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分析针对老年癌症疼痛患者的一级护理干预对潜在风险改善及疼痛程度的影响。

Analysis of primary nursing intervention for elderly patients with cancer pain on the improvement of potential risk and pain degree.

作者信息

Liu Ying, Zhang Ziqi, Gong Qingxia, Yang Guangjing, Wu Zaimin, Yang Zhiyi, Zhao Xiwei

机构信息

Department of Oncology, Chongqing Hospital of Traditional Chinese Medicine Chongqing 400021, China.

Department of Nursing, Chongqing Hospital of Traditional Chinese Medicine Chongqing 400021, China.

出版信息

Am J Transl Res. 2021 Oct 15;13(10):11890-11898. eCollection 2021.

Abstract

OBJECTIVE

To analyze the effect of primary nursing on the improvement of potential risk and pain degree in elderly patients with cancer pain.

METHODS

Altogether 187 patients with cancer pain from June 2018 to November 2019 were selected as the research participants and grouped into two groups according to different nursing intervention methods, including 102 cases in the research group (RG) and 85 cases in the control group (CG). The pain relief and medication compliance were evaluated. General Self-efficacy Scale (GSES) and Exercise of Self-Care Agency (ESCA) were used to evaluate the self-efficacy and self-care ability. Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) were used to evaluate the anxiety and depression. Pittsburgh Sleep Quality Index (PSQI) was used to evaluate sleep quality. SF-36 Quality of Life Scale was used to evaluate the quality of life. Self-made nursing satisfaction questionnaire was used to evaluate the nursing satisfaction.

RESULTS

The improvement of pain relief in the RG was evidently higher than that in the CG. The scores of SAS and SDS in the RG after intervention were evidently lower than those in the CG. GSES and ESCA scores of patients in the RG after intervention were evidently higher than those in the CG. The compliance of patients in the RG after intervention was evidently higher than that in the CG. The PSQI scores of patients in the RG after intervention were evidently better than those in the CG. The scores of SF-36 and nursing satisfaction in the RG were evidently higher than those in the CG.

CONCLUSION

The implementation of primary nursing intervention for elderly patients with cancer pain can effectively relieve their pain and improve their bad psychological state and medication compliance, thus improving patients' quality of life.

摘要

目的

分析责任制护理对老年癌痛患者潜在风险及疼痛程度改善的影响。

方法

选取2018年6月至2019年11月共187例癌痛患者作为研究对象,根据不同护理干预方法分为两组,研究组102例,对照组85例。评估疼痛缓解情况及用药依从性。采用一般自我效能感量表(GSES)和自我护理能力测定量表(ESCA)评估自我效能感和自我护理能力。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评估焦虑和抑郁情况。采用匹兹堡睡眠质量指数(PSQI)评估睡眠质量。采用SF-36生活质量量表评估生活质量。采用自制护理满意度调查问卷评估护理满意度。

结果

研究组疼痛缓解改善情况明显高于对照组。干预后研究组SAS和SDS评分明显低于对照组。干预后研究组患者GSES和ESCA评分明显高于对照组。干预后研究组患者依从性明显高于对照组。干预后研究组患者PSQI评分明显优于对照组。研究组SF-36评分及护理满意度明显高于对照组。

结论

对老年癌痛患者实施责任制护理干预可有效缓解其疼痛,改善不良心理状态及用药依从性,从而提高患者生活质量。

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