综合护理方案在中西医结合治疗肝癌疼痛中的实施与研究
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摘要
背景
癌性疼痛(简称癌痛)是主要是指肿瘤细胞浸润、转移、扩散或压迫有关组织以及癌症治疗过程中产生的疼痛,是癌症患者常见症状,多见于癌症的晚期。具有全方位疼痛、疼痛难以忍受、癌痛伴有强烈的植物神经异常、癌痛伴有心理学异常的特点。疼痛是中晚期肝癌常见症状之一,是患者的主观不愉快感觉,严重地影响着肝癌患者的生活质量,且长期疼痛易使患者发生抑郁、焦虑、情感障碍等。
目前,中西医方法治疗肝癌疼痛都显示了一定的疗效。但是,临床上由于评估方式和时机,患者疼痛的相关知识的掌握情况,止痛方法的选择,护理观察和记录的及时性、准确性和连续性等等因素的影响,肝癌疼痛控制还有待进一步改善。
目的
对肝癌疼痛患者的疼痛控制情况及影响因素进行评价,在此基础上研究针对中西医结合治疗肝癌疼痛患者的综合护理干预模式。探讨综合护理方案应用于中西医结合治疗肝癌疼痛中的效果,以改善肝癌疼痛患者的疼痛控制情况,提高患者的生活质量,并探索适合现代中西医结合治疗肝癌疼痛的综合护理方案。
方法
将60例符合诊断标准、纳入标准的病例采用随机、对照的方法分为试验组(按综合护理方案护理)和对照组(按护理常规护理),每组30例,入院及出院时使用KPS症状评价表及我国肿瘤患者生存质量评价量表评价两组病例症状体征变化情况,出院时使用患者满意度调查表评价肝癌患者对疼痛的控制满意度情况,用疼痛控制评价表评价肝癌疼痛相关知识的掌握程度。
结果
入院时对试验组(综合护理方案组)及对照组(常规护理组)的调查中,肝癌疼痛控制水平及肝癌疼痛相关知识的掌握程度无显著差异。出院时综合护理方案组患者的肿瘤患者生存质量评分显著高于对照组,综合护理方案组的疼痛控制明显优于对照组,患者对肝癌疼痛相关知识的掌握程度明显增加,满意度显著高于常规护理组。
结论
通过综合护理方案的实施,可以有序、有预见性的开展临床护理工作,及时了解患者的需求,并给予针对性的个体化护理干预措施,提高护理质量,密切护患关系,推广正确的疼痛相关知识,提高患者及家属的满意度。
本研究通过对肝癌疼痛患者遵照中西医结合综合护理方案开展护理工作,评价中西医结合综合护理方案对患者疼痛症状控制、生存质量、满意度及肝癌疼痛相关知识掌握程度的影响,为中西医结合综合护理方案在肝癌疼痛控制中的有效性提供依据。研究发现：按中西医综合护理方案患者对肝癌疼痛的知识掌握程度明显提高,按综合护理方案患者的症状及体征改善明显；针对疼痛的个体差异,护理人员配合选择合适的止痛方法和护理干预措施,提高疼痛控制效果及舒适度。
Background
Cancer pain (referred CP) is pain produced by the tumor cell invasion, metastasis, proliferation, oppression organizations, or during the treatment of cancer pain, is a common symptom of cancer patients, especially in advanced cancer. The characteristics of CP is pain in all domains, unbearable, pain associated with strong autonomic nerve abnormalities or abnormal psychology. CP is one of the common symptoms in advanced liver cancer, is a subjective unpleasant feeling of the patient, seriously affect the living quality of the liver cancer patients, and the chronic pains may cause depression, anxiety, affective disorders, etc.
At present, Chinese and Western nursing treatment in liver cancer pain have shown certain effect. However, in clinical, influenced by evaluation occasion and method, related knowledge about pain, therapeutic method of the pain, methods of observation and records of the continuous nursing, etc., pain control of liver cancer is to be further improved.
Objective
Evaluate the pain control result and the related factors of the patients with liver cancer pain, based on these studies, study the comprehensive nursing protocols of integrated medicine(CNPIM). To improve the pain control in patients with liver cancer pain, enhance the quality of life(QOL), search for CNMIM which fit the integrated medicine therapy.
Method
According to the principle of random and comparison,60 cases of inpatient were separated into two groups, CNPIM group and common nursing protocols (CNP) group, each 30 cases. The evaluation code is KPS and QOL evaluation tables, pain control evaluation table and Deep of patient satisfaction table.
Result
When admission, evaluated the pain control result, the degree of mastery of related factors of the liver cancer pain, there is no deviation in CNPIM group and CNP group. When discharge, the score of KPS table, the pain control, the degree of mastery of related factors of the liver cancer pain, the degree of satisfaction in CNPIM group are better than CNP group.
Conclusion
CNPIM of liver cancer pain can promote correct knowledge of canner pain, improve nursing care quality, which is beneficial for carrying out nursing care in order and prediction, enhance nursing efficiency, avoid nursing error, enhance inpatient satisfaction.
This study on CNPIM of liver cancer pain in nursing work, evaluation of CNPIM to patient pain control result, the quality of life, satisfaction, and the degree of mastery of the liver cancer pain. CNPIM of liver cancer pain can provide the basis for the effectiveness of nursing care, the study found: CNPIM of liver cancer pain significantly increase the knowledge of pain improve the quality of life; with symptoms and signs improved significantly; patients to mastery correct knowledge of liver cancer pain; enhance the pain control and comfort of life.
