难治性癌痛患者的多专科协作精准护理

目的探讨基于多专科协作的精准护理模式在难治性癌痛患者中的应用效果。方法将镇痛科收治的208例难治性癌痛患者按住院时间分为对照组与观察组各104例,对照组给予常规癌痛护理,观察组创建多专科护理团队实施专科协作的精准护理,出院1个月采用简明疼痛量表、癌痛自我效能感量表、癌症患者生活质量量表进行调查。结果出院后1个月,观察组患者疼痛评分显著低于对照组,癌痛自我效能感及生活质量得分显著优于对照组(均P0.01)。结论基于多学科协作的精准护理模式能有效改善难治性癌痛患者的疼痛状况,提高其自我效能感及其生活质量。

Precise nursing based on multidisciplinary collaboration in patients with refractory cancer pain

Objective To explore the application effect of precise nursing model based on multidisciplinary collaboration in patients with refractory cancer pain. Methods A total of 208 patients with refractory cancer pain treated in analgesia department were divided into a control group and an observation group chronologically, with 104 cases in each group. The control group was given routine nursing for cancer pain, while the observation group received precise nursing by establishing multidisciplinary team. The patients in the two groups were investigated using Brief Pain Index (BPI), Chronic Pain Selfefficacy Scale (CPSS) and European Organization for Research on Treatment of Cancer (EORTC) at 1 month after discharge. Results At 1 month after discharge, the BPI score of the observation group were significantly lower than those of the control group, and the score of CPSS and EORTC were significantly better than those of the control group (P<0.01 for all). Conclusion The precise nursing model based on multidisciplinary collaboration could effectively alleviate pain for patients with refractory cancer pain, improve their selfefficacy and quality of life.