摘要
目的探讨规范化癌痛护理干预对胃癌晚期患者负性情绪、癌痛及生活质量的影响。方法选取2020年3月—2022年3月医院收治的80例胃癌晚期患者作为研究对象,按照组间基本资料具有可比性的原则将其分对照组和观察组,各40例。对照组接受常规护理,观察组在常规护理的基础上接受规范化癌痛护理干预,比较干预前后两组患者负性情绪、癌痛症状、睡眠质量、生活质量、护理满意度。结果两组患者SAS评分、SDS评分,干预前差异无统计学意义(P>0.05),干预后观察组SAS评分、SDS评分低于对照组,差异有统计学意义(P<0.05);比较两组APSPOQ-Medified评分,干预前两组比较差异无统计学意义(P>0.05),干预后观察组疼痛信念、疼痛影响、疼痛程度低于对照组,疼痛控制满意度评分高于对照组,差异有统计学意义(P<0.05);比较PSQI评分,干预前组间比较差异无统计学意义(P>0.05);干预后,观察组PSQI评分低于对照组,差异有统计学意义(P<0.05);比较EORCT QLQ-C30评分,干预前组间数据差异无统计学意义(P>0.05),干预后,观察组症状领域评分低于对照组,功能领域评分、总体健康评分高于对照组,差异均有统计学意义(P<0.05);观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论通过将规范化癌痛护理干预应用到胃癌晚期患者中,对其负性情绪有一定改善效果,并可缓解疼痛症状、睡眠质量等,进一步提升其生活质量,此外对营造良好的医患关系和就医氛围等方面也有积极意义。
Objective To explore the effect of standardized cancer pain nursing intervention on negative emotions,cancer pain,and quality of life in patients with advanced gastric cancer.Methods To select 80 patients with advanced gastric cancer admitted to the hospital from March 2020 to March 2022 were selected as the research subjects.They were divided into a control group and an observation group based on the principle of comparability of basic data between groups,with 40 patients in each group.The control group received routine care,while the observation group received standardized cancer pain care intervention on the basis of routine care.The negative emotions,cancer pain symptoms,sleep quality,quality of life,and nursing satisfaction of the two groups of patients before and after the intervention were compared.Results Before intervention,there was no significant difference in the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)between the two groups(P>0.05).After intervention,the scores of SAS and SDS in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in the APSPOQ-Medified score between the two groups(P>0.05).After intervention,the pain belief,pain impact,and pain degree in the observation group were lower than those in the control group,the satisfaction of pain control was higher than that of the control group,the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in the PSQI score between the two groups(P>0.05).After intervention,the PSQI score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).Comparing the EORCT QLQ-C30 scores,there was no statistically significant difference in data between the groups before intervention(P>0.05).After intervention,the symptom domain score of the observation group was lower than that of the control group,while the functional domain score and overall health score were higher than those of the control group,the differences were statistically significant(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion By applying standardized cancer pain nursing interventions to patients with advanced gastric cancer,it can improve their negative emotions,alleviate pain symptoms,sleep quality,and further improve their quality of life.In addition,it has positive significance in creating a good doctor-patient relationship and medical atmosphere.
作者
陈书巧
刘海萍
衣素琴
CHEN Shuqiao;LIU Haiping;YI Suqin(Yancheng First People's Hospital,Yancheng,224005,China)
出处
《护理实践与研究》
2023年第12期1819-1825,共7页
Nursing Practice and Research
基金
江苏省盐城市医学会科学技术项目(编号:[2021]第005号)。
关键词
规范化疼痛护理干预
胃癌晚期
负性情绪
睡眠质量
生活质量
Standardized pain nursing intervention
Advanced gastric cancer
Negative emotions
Sleep quality
Quality of life
