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疼痛与心理护理共同应用于晚期肿瘤癌痛患者的效果研究
引用本文:唐贞贞,王曼曼,栗彦伟. 疼痛与心理护理共同应用于晚期肿瘤癌痛患者的效果研究[J]. 国际医药卫生导报, 2022, 28(2): 185-189. DOI: 10.3760/cma.j.issn.1007-1245.2022.02.009
作者姓名:唐贞贞  王曼曼  栗彦伟
作者单位:郑州大学附属肿瘤医院 河南省肿瘤医院疼痛康复与姑息医学科,郑州 450000
基金项目:河南省医学教育研究项目(Wjlx2020415)
摘    要:目的:探讨疼痛与心理护理共同应用于晚期肿瘤癌痛患者的效果。方法:选取郑州大学附属肿瘤医院2019年3月至2020年3月收治的晚期肿瘤癌痛患者80例。以简单随机化法分为对照组和观察组,40例每组。对照组男∶女=19∶21,年龄(59.22±7.36)岁,肺癌9例、肠癌13例、胃癌12例、其他6例;观察组男∶女=18∶22...

关 键 词:规范化疼痛护理  心理护理  晚期肿瘤  癌痛
收稿时间:2021-07-19

Study on the effect of combined application of pain and psychological care on patients with advanced cancer pain
Tang Zhenzhen,Wang Manman,Li Yanwei. Study on the effect of combined application of pain and psychological care on patients with advanced cancer pain[J]. International Medicine & Health Guidance News, 2022, 28(2): 185-189. DOI: 10.3760/cma.j.issn.1007-1245.2022.02.009
Authors:Tang Zhenzhen  Wang Manman  Li Yanwei
Affiliation:Department of Pain Rehabilitation and Palliative Medicine, Affiliated Cancer Hospital of ZhengzhouUniversity, Henan Cancer Hospital, Zhengzhou 450000, China
Abstract:Objective To explore the effect of combined application of pain andpsychological care on patients with advanced cancer pain. Methods A total of 80 patients withadvanced cancer pain admitted to Affiliated Cancer Hospital of Zhengzhou University from March 2019 to March 2020 were selected. By the simple randomization, they were divided into a controlgroup and an observation group with 40 cases in each group. In the control group, the ratio of male:female was 19:21, aged (59.22±7.36) years, including 9 cases of lung cancer, 13 cases of colon cancer,12 cases of gastric cancer, and 6 cases of others. In the observation group, the ratio of male:female was 18: 22, aged (58.37±7.24) years, including 8 cases of lung cancer, 11 cases of coloncancer, 14 cases of gastric cancer, and 7 cases of others. The control group received psychologicalcare, and the observation group received standardized pain nursing and psychological care. Thenursing effects of the two groups were compared, including pain degree [Visual Analogue Scale(VAS)], negative moods [Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS)],sleep quality [Pittsburgh Sleep Quality Index (PSQI)], and quality of life [Functional Assessment ofCancer Therapy-Generic Scale (FACT-G)]. Independent sample t test was used for inter-groupcomparison of measurement data, paired t test was used for intra-group comparison ofmeasurement data, and χ2 test was used for count data. Results After nursing, the VAS score inboth groups decreased compared with those before nursing (both P<0.05), and the VAS score of theobservation group [(1.87±0.21) points] was lower than that of the control group [(2.15±0.27)points] (P<0.05). After nursing, the SDS and SAS scores of the two groups decreased compared withthose before nursing (all P<0.05), and the SDS and SAS scores of the observation group [(46.64±4.19) and (42.38±4.05) points] were lower than those of the control group [(49.42±5.90) and(45.71±4.96) points] (both P<0.05). After nursing, the scores of sleep latency, sleep duration, sleepquality, sleep efficiency, daytime function, sleep disorder, and hypnotic drugs of PSQI in theobservation group were (1.28±0.30), (1.39±0.33), (1.56±0.37), (1.41±0.27), (1.31±0.26), (1.44±0.31), and (1.38±0.34) points, which were significantly lower than those in the control group [(1.51±0.32), (1.58±0.36), (1.77±0.41), (1.66±0.35), (1.49±0.29), (1.68±0.39), and (1.65±0.41) points] (allP<0.05). After nursing, the scores of social/family status, physiological status, emotional status, andfunctional status of FACT-G in both groups increased compared with those before nursing (all P<0.05), and the scores of the observation group were (25.08±6.21), (24.11±6.34), (22.67±6.18), and(24.18±6.19) points, which were higher than those in the control group [(21.74±5.63), (20.27±4.98),(19.81±5.32), and (20.51±5.52) points] (all P<0.05). Conclusion For patients with advancedcancer pain, standardized pain nursing combined with psychological nursing intervention cansignificantly reduce patients' pain course and negative emotions, improve their quality of sleep andlife, with a high application value.
Keywords:Standardized pain nursing  Psychological care  Advanced tumor  Pain
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