癌性疼痛(简称癌痛)是主要是指肿瘤细胞浸润、转移、扩散或压迫有关组织以及癌症治疗过程中产生的疼痛,是癌症患者常见症状,多见于癌症的晚期。具有全方位疼痛、疼痛难以忍受、癌痛伴有强烈的植物神经异常、癌痛伴有心理学异常的特点。疼痛是中晚期肝癌常见症状之一,是患者的主观不愉快感觉,严重地影响着肝癌患者的生活质量,且长期疼痛易使患者发生抑郁、焦虑、情感障碍等。
目前,中西医方法治疗肝癌疼痛都显示了一定的疗效。但是,临床上由于评估方式和时机,患者疼痛的相关知识的掌握情况,止痛方法的选择,护理观察和记录的及时性、准确性和连续性等等因素的影响,肝癌疼痛控制还有待进一步改善。
目的
对肝癌疼痛患者的疼痛控制情况及影响因素进行评价,在此基础上研究针对中西医结合治疗肝癌疼痛患者的综合护理干预模式。探讨综合护理方案应用于中西医结合治疗肝癌疼痛中的效果,以改善肝癌疼痛患者的疼痛控制情况,提高患者的生活质量,并探索适合现代中西医结合治疗肝癌疼痛的综合护理方案。
方法
将60例符合诊断标准、纳入标准的病例采用随机、对照的方法分为试验组(按综合护理方案护理)和对照组(按护理常规护理),每组30例,入院及出院时使用KPS症状评价表及我国肿瘤患者生存质量评价量表评价两组病例症状体征变化情况,出院时使用患者满意度调查表评价肝癌患者对疼痛的控制满意度情况,用疼痛控制评价表评价肝癌疼痛相关知识的掌握程度。
结果
入院时对试验组(综合护理方案组)及对照组(常规护理组)的调查中,肝癌疼痛控制水平及肝癌疼痛相关知识的掌握程度无显著差异。出院时综合护理方案组患者的肿瘤患者生存质量评分显著高于对照组,综合护理方案组的疼痛控制明显优于对照组,患者对肝癌疼痛相关知识的掌握程度明显增加,满意度显著高于常规护理组。
结论
通过综合护理方案的实施,可以有序、有预见性的开展临床护理工作,及时了解患者的需求,并给予针对性的个体化护理干预措施,提高护理质量,密切护患关系,推广正确的疼痛相关知识,提高患者及家属的满意度。
本研究通过对肝癌疼痛患者遵照中西医结合综合护理方案开展护理工作,评价中西医结合综合护理方案对患者疼痛症状控制、生存质量、满意度及肝癌疼痛相关知识掌握程度的影响,为中西医结合综合护理方案在肝癌疼痛控制中的有效性提供依据。研究发现：按中西医综合护理方案患者对肝癌疼痛的知识掌握程度明显提高,按综合护理方案患者的症状及体征改善明显；针对疼痛的个体差异,护理人员配合选择合适的止痛方法和护理干预措施,提高疼痛控制效果及舒适度。
Background
Cancer pain (referred CP) is pain produced by the tumor cell invasion, metastasis, proliferation, oppression organizations, or during the treatment of cancer pain, is a common symptom of cancer patients, especially in advanced cancer. The characteristics of CP is pain in all domains, unbearable, pain associated with strong autonomic nerve abnormalities or abnormal psychology. CP is one of the common symptoms in advanced liver cancer, is a subjective unpleasant feeling of the patient, seriously affect the living quality of the liver cancer patients, and the chronic pains may cause depression, anxiety, affective disorders, etc.
At present, Chinese and Western nursing treatment in liver cancer pain have shown certain effect. However, in clinical, influenced by evaluation occasion and method, related knowledge about pain, therapeutic method of the pain, methods of observation and records of the continuous nursing, etc., pain control of liver cancer is to be further improved.
Objective
Evaluate the pain control result and the related factors of the patients with liver cancer pain, based on these studies, study the comprehensive nursing protocols of integrated medicine(CNPIM). To improve the pain control in patients with liver cancer pain, enhance the quality of life(QOL), search for CNMIM which fit the integrated medicine therapy.
Method
According to the principle of random and comparison,60 cases of inpatient were separated into two groups, CNPIM group and common nursing protocols (CNP) group, each 30 cases. The evaluation code is KPS and QOL evaluation tables, pain control evaluation table and Deep of patient satisfaction table.
Result
When admission, evaluated the pain control result, the degree of mastery of related factors of the liver cancer pain, there is no deviation in CNPIM group and CNP group. When discharge, the score of KPS table, the pain control, the degree of mastery of related factors of the liver cancer pain, the degree of satisfaction in CNPIM group are better than CNP group.
Conclusion
CNPIM of liver cancer pain can promote correct knowledge of canner pain, improve nursing care quality, which is beneficial for carrying out nursing care in order and prediction, enhance nursing efficiency, avoid nursing error, enhance inpatient satisfaction.
This study on CNPIM of liver cancer pain in nursing work, evaluation of CNPIM to patient pain control result, the quality of life, satisfaction, and the degree of mastery of the liver cancer pain. CNPIM of liver cancer pain can provide the basis for the effectiveness of nursing care, the study found: CNPIM of liver cancer pain significantly increase the knowledge of pain improve the quality of life; with symptoms and signs improved significantly; patients to mastery correct knowledge of liver cancer pain; enhance the pain control and comfort of life.
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