应用癌痛随访单对出院癌痛患者镇痛效果及满意度影响的研究.docVIP

精品论文 参考文献 应用癌痛随访单对出院癌痛患者镇痛效果及满意度影响的研究 梁玉芬 　　（四川省自贡市第一人民医院 四川 自贡 643000） 　　【摘 要】目的：探讨应用癌痛随访单电话随访对出院癌痛患者镇痛效果及满意度的影响。方法：选取自贡市第一人民医院肿瘤科2013年10月-2013年12月出院癌痛患者120例，随机分为对照组和观察组各60例，在院均进行癌痛规范化治疗。对照组1、2、4周进行常规电话随访；观察组应用癌痛随访单1、2、4周进行电话随访。比较两组患者第4周镇痛效果及对服务质量满意度的差异。结果：观察组患者镇痛效果明显优于对照组（P＜0.05）；对服务质量的满意度（疼痛控制、健康指导）明显优于对照组（P＜0.05）。结论：应用癌痛随访单可有效提高癌痛患者镇痛效果及满意度，从而提高患者生存质量。 　　【关键词】癌痛随访单；电话随访；癌痛患者；镇痛效果；满意度 　　【中图分类号】R473.73 【文献标识码】B 【文章编号】1003-5028（2015）7-0200-01 　　【Abstract】Objective：To explore the effect of applying follow-up forms of cancer pain by telephone effects on analgesia effect and satisfaction of discharged patients with cancer pain .Methods：From October 2013 to December 2013 ,120 patients with cancer pain who were from Department of oncology,the first Peoplersquo;s Hospital of Zigong City ,Sichuan Province and accepted the standardized treatment divided into two groups with each group 60 cases ,randomly. Patients in control group were given conventional follow-up by telephone at week 1,2,4 after they left. Patients in observation group were given follow-up forms of cancer pain by telephone at week 1,2,4 after they left . Compare two groups of patients the difference of analgesia effect and quality of service satisfaction at the fourth weekend .Results：The analgesia effect and quality of service satisfaction ( pain control, health guidance)) of observation group is significantly higher than that control group,P＜0.05. Conclusion：Application of follow-up forms of cancer pain by telephone can effectively improve the effect of analgesia and satisfaction of discharged patients with cancer pain ,so as to improve the quality of survival . 　　【Key words】Telephone follow-up forms Telephone follow-up Patients with cancer pain Analgesic effect Satisfaction 　　疼痛严重影响癌症患者的生活质量，被列为“第五大生命体征”。2011 年3月，国家卫计委在全国启动了“癌痛规范化治疗示范病房”创建活动，旨在加强我国癌痛规范化诊疗管理。我院肿瘤科成为第一批参与该项活动的单位积极参与创建活动，于2014年10月由四川省卫计委正式授牌，对癌痛的治疗逐渐规范化，提高了患者的生活质量。但癌痛患者出院后的镇痛治疗主要靠自己及家属，其规范化治疗难以得到延续，从而使患者无法达到预期的治疗效果，影响其生活质量[