动机性访谈对晚期肿瘤患者化疗依从性及疼痛控制影响.docVIP

动机性访谈对晚期肿瘤患者化疗依从性及疼痛控制影响 　　[摘要]目的 探讨动机性访谈对晚期肿瘤患者化疗依从性及疼痛控制的影响。方法 选取2015年4月～2016年4月在我院接受化疗的96例晚期肿瘤患者作为研究对象，采用随机数字表法将其分为两组，每组各48例。对照组给予化疗常规护理，观察组在常规护理的基础上给予动机性访谈干预。比较两组患者的化疗依从性及DRS评分情况，比较两组患者护理前后的BQ评分。结果 观察组患者的化疗依从性良好率（95.8%）高于对照组（72.9%），差异有统计学意义（P0.05）；护理后，两组患者的DRS评分都有所降低，但观察组患者的DRS评分[（2.1±0.3）分]低于对照?M[（3.8±0.6）分]，差异有统计学意义（P0.05）；护理后，两组患者的BQ评分都有所降低，但观察组患者的BQ评分[（1.2±0.3）分]低于对照组[（2.2±0.4）分]，差异有统计学意义（P0.05）。结论 动机性访谈能有效提高晚期肿瘤患者的化疗依从性，降低患者的疼痛程度，增强癌性疼痛自我控制水平，是理想的护理方式，值得临床推广应用。 　　[关键词]动机性访谈；晚期肿瘤；化疗依从性；疼痛控制 　　[中图分类号] R730.6 [文献标识码] A [文章编号] 1674-4721（2017）09（a）-0155-03 　　Motivational interview on effect of chemotherapy compliance and pain control in patients with advanced cancer 　　WANG Xing-ying HE Ye▲ 　　Department of the First Radiology，Jiangxi Tumor Hospital，Nanchang 330029，China 　　[Abstract]Objective To explore the motivational interview on the effect of chemotherapy compliance and pain control in patients with advanced cancer.Methods Altogether 96 patients with advanced cancer who received chemotherapy in our hospital from April 2015 to April 2016 were randomly divided into two groups according to the random number table method，with 48 cases in each group.The control group was received routine chemotherapy care；while the observation group was received motivational interview intervention on the basis of routine care.The chemotherapy compliance and the DRS score of the two groups were compared.The BQ scores were compared between the two groups before and after nursing.Results The good chemotherapy compliance rate of observation group （95.8%） was higher than that of control group （72.9%），and the difference was statistically significant （P0.05）.After nursing，the DRS score of two groups were decreased，but the DRS score of observation group [（2.1±0.3）points] was lower than that of control group [（3.8±0.6）points]，and the difference was statistically significant （P0.05）.After nursing，the BQ score of two groups were decreased，but the BQ score of observation group [（1.2±0.