Wang Qin, Deng Hongqu, Zeng Xiaomei, Xie Daling, Li Lingyan, Long Xiangyu
Oncology Department, Guang'an People's Hospital Guang'an, Sichuan, China.
Nursing Department, Guang'an People's Hospital Guang'an, Sichuan, China.
Am J Transl Res. 2023 Jun 15;15(6):4408-4415. eCollection 2023.
To explore the application value of a standardized nursing model in pain management of advanced cancer patients undergoing radiotherapy and chemotherapy.
The clinical data of 166 patients with advanced cancer who suffered pain after receiving radiotherapy and chemotherapy in the Oncology Department of Guang'an People's Hospital from June 2020 to June 2021 were retrospectively analyzed. Among them, 83 patients who received routine care were grouped as a control group, while the other 83 patients who received standardized cancer pain nursing based on routine nursing were set as the experimental group. The location, duration, and degree of pain (numeric rating scales, NRS) and quality of life (European Quality of Life Scale, QLQ-C30) of patients were evaluated.
Before treatment and nursing intervention, there were no significant differences in the location, duration, or degree of pain as well as in patients' quality of life between the two groups (all P>0.05). During and after radiotherapy, the pain was mainly concentrated in the skin of the radiation field, and the duration of pain increased with the number of rounds of radiotherapy. After nursing, patients in the experimental group showed lower NRS scores than those in the control group (P<0.05); the scores of physical function, role function, emotional function, cognitive function, social function and general health status of the experimental group were higher than those of the control group (all P<0.05); and the scores of fatigue, nausea and vomiting, pain, insomnia, loss of appetite and constipation in the experimental group were lower than those in the control group (all P<0.05).
A standardized cancer pain nursing model can effectively alleviate the radio-chemotherapy induced pain of cancer patients and effectively improve their quality of life.
探讨标准化护理模式在晚期癌症放化疗患者疼痛管理中的应用价值。
回顾性分析2020年6月至2021年6月在广安市人民医院肿瘤科接受放化疗后出现疼痛的166例晚期癌症患者的临床资料。其中，83例接受常规护理的患者作为对照组，另外83例在常规护理基础上接受标准化癌痛护理的患者作为试验组。评估患者疼痛的部位、持续时间和程度（数字评分量表，NRS）以及生活质量（欧洲生活质量量表，QLQ-C30）。
治疗及护理干预前，两组患者疼痛的部位、持续时间及程度以及生活质量比较，差异均无统计学意义（均P>0.05）。放疗期间及放疗后，疼痛主要集中在放疗野皮肤，且疼痛持续时间随放疗次数增加而延长。护理后，试验组患者NRS评分低于对照组（P<0.05）；试验组患者的生理功能、角色功能、情感功能、认知功能、社会功能及总体健康状况评分均高于对照组（均P<0.05）；试验组患者疲劳、恶心呕吐、疼痛、失眠、食欲减退及便秘等症状的评分均低于对照组（均P<0.05）。
标准化癌痛护理模式可有效缓解癌症患者放化疗所致疼痛，有效提高其生活质量。
