摘要
目的探讨采取个性化护理干预对晚期癌症患者疼痛控制效果的影响。方法将2012年10月—2013年11月住院的晚期癌症伴有中重度疼痛患者84例随机分为对照组37例和观察组47例。对照组给予常规的健康宣教和护理措施;观察组在给予常规护理的基础上行个性化的护理干预:包括开展家属参与式的个性化的健康教育;成立癌症疼痛评估护理小组,每月组织全科护理人员学习,提高护士对疼痛的管理水平及止痛药物相关知识认识水平;向患者及其家属讲解疼痛及止痛药物的相关知识,提高患者及家属对疼痛、止痛药物及其不良反应的认识水平;与患者倾心交流,鼓励患者说出自己的主观感受和顾虑,以此制定和给予个性化的心理护理;提供个性化舒适护理等。比较2组患者疼痛缓解情况、服药的依从性及患者住院满意度的差异。结果观察组患者服药依从性、癌痛控制有效率及其患者满意度明显高于对照组,P均<0.05,差异有统计学意义。结论对晚期癌症疼痛患者实施个性化护理干预有利于提高癌痛的服药依从性,提高癌痛控制效果,提高患者的住院满意度。
Objective To explore the effect of individualized nursing intervention on releasing the pain of patients with advanced cancer. Methods Eighty-four cases of terminal cancer inpatient with severe pain in our hospital from October2012 to November 2013 were enrolled and divided randomly into control group（ 37 cases） and observation group（ 47 cases）. The control group was given the health education and routine nursing measures,while the observation group was given additional individualized nursing intervention on the basis of the cares of the control groups,including： personalized family participatory health education; setting up cancer pain assessment and care group that included all nursing staff and learning the cancer-related pain management,improving the levels of nurses on the pain management and the administration of analgesic drugs and related adverse effect; communicating with patients authentically,encouraging patients to express their subjective feelings and concerns,offering personalized psychological care and providing personalized comfort care. The pain relief,medication compliance and satisfaction to staffs were compared between the two groups. Results The medication compliance,pain control and patient＇s satisfaction in the observation group after the intervention was significantly better than those in the control group（ P〈0. 05）. Conclusion The individualized nursing intervention can improve the medication compliance,pain control and satisfaction of the advanced patients with severe pain.
出处
《中华全科医学》
2015年第12期2050-2051,2059,共3页
Chinese Journal of General Practice
关键词
个性化护理干预
晚期癌症患者
疼痛
Individualized nursing intervention
Terminal cancer patient
Pain
