规范化疼痛管理对癌痛患者生活质量及自我管理效能的影响.docxVIP

规范化疼痛管理对癌痛患者生活质量及自我管理效能的影响 王艾英 摘要 目的 探讨规范化疼痛护理管理对提高癌痛患者生活质量和自我管理效能的影响。方法 选取我院 20XX年6—8月期间收治的癌症患者 90例，按照患者性别、年龄及疾病种类组间匹配的原则，分为观察组与对照组，每组各45例。对照组采用常规护理模式，观察组在常规护理模式的基础上实施规范化疼痛管理。比较两组患者干预前后疼痛程度数字等级（NRS）评分、生活质量评分和自我管理效能评分。结果 实施规范化疼痛管理后，观察组NRS评分明显低于对照组，生活质量评分和自我管理效能评分明显高于对照组，差异均有统计学意义（P0.05）。结论 规范化疼痛护理管理可减轻患者癌痛，显著提高癌痛患者的生活质量和自我管理效能，操作简单可靠，值得借鉴。 关键词 规范化管理;癌痛;生活质量;自我管理效能 中图分类号 R473.73;R730.5 文献标识码 A 文章编号 1671-0223（2020）14-084-03 Abstract Objective To explore the effect of standardized nursing management of pain in improving the quality of life and self-management efficiency of cancer pain patients.Methods A total of 90 cancer patients in our hospital from June to August in 20XX were selected，the patients were divided into observation group and control group according to the matching principle of gender， age and disease type， with 45 cases in each group.The control group was given routine nursing mode，while the observation group was given standardized pain management on the basis of routine nursing mode.To observed the NRS score， quality of life score and self-management efficacy score of the two groups.Results The NRS score of the observation group was significantly lower than that of the control group，and the life quality score and self-management efficiency score were significantly higher than those of the control group，the differences were statistically significant（P0.05）.Conclusion Standardized nursing management of pain can reduce cancer pain，significantly improve the quality of life and self-management efficiency of cancer pain patients，the operation is simple and reliable，worthy of reference. Key words Standardized management;Pain;Quality of life; Self-management efficiency 疼痛是一種令人不快的感觉和情绪上的感受，对机体不仅产生躯体反应，还会产生神经内分泌和精神心理反应。疼痛的规范化管理是通过评估、记录、治疗和护理以控制疼痛的过程。癌症是人体正常细胞由于内外因素作用的结果出现增殖失控所致，后期转移、扩散可累及皮肤、肌肉及脏器的神经系统而出现癌痛，其机制复杂、种类繁多，持续性疼痛严重影响患者生活质量，导致焦虑、抑郁等负面情绪，部分还会影响原发疾病的治疗。癌性疼痛是最常见、令癌症患者最痛苦而又最难控制的症状之一 。据世界卫生组织（WHO）统计，晚期癌症患者约60%～80%出现中重度疼痛[1]，不仅严重