自控镇痛泵联合微信管理平台对癌症晚期患者生活质量的影响.docVIP

自密关合舌囉 的影响 2018-03-27 12:00:30中国现代医生2018年3期 陈理建 梁慧英 蔡妙国 罗华立 章明勇 ［摘耍］戸的探討自控镇痛泵联合微信管理平台对提高癌症晚期患者生活质量的影响。方法选 择2016年6月?2017年6月台州恩泽医疗中心(集团)路桥医院肿瘤科105例癌症晩期患者，根 据居家治疗情况分为对照组、观察组1和观察组2,各35例，对照组采用盐酸曲马多缓释片口服， 采用电话随访；观察组1采用居家自控静脉镇痛泵治疗，采用电话随访；观察组2采用居家自控静脉 镇痛泵治疗，采用微信管理平台进行管理；比较三组疼痛评分、心理状态和生活质量。结果出院后 1个月三组疼痛评分比较有显著差异(P0.05),观察组2和观察组1显著低丁对照组(P0.05)； 三组心理状态比较有显著差异(P0.05),观察组2显著低于观察组1和对照组(P0.05),而观 察组1和对照组无显著差异(P0.05)；三组生活质量比较，食欲、睡眠、心理承受能力、自理能 力、自身对疾病的认识方面，差异有统计学总义(PvO.01)；观察组2显著高于观察组1 (P0.01), 而观察组1与对照组无显著性差异(P0.05)。结论自控镇痛泵联合微信管理平台对癌症晚期患 者居家治疗，能显著减轻疼痛，改善心理状态，提高生活质量。 ［关键词］自控镇痛泵；微信管理平台；癌症晚期；生活质量 ［中图分类号］R730 ［文献标识码］B ［文章编1673-9701 (2018) 03-0080-04 Effect of self-c on trolled an algesia pump combi ned with WeChat manageme nt platform on quality of life in patients with advaneed cancer CHEN Lijianl LIANG Huiying2 CAI Miaoguo2 LUO Huali3 ZHANG Mingyong4 Department of Anesthesiology, Taizhou Enze Medical Center (Group) Enze Hospital, Taizhou 318050, China； 2.Department of Oncology, Taizhou Enze Medical Center (Group) Luqiao Hospital, Taizhou 318050, China； 3.Department of General Surgery, Taizhou Enze Medical Center (Group) Luqiao Hospital, Taizhou 318050. China； 4.Department of Rehabilitatio n, Taizhou Enze Medical Cen ter (Group) Luqiao Hospital, Taizhou 318050, China ［Abstract］ Objective To in vestigate the effect of self-controlled an algesia pump combi ned with WeChat management platform on improving quality of life in patients with advaneed cancer. Methods A total of 105 advaneed cancer patients in the Department of Oncology of Taizhou Enze Medical Center (Group) Luqiao Hospital from June 2016 to June 2017 were divided into control group, observation group 1 and observation group 2 according to the home treatment, with 35 cases in each group ? The control group was treated with tramadol hydrochloride sustai neck release tablets orally and was followed up by teleph one. The observati on group 1 was treated with home-c on trolled in trave nous an algesia pump and was followed up by t