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一项关于标准化护理干预对癌症疼痛患者生活质量影响的前瞻性随机对照研究。

A prospective randomized controlled study of the effect of standardized nursing intervention for cancer pain on the quality of life of patients.

机构信息

Department of Oncology, Beijing Chaoyang Hospital, Capital Medical University, China.

Department of Neurology, Beijing Chaoyang Hospital, Capital Medical University, China.

出版信息

Int J Qual Health Care. 2023 Apr 21;35(2). doi: 10.1093/intqhc/mzad017.

Abstract

Cancer pain refers to pain caused by cancer itself or cancer-related factors and can seriously affect cancer patients' quality of life. Cancer pain can also cause a decline in patient compliance with cancer treatment and care. It has been suggested that nursing should be oriented to meet the patients' needs, improve the capacity and quality of its specialized services, and provide a continuum of good quality care for different types of cancer patients with varying degrees of pain. This study used a convenience sampling of 236 cancer patients. According to the random number table method, these patients were randomly divided into an observation group and a control group, with 118 cases in each group. The control group was given routine nursing and pain management care. The observation group was given standardized nursing intervention for cancer pain alongside routine nursing and pain management care. After 2 weeks of different nursing interventions, the results of the Numeric Rating Scale and the World Health Organization Quality of Life brief version questionnaire from the two groups were compared. After 2 weeks of standardized nursing intervention for cancer pain, the results of the Numeric Rating Scale and World Health Organization Quality of Life brief version in the observation group were significantly better than those in the control group (P < .05), and the difference was statistically significant. The standardized nursing intervention can effectively relieve cancer pain, improve cancer patients' quality of life, and play a significant role in cancer treatment, which is worthy of clinical reference and promotion.

摘要

癌症疼痛是指由癌症本身或癌症相关因素引起的疼痛,会严重影响癌症患者的生活质量。癌症疼痛还会导致患者对癌症治疗和护理的依从性下降。有研究建议护理应面向满足患者需求,提高其专业服务能力和质量,为不同类型、不同程度疼痛的癌症患者提供优质、连续的护理。本研究采用便利抽样法选取 236 例癌症患者,按照随机数字表法将其随机分为观察组和对照组,每组 118 例。对照组给予常规护理和疼痛管理护理,观察组在常规护理和疼痛管理护理的基础上给予癌症疼痛规范化护理干预。在不同护理干预 2 周后,比较两组患者的数字评分量表(NRS)和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评分结果。经过 2 周的癌症疼痛规范化护理干预后,观察组 NRS 及 WHOQOL-BREF 评分结果明显优于对照组(P<.05),差异具有统计学意义。规范化护理干预能有效缓解癌症疼痛,提高癌症患者的生活质量,在癌症治疗中具有重要作用,值得临床借鉴和推广。

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