【摘要】 目的探讨癌痛规范化护理对癌痛患者镇痛效果及镇痛后不良反应的改善作用。方法采用抽签法将80例癌痛患者分为观察组和对照组,各40例。对照组给予常规护理,观察组在对照组基础上给予癌痛规范化护理。观察护理前后疼痛视觉模拟评分表(VAS)评分、护理后不良反应发生情况及欧洲癌症研究与治疗组织生活质量核心量表(EORTC QLQ-C30)评分。结果护理后,2组患者VAS评分均较干预前下降,且观察组低于对照组,差异有统计学意义(P<0.01)。观察组恶心、呕吐、昏睡、便秘的发生率均低于对照组,差异有统计学意义(P<0.01)。观察组EORTC QLQ-C30生活质量量表躯体功能、角色功能、认知功能、社会功能、情绪功能方面评分均高于对照组,差异有统计学意义(P<0.01)。结论癌痛规范化护理可有效缓解癌痛患者疼痛感,减少患者不良反应发生率,对患者预后及生活质量的提高均有重要意义。更多还原

【Abstract】 Objective To evaluate the effect of standardized nursing for improvement the analgesic effect and reducing adverse reactions after analgesia in cancer pain patients. Methods A total of 80 patients with cancer pain were assigned to the observation group and the control group by sortition randomization method,with 40 cases in each group. Both two groups were given conventional treatment,and the observation group was applied with standardized nursing. The results of visual analogue scale( VAS) and EORTC QLQ-C30 questionnaire,as well as adverse reaction,were compared between two groups. Results The VAS score was decreased in both two groups after nursing intervention,and was lower in the observation than that of controls( P < 0. 01). The incidence of nausea,vomiting,lethargy and constipation was lower in the observation group than that in the control group( P < 0. 01). The score of physical function,role function,cognitive function,social function and emotional function in EORTC QLQ-C30 were higher in the observation group than those in the control group after intervention( P < 0. 01). Conclusion Standardized nursing is penitential effective to improve the analgesic effect and reduce adverse reactions after analgesia in cancer pain patients,it is also beneficial to prognosis and quality of life of patients.更多还原