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目的:探讨规范化流程护理对肿瘤晚期患者癌痛发生的干预效果。方法:选取2014年6月-2016年6月在临海市第二人民医院接受治疗的肿瘤晚期患者244例,采用随机数表法将所有的入选患者分为观察组和对照组两组,每组各122例患者,对照组患者给予常规护理干预,观察组患者给予规范化流程护理,比较两组患者护理前后按时服药、疼痛时服药、疼痛控制情况以及健康教育情况比较。结果:护理后,两组患者中按时服药的都有所增加,观察组(94.26%)高于对照组(78.97%),两组比较差异显著(P<0.05);两组患者疼痛时服药的都有所降低,观察组(24.59%)低于对照组(41.80%),两组比较差异显著(P<0.05);两组患者入院时疼痛评分以及爆发痛评分进行比较差异无统计学意义(P>0.05);护理后,观察组患者的持续疼痛时间(9.12±2.19h)低于对照组患者(15.23±3.02h),两组比较差异显著(P<0.05);护理后,观察组患者掌握疼痛原因、正确疼痛评分、掌握用药方法以及掌握药物不良反应处理都明显高于对照组,两组比较差异显著(P<0.05);护理后,观察组患者担心成瘾的患者低于对照组,两组比较差异显著(P<0.05)。结论:规范化护理流程在肿瘤晚期癌痛患者中应用效果显著,能够有效的提高患者健康知识掌握情况以及服药依从性,有助于减轻患者的疼痛,提高患者生活质量。
Objective: To investigate the effect of standardized procedure nursing on the occurrence of cancer pain in advanced cancer patients. Methods: A total of 244 patients with advanced cancer who were treated in Linhai Second People’s Hospital from June 2014 to June 2016 were selected. All the patients were divided into observation group and control group by random number table method. Each group The patients in the control group were given routine nursing interventions. The patients in the observation group were given standardized nursing procedure. The patients in the two groups were compared on time, before and after treatment, medication during pain, control of pain, and health education. Results: After treatment, the time taken in both groups increased, the observation group (94.26%) was higher than the control group (78.97%), the difference was significant (P <0.05) (24.59%) in the observation group was lower than that in the control group (41.80%), the difference between the two groups was significant (P <0.05). There was no significant difference in pain score and explosive pain score between the two groups (P <0.05). After nursing, the duration of persistent pain in the observation group was significantly lower than that in the control group (9.12 ± 2.19 h vs 15.23 ± 3.02 h, P <0.05). After nursing, the patients in the observation group Grasp the cause of pain, the correct pain score, to master the medication and to master the adverse drug reactions were significantly higher than the control group, the two groups were significantly different (P <0.05); after treatment, the observation group patients worried about addiction patients than the control group , There was significant difference between the two groups (P <0.05). Conclusion: The standardized nursing process has significant effect in patients with advanced cancer with cancer pain. It can effectively improve the knowledge of patients’ health knowledge and adherence to medication, which helps to reduce the pain and improve the quality of life of patients.