CAJ | 학술논문

目的：探讨三级疼痛管理模式在中晚期癌症患者疼痛控制中的应用。方法：将128例中晚期癌症疼痛患者按照随机数字表分为观察组和对照组各64例，对照组给予常规疼痛教育、心理健康教育和三阶梯癌症疼痛治疗方案，观察组给予三级疼痛管理模式，比较两组干预前和干预后1、5、10 d 的疼痛评分和疼痛控制满意度。结果：干预后1、5、10 d 观察组疼痛状况评分和疼痛控制满意度均明显优于对照组（P ﹤0.05）。结论：三级疼痛管理模式有效减轻了中晚期癌症患者的疼痛程度，提高了患者的疼痛控制满意度，值得临床推广应用。
목적：탐토삼급동통관리모식재중만기암증환자동통공제중적응용。방법：장128례중만기암증동통환자안조수궤수자표분위관찰조화대조조각64례，대조조급여상규동통교육、심리건강교육화삼계제암증동통치료방안，관찰조급여삼급동통관리모식，비교량조간예전화간예후1、5、10 d 적동통평분화동통공제만의도。결과：간예후1、5、10 d 관찰조동통상황평분화동통공제만의도균명현우우대조조（P ﹤0.05）。결론：삼급동통관리모식유효감경료중만기암증환자적동통정도，제고료환자적동통공제만의도，치득림상추엄응용。
Objective:To explore the application of the three - level pain management model to pain control in patients with advanced cancer. Methods:128 patients suffering from pain due to advanced cancer were randomly divided into the observation group and the control group(64 cases in each group). The patients in the control group were given routine education on pain control and mental health educa-tion,etc. and the three - level pain management model was adopted in the observation group. The score of pain and patient satisfaction with pain control were compared between the two groups before the intervention and in one day,5 and 10 days after the intervention. Results:The score of pain and patient satisfaction with pain control in one day,5 and 10 days after the intervention were significantly superior in the observation group to the control group(P ﹤ 0. 05). Conclusion:Application of the three - level pain management model can effectively re-lieve the pain of patients with advanced cancer and improve patient satisfaction with pain control.