优质护理对肿瘤晚期患者疼痛的临床效果及其对患者生存质量影响的研究.docVIP

优质护理对肿瘤晚期患者疼痛的临床效果及其对患者生存质量影响的研究 　　[摘要] 目的 探讨优质护理对肿瘤晚期患者疼痛的临床效果及其对患者生存质量的影响。 方法 选择我院2014年 1月～2015年1月就诊的肿瘤晚期患者共115例为观察对象，随机分为观察组58例和对照组57例。观察两组的疼痛情况、护理前后VAS评分及生存质量情况。 结果 观察组的轻度疼痛率高于对照组，重度疼痛率显著低于对照组，差异有统计学意义（P0.05）。两组护理前VAS评分比较，差异无统计学意义（P0.05）。两组VAS评分与护理前比较，皆显著下降（P0.05）；观察组下降水平明显高于对照组，差异有统计学意义（P0.05）。观察组患者自觉症状、心理情绪状态、躯体生理功能状态、日常生活以及社会活动及总分皆明显高于对照组，差异有统计学意义（P均0.05）。 结论 对肿瘤晚期患者采用优质护理可以减轻患者的疼痛程度，提高其生存质量。 　　[关键词] 优质护理；肿瘤晚期；疼痛；生存质量 　　[中图分类号] R473.7 [文献标识码] B [文章编号] 1673-9701（2016）07-0154-03 　　[Abstract] Objective To explore the clinical effect of high quality nursing on patients with advanced cancer pain and its influence on the quality of life of patients with advanced cancer. Methods From January 2014 to January 2015， 115 cases of patients with advanced cancer patients were collected and were randomly divided into observation group（n=58） and the control group（n=57）. Two groups of pain， nursing before and after the VAS score and quality of life were all observed. Results The observation group of mild pain was higher than that of control group and severe pain rate was significantly lower than the control group， the difference was statistically significant（P0.05）. There was no significant difference in VAS scores between the two groups before nursing （P0.05）. VAS score of two groups were significantly decreased compared with before nursing（P0.05）； the VAS score of observation group was significantly lower than the control group， the difference was statistically significant （P0.05）. Observation group of patients with symptoms， mental state， physical function， daily life and social activities and total score were significantly higher than the control group（P0.05）. Conclusion High quality nursing care can reduce the pain of patients and improve the quality of life of patients with advanced cancer. 　　[Key words] High quality nursing； Advanced cancer； Pain； Quality of life 　　目前肿瘤主要的综合治疗方法有手术、化学治疗、放射治疗及生物治疗等，如术前辅助化学治疗是为不能手术的患者可以实施手术，再结合以放疗、化学治疗与生物反应调节剂联合应用和基因疗法等[1，2]。但化