CAJ | 학술논문

目的：为癌痛患者制作一种携带方便的癌痛管理日记本,提高肿瘤患者对癌痛知识的掌握,促进患者主动参与癌痛规范化治疗。方法选取四川省肿瘤医院6个癌痛示范病房的299例中重度癌痛患者,将病房分别编号,随机分为研究组156例和对照组143例。对照组采用常规癌痛健康教育指导,研究组在此基础上给每个患者分发一本癌痛患者口袋日记本,动态记录疼痛控制情况及不良反应。采用自制肿瘤患者癌痛知识自评问卷和肿瘤患者癌痛控制满意度问卷于患者出院前进行测试和评价。结果研究组患者癌痛评估与药物使用得分与对照组比较差异无统计学意义(P>0.05),研究组不良反应预防得分(15.84±1.70)分,不良反应观察(15.84±1.70)分,癌痛误区鉴别(18.52±1.16)分,均高于对照组,差异有统计学意义(t 值分别为5.25,2.38,13.53；P <0.05)。研究组非常满意98例,满意55例,不满意3例,满意度高于对照组,差异有统计学意义(Z=8.87,P<0.05)。结论癌痛患者口袋日记本制作简单、携带方便、实用性强,有利于提高肿瘤患者对癌痛知识的掌握水平,促进患者参与癌痛规范化治疗,提高癌痛控制自我管理能力和满意度。
목적：위암통환자제작일충휴대방편적암통관리일기본,제고종류환자대암통지식적장악,촉진환자주동삼여암통규범화치료。방법선취사천성종류의원6개암통시범병방적299례중중도암통환자,장병방분별편호,수궤분위연구조156례화대조조143례。대조조채용상규암통건강교육지도,연구조재차기출상급매개환자분발일본암통환자구대일기본,동태기록동통공제정황급불량반응。채용자제종류환자암통지식자평문권화종류환자암통공제만의도문권우환자출원전진행측시화평개。결과연구조환자암통평고여약물사용득분여대조조비교차이무통계학의의(P>0.05),연구조불량반응예방득분(15.84±1.70)분,불량반응관찰(15.84±1.70)분,암통오구감별(18.52±1.16)분,균고우대조조,차이유통계학의의(t 치분별위5.25,2.38,13.53；P <0.05)。연구조비상만의98례,만의55례,불만의3례,만의도고우대조조,차이유통계학의의(Z=8.87,P<0.05)。결론암통환자구대일기본제작간단、휴대방편、실용성강,유리우제고종류환자대암통지식적장악수평,촉진환자삼여암통규범화치료,제고암통공제자아관리능력화만의도。
Objective To design a pocket diary for cancer pain patients, to explore the effect on improving their knowledge about pain control, and make them actively participate in cancer pain control activities. Methods The study was performed in Sichuan Cancer Hospital, it was conducted on 299 cancer patients, who were randomly divided into the experimental group ( 156 cases ) and the control group (143 cases), undergoing moderate-to-severe cancer pain in six standardized pain control demonstration wards. Patients from the experimental group recorded their adverse reactions and general routine care, with a cancer pain pocket diary, and the patients in the control group only got the general routine care. A questionnaire was used to test their level of cancer pain knowledge and degree of satisfaction before discharge. Results There was no significant difference in the pain assessment and drug use between the two groups (P>0. 05). The scores of adverse reactions prevention, adverse reactions report and misunderstanding identification of the experimental group were (15. 84 ± 1. 70), (15. 84 ± 1. 70) and (18. 52 ± 1. 16), respectively, which were significantly higher than those in the control group (t =5. 25, 2. 38, 13. 53, respectively;P<0. 05). In the experimental group, 98 patients were quite satisfied, 55 patients were satisfied, 3 patients were not satisfied. There was a significant difference between the two groups (Z =8. 87,P <0. 05). Conclusions The cancer pain pocket diary could improve the cancer patients′ knowledge about pain control, and make them actively participate in cancer pain control activities.