预见性护理对乳腺癌患者化疗后应用重组人粒细胞集落刺激因子所致骨痛的影响

目的 对应用rhG-CSF致骨痛的乳腺癌患者进行预见性护理干预,探讨其对疼痛控制的影响.方法 选择2012年1-12月收治的乳腺癌化疗后应用rhG-CSF致骨痛的骨髓抑制患者165例,采用随机数字表法分为观察组82例和对照组83例.对照组接受常规处理,观察组由疼痛管理组进行预见性护理干预,比较两组患者睡眠时间及疼痛控制的满意度.结果 使用rhG-CSF当天,观察组睡眠时间为（5.23±1.47）h,对照组为（3.32±1.48）h,两组比较差异有统计学意义（t=5.834,P＜0.01）；观察组患者对疼痛护理满意度得分为（8.02 ±0.98）分,明显高于对照组的（6.24±1.05）分,两组比较差异有统计学意义（t=4.346,P＜0.05）.结论 对乳腺癌患者进行预见性护理干预,能有效缓解应用rhG-CSF后所致骨痛,提高患者舒适度及满意度.

Effect of predictive nursing intervention on bone pain induced by rhG-CSF in breast cancer patients undergoing chemotherapy

Objective To carry out predictive nursing intervention for bone pain induced by recombinant human granulocyte colony-stimulating factor （rhG-CSF） in breast cancer patients undergoing chemotherapy and evaluate the effects of predictive nursing intervention on pain control.Methods A total of 165 breast cancer patients with bone marrow suppression who were gave rhG-CSF after chemotherapy from January to December 2012 were selected and divided into two groups by using the random number table.Eightytwo cases in the observation group with predictive nursing intervention from pain management team and 83 cases in the control group with conventional nursing intervention.The length of sleep time and patients＇ satisfaction with pain control were compared between the two groups.Results On the same day when using rhG-CSF,the length of sleep time was （5.23 ± 1.47） h in the observation group,and （3.32 ± 1.48） h in the control group,the difference was statistically significant （t =5.834,P ＜ 0.01）.In addition,the score of patients＇ satisfaction with pain-nursing in the observation group was obviously higher than that in the control group （8.02 ± 0.98）vs （6.24 ± 1.05）],the difference was statistically significant （t =4.346,P ＜ 0.05）.Conclusions The application of predictive nursing intervention in breast cancer patients can effectively help to alleviate the bone pain induced by rhG-CSF,and to improve comfort and satisfaction of patients.