 scale score between the two groups before nursing interven-tion (all P>0.05). After nursing intervention, the VAS score, SAS and SDS score of the observation group were significantly lower than those of the control group, and the differences were statistically significant (all P<0.01). Yet the SF-36 scale score of the observation group was significantly higher than that of the control group, with statistical differences (P<0.01). Conclusion Standardized nursing intervention could effectively relieve the anxiety, depression and other negative psychol-ogy of patients with cancer pain. It also could relieve the body pain, improve the whole quality of life, so it was worthy of clinical application.
