癌痛患者的健康教育临床路径

目的为癌痛患者提供健康教育临床路径,使其进行癌痛规范化管理及治疗。方法将140例癌痛患者随机分成观察组和对照组各70例,观察组由疼痛专员、责任医生、责任护士组成的疼痛小组采用临床路径进行健康教育,负责对患者进行癌痛程度、知识层次、自理能力的评估,制订相应健康教育临床路径内容。对照组由责任医生、责任护士采用常规健康教育,即治疗护理过程中进行宣教。结果观察组疼痛控制效果、疼痛知识掌握情况、患者生活质量改善以及医护满意度均显著优于对照组,差异有统计学意义(p<0.05)。结论对癌痛患者应用临床路径实施健康教育可明显提高疼痛控制效果,值得推广。

CLINICAL PATHWAY OF HEALTH EDUCATION FOR CANCER PAIN PATIENTS

Objective To standardize the management and treatment of cancer pain by providing clinical pathway of health education for cancer pain patients. Methods 140 patients with cancer pains were randomly divided into two groups equally： observation group and control group. The observation group was given clinical pathway of health education performed by pain specialists,nurses and doctors in charge of assessments of pain degrees,knowledge level and self- care ability and planning corresponding contents for health education,while the control group was given routine health education by on- duty doctors and nurses. Results The effect of pain control,the understanding of pain knowledge,the life quality of patient and satisfaction degree of medical staff in the observation group were significantly better than in control group（ p〈0. 05）. Conclusion The clinical pathway of health education can significantly improve the effect of pain control.