个体化阶梯式疼痛管理模式在癌痛护理中的应用价值分析(1)
【摘要】 目的：探讨个体化阶梯式疼痛管理模式在癌痛护理中的应用价值，以期为优化癌痛患者疼痛管理提供理论依据。方法：选取2013年6月-2015年8月在本院住院治疗的癌痛患者186例，按随机数字表法将其分为试验组(n=84)和对照组(n=102)。试验组患者采取个体化阶梯式疼痛管理，对照组患者采取常规疼痛护理。分别于干预前和干预后4周对患者癌痛相关知识、疼痛强度、疼痛影响及护理满意度进行评价。结果：干预后，两组疼痛相关知识得分均较干预前明显升高(P<0.05)，且试验组升高幅度明显大于对照组(P<0.05)。干预后，两组疼痛强度均较干预前明显下降(P<0.05)，且试验组下降幅度均明显大于对照组(P<0.05)；干预后，两组疼痛影响均较干预前明显降低(P<0.05)，且试验组降低幅度均明显大于对照组(P<0.05)。试验组对护理满意度91.67%(77/84)明显高于对照组的81.37%(83/102)，差异有统计学意义( 字2=4.0595，P=0.0439)。结论：个体化阶梯式疼痛管理模式应用于癌痛患者护理中，可显著提高患者对癌痛的认识，降低疼痛强度和疼痛影响，有利于提高整体护理质量，优化疼痛管理。
, 百拇医药
【关键词】 癌痛； 个体化阶梯式疼痛管理； 疼痛影响
【Abstract】 Objective：To investigate the application value of individual-stepped pain management in nursing care of cancer pain，in order to provide a theoretical basis for the optimization of pain management in patients with cancer pain.Method：186 patients with cancer pain admitted to our hospital from June 2013 to August 2015 were selected and divided into the experimental group(n=84) and the control group(n=102) according to the random number table method.The experimental group received individual-stepped pain management，and the control group received conventional pain nursing.The related knowledge of cancer pain，pain intensity，pain influence and nursing satisfaction were evaluated between the two groups before intervention and 4 weeks after intervention respectively.Result：After intervention，the pain-related knowledge score of the two groups were significantly increased(P<0.05)，and the experimental group increased significantly more than that of the control group(P<0.05).After intervention，the pain intensity of the two groups were significantly decreased(P<0.05)，and the experimental group decreased significantly more than those of control group(P<0.05).After intervention，the pain influence of the two groups were significantly decreased(P<0.05)，and the experimental group decreased significantly more than those of control group(P<0.05).The nursing satisfaction of the experimental group was 91.67%(77/84)，which was significantly higher than 81.37%(83/102) of control group，the difference was statistically significant( 字2=4.0595，P=0.0439).Conclusion：Individual-stepped pain management apply to the nursing of cancer pain，can significantly increase the awareness of patients with cancer pain，reduce pain intensity and pain influence，is conducive to improve the overall quality of care，optimize pain management.
【Key words】 Cancer pain； Individual-stepped pain management； Pain influence
First-author’s address：The People’s Hospital of Jiangmen City，Jiangmen 529050，China, 百拇医药(马蕊 陈素红 管静)
, 百拇医药
【关键词】 癌痛； 个体化阶梯式疼痛管理； 疼痛影响
【Abstract】 Objective：To investigate the application value of individual-stepped pain management in nursing care of cancer pain，in order to provide a theoretical basis for the optimization of pain management in patients with cancer pain.Method：186 patients with cancer pain admitted to our hospital from June 2013 to August 2015 were selected and divided into the experimental group(n=84) and the control group(n=102) according to the random number table method.The experimental group received individual-stepped pain management，and the control group received conventional pain nursing.The related knowledge of cancer pain，pain intensity，pain influence and nursing satisfaction were evaluated between the two groups before intervention and 4 weeks after intervention respectively.Result：After intervention，the pain-related knowledge score of the two groups were significantly increased(P<0.05)，and the experimental group increased significantly more than that of the control group(P<0.05).After intervention，the pain intensity of the two groups were significantly decreased(P<0.05)，and the experimental group decreased significantly more than those of control group(P<0.05).After intervention，the pain influence of the two groups were significantly decreased(P<0.05)，and the experimental group decreased significantly more than those of control group(P<0.05).The nursing satisfaction of the experimental group was 91.67%(77/84)，which was significantly higher than 81.37%(83/102) of control group，the difference was statistically significant( 字2=4.0595，P=0.0439).Conclusion：Individual-stepped pain management apply to the nursing of cancer pain，can significantly increase the awareness of patients with cancer pain，reduce pain intensity and pain influence，is conducive to improve the overall quality of care，optimize pain management.
【Key words】 Cancer pain； Individual-stepped pain management； Pain influence
First-author’s address：The People’s Hospital of Jiangmen City，Jiangmen 529050，China, 百拇医药(马蕊 陈素红 管静)