【摘要】 目的探讨延续性护理对居家癌痛患者服药依从性及疼痛自我效能的影响。方法 106例晚期癌症伴中重度癌痛患者分为对照组和干预组。对照组(n=53)患者在出院时予以常规健康教育指导,干预组(n=53)在对照组基础上增加延续性护理干预,包括建立疼痛公众号、电话随访、参与电话会议、填写自控评分表等。对2组患者居家期间服药依从性、疼痛自我效能进行评价。结果干预组Morisky用药依从性问卷(MMAS-8)评分(7.58±0.59)分,高于对照组的(4.92±0.87)分,差异有统计学意义(P<0.01)。干预组慢性疼痛自我效能感量表(CPSS)评分(69.93±15.57)分,高于对照组的(53.61±16.20)分,差异有统计学意义(P<0.01)。结论延续护理能增加居家癌痛患者的疼痛自我效能感,提高服药依从性。更多还原

【Abstract】 Objective To investigate the effect of continued care on medication adherence and pain self-efficacy of homebound patients w ith cancer pain. Methods Totally 106 advanced cancer patients w ith moderate to severe cancer pain w ere assigned to the control group( n = 53) and the intervention group( n = 53). Patients of both tw o groups received routine health education before discharge from hospital,and those of the intervention group w ere given continued care interventions including creating the official account,telephone follow-up,taking part in teleconference,filling out self-control scale. The medication adherence and pain self-efficacy of patients at home w ere evaluated. Results The score of 8-item M orisky M edication Adherence Scale( MMAS-8) in the intervention group was higher than that of controls( 7. 58 ± 0. 59 vs. 4. 92 ±0. 87,P < 0. 01). The score of Chronic Pain Self-Efficacy Scale( CPSS) w as( 69. 93 ± 15. 57)in the intervention group and w as( 53. 61 ± 16. 20) in the control group,w ith a significant difference( P < 0. 01). Conclusion The continued care interventions are effective to improve the medication adherence and pain self-efficacy of homebound patients w ith cancer pain.更多还原