中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
13期
1547-1550
,共4页
护理%中重度癌痛%不良反应%芬太尼透皮贴剂
護理%中重度癌痛%不良反應%芬太尼透皮貼劑
호리%중중도암통%불량반응%분태니투피첩제
Nursing intervention%Moderate or severe cancer pain%Adverse effects%Duragesic
目的 研究护理干预模式在预防中、重度癌痛患者应用芬太尼透皮贴剂治疗不良反应中的实际成效及可行性.方法 将2011年12月-2013年12月期间接诊的192例中、重度癌痛患者作为研究对象,按随机数字表法分为对照组和观察组各96例.对照组采用基本护理,观察组采用护理干预模式,对两组患者的镇痛疗效及不良反应发生情况进行对比分析.结果 两组患者疼痛缓解情况对比,观察组患者治疗第6,9天疼痛有效缓解率分别为44.79％ (43/96),66.67％(64/96),高于对照组的22.92％(22/96),44.79％ (43/96),差异有统计学意义(x2值分别为10.267,9.310;P ＜0.01);两组患者第3天的疼痛有效缓解率比较差异无统计学意义(P＞0.05).两组患者不良反应发生情况比较,对照组患者呕吐、恶心、便秘等不良反应发生率均显著大于观察组,差异有统计学意义(x2值分别为5.603,5.438,4.364;P ＜0.05),而两组患者头晕、排尿困难反应比较差异无统计学意义(P＞0.05).结论 护理干预模式对中、重度癌痛患者应用芬太尼透皮贴剂治疗的不良反应有良好的预防效果,有助于改善患者的心理状态,帮助其更好地恢复身体健康,提高生活质量.
目的 研究護理榦預模式在預防中、重度癌痛患者應用芬太尼透皮貼劑治療不良反應中的實際成效及可行性.方法 將2011年12月-2013年12月期間接診的192例中、重度癌痛患者作為研究對象,按隨機數字錶法分為對照組和觀察組各96例.對照組採用基本護理,觀察組採用護理榦預模式,對兩組患者的鎮痛療效及不良反應髮生情況進行對比分析.結果 兩組患者疼痛緩解情況對比,觀察組患者治療第6,9天疼痛有效緩解率分彆為44.79％ (43/96),66.67％(64/96),高于對照組的22.92％(22/96),44.79％ (43/96),差異有統計學意義(x2值分彆為10.267,9.310;P ＜0.01);兩組患者第3天的疼痛有效緩解率比較差異無統計學意義(P＞0.05).兩組患者不良反應髮生情況比較,對照組患者嘔吐、噁心、便祕等不良反應髮生率均顯著大于觀察組,差異有統計學意義(x2值分彆為5.603,5.438,4.364;P ＜0.05),而兩組患者頭暈、排尿睏難反應比較差異無統計學意義(P＞0.05).結論 護理榦預模式對中、重度癌痛患者應用芬太尼透皮貼劑治療的不良反應有良好的預防效果,有助于改善患者的心理狀態,幫助其更好地恢複身體健康,提高生活質量.
목적 연구호리간예모식재예방중、중도암통환자응용분태니투피첩제치료불량반응중적실제성효급가행성.방법 장2011년12월-2013년12월기간접진적192례중、중도암통환자작위연구대상,안수궤수자표법분위대조조화관찰조각96례.대조조채용기본호리,관찰조채용호리간예모식,대량조환자적진통료효급불량반응발생정황진행대비분석.결과 량조환자동통완해정황대비,관찰조환자치료제6,9천동통유효완해솔분별위44.79％ (43/96),66.67％(64/96),고우대조조적22.92％(22/96),44.79％ (43/96),차이유통계학의의(x2치분별위10.267,9.310;P ＜0.01);량조환자제3천적동통유효완해솔비교차이무통계학의의(P＞0.05).량조환자불량반응발생정황비교,대조조환자구토、악심、편비등불량반응발생솔균현저대우관찰조,차이유통계학의의(x2치분별위5.603,5.438,4.364;P ＜0.05),이량조환자두훈、배뇨곤난반응비교차이무통계학의의(P＞0.05).결론 호리간예모식대중、중도암통환자응용분태니투피첩제치료적불량반응유량호적예방효과,유조우개선환자적심리상태,방조기경호지회복신체건강,제고생활질량.
Objective To study the clinical effects and feasibihty of nursing intervention for adverse effects of Duragesic when it prevented moderate or severe cancer pain.Methods A total of 192 patients,who had acquired moderate or serious cancer pain in our hospital during December 2011 and December 2013,had been chosen as objectives and divided into observation group (nursing intervention model) and control group (routine nursing) on average.The analgesic effect and adverse effects of patients were compared between two groups.Results Compared the results of pain relief,the effective rate of pain relief at sixth and ninth day of treatment were 44.79％ (43/96) and 66.67％ (64/96) higher than 22.92％ (22/96) and 44.79％ (43/96) of the control group (x2 =10.267,9.310;P ＜ 0.01);but pain relief had no statistical significance between two groups at third day (P ＞ 0.05).Compared the adverse effect in two groups,the incidences of vomiting,nausea,constipation and dysuria in the control group were higher than these of the observation group (x2 =5.603,5.438,4.364,3.544;P ＜ 0.05);but there was no statistical difference between two groups at aspect of dizzy (P ＞ 0.05).Conclusions The nursing intervention model had apparent effect on preventing adverse effects of patients with moderate or serious cancer pain treating with Duragesic.It could effectively improve psychological status of patients and life quality,and be helpful to restore their health.
