基于疼痛评估探讨个性化护理干预老年癌性疼痛的临床效果

目的探讨如何做好老年癌性疼痛患者的临床评估及护理，提高患者的生存质量。方法选择山东省沂南县人民医院肿瘤科2009年1月至2010年6月门诊及收治的老年癌症疼痛患者，以及按要求全程完成数字疼痛程度分级法（numeric pain intensity scale，NPIS）填写的患者67例。其中住院患者36例，门诊患者31例。住院患者进行疼痛评估并根据评估结果给以不同的护理干预，门诊患者给予常规家庭护理。比较两组患者的镇痛药使用、疼痛缓解、药物依赖及情绪变化情况。结果老年住院患者在镇痛药的使用、药物依赖、情绪变化方面均少于老年门诊患者，疼痛缓解情况好于老年门诊患者，差异均有统计学意义（P〈0．05）。结论对老年癌症患者的疼痛进行科学的临床评估并采取相应的护理干预措施可有效地缓解癌性疼痛。

The investigation of clinical effect of individual nursing care in elderly cancer pain via pains assessment

Objective To investigate how to assess elderly cancer pain, to do nursing care, and to improve their life quality. Methods Sixty-seven elderly cancer patients who underwent cancer pains and can fill in numeric pain intensity scale during whole course were selected from January 2009 to June 2010. Thirty-six were inpatients, and thirty-one were out- patients. Inpatients underwent pain assessments and nursing care. Outpatients were given routine home health aide. The analgesic usage, pain remission, drug dependence and emotion improvement were contrasted. Results Senile inpatients used less analgesic, underwent less pain, less drug dependence and emotion reaction than outpatients （P〈 0.05）. Conclusion Scientific pain assessment and nursing care can relief cancer pain significantly in senile cancerous persons.