个体化健康教育对癌痛患者镇痛效果及生活质量的影响

目的 观察个体化的健康教育对于奥施康定(盐酸羟考酮缓释片)治疗中重度癌痛患者疼痛的疗效、不良反应、疼痛知识掌握及生活质量改善情况.方法 选取150例采用奥施康定治疗的中重度癌痛患者随机分为两组,观察组和对照组各75例.观察组由疼痛护士采用针对性的健康教育干预,根据患者的疼痛程度、疼痛知识掌握、生活质量的评估,制定并实施相应的个体化健康教育.对照组采用常规健康教育,即治疗护理过程中进行宣教.评价两组患者的疼痛缓解程度、药物的不良反应、疼痛知识掌握、生活质量改善情况.结果 观察组疼痛缓解程度、疼痛知识掌握、生活质量评分明显高于对照组(P<0.05),而药物的不良反应明显低于对照组(P<0.05).结论 对中重度癌痛患者实施针对性的个体化健康教育干预,可有效提高奥施康定的镇痛效果,减少药物的不良反应,从而提高患者的生活质量.

Effect of personalized health education on anti-pain and quality of life of patients with cancer pain

Objective To observe the effects of personalized health education on anti-pain;ADR;the mastery of pain-related knowledge and the improvement of quality of life of severe cancer patients treated by Oxycontin (Oxycodone Hydrochloride Prolonged-release Tablets).Methods A total of 150 cases of moderate and severe cancer patients treated with oxycontin were divided into observation group and control group;75 cases in each group.The observation group were intervened by the targeted health education.The corresponding individualized health education was formulated and carried out according to the grade of pain;knowledge of pain and the assessment of quality of life.The control group was treated with routine health education;that is to carry out the propaganda and education during the treatment process.The degree of pain relief;adverse drug reactions;pain knowledge and quality of life of patients of the two groups was evaluated.Results The scores of level of pain relief;pain knowledge;quality of life of the observation group was significantly higher than that of the control group (P<0.05);while the adverse drug reactions were significantly lower than that of the control group (P<0.05).Conclusion To implement the individualized health education intervention on patients with moderate and severe cancer can effectively improve the Oxycontin analgesic;reduce drug adverse reaction;so as to improve the quality of life of patients.