健康教育临床路径对癌痛患者口服镇痛药物治疗效果的影响.docxVIP

健康教育临床路径对癌痛患者口服镇痛药物治疗效果的影 响 王宪宾 济宁市第一人民医院山东济宁272000 【摘 要】冃的：探讨临床路径在癌痛患者口服镇痛药物健康教育屮的应用 效果。方法：对116例癌痛患者随机分为2组：对照组实施常规健康教育：观察 组采取临床路径模式。评价2组患者对疼痛治疗的认识和行为的变化及疼痛缓解 程度。结果：与对照组比较，观察组患者对癌痛治疗的错误认识与行为水平明显 减低(plt;0.05),癌痛缓解明显的患者比例增加(plt;0.05)o结论：临床路径 应用于癌痛患者健康教育可明显减轻患者对疼痛治疗的顾虑，提高其治疗依从性、 用药合理性、准确性，从而保证疼痛治疗的顺利进行，提高治疗效果，改善患者 生活质量，对临床癌痛控制起积极的促进作用。 【关键词】健康教育；临床路径；癌痛；镇痛药 【屮图分类号】R473.73 【文献标识码】A 【文章编号】1674-8999 (2015) 9-0603-02 The effect of clinical path of health education on the therapeutic efficacy of oral an algesic drugs in patie nts with can cer pain Wang xian-bin (The First Peoplersquo;s Hospital of Ji nin g, ji ning 272000, sha ndong，China) [Abstract] Objective:To explore the applied of clin ical pathway(CP) in an algesic therapy health education of patients with cancer pain.Methods:One hundred and sixteen patients with cancer pain were randomly divided into two groups.The control group received routine health education,while the observation group received CP mode. The awareness of pain treatment, changes in behavior and the degree of pain release were assessed?Results:Compared with the control group,The error awareness and behavior levels of pain treatment in the observation group patients decreased significantly( plt;0.05), while the percent of patients alleviated obviously in cancer pain increased (plt;0.05) .Conclusion:The application of CP in the health education of patients with cancer pain can alleviate their pain treatment concerns, improve treatment complianee and rational use of medication, enhance the treatment effect and the life quality of patie nts, a nd play a positive role in the con trol of clin ical can cer pain. 【Key words] health education;clinical pathway;cancer pain;analgesic drugs 健康教育临床路径是指使用标准的健康教育计划，为患者制定在住院期间的 健康教育内容，并由护理人员按照健康教育路径为患者制定有效的教育方法①。 其不但能够保证护理工作的有序进行，还可以避免健康教育遗漏，并可以动态的 观察患者的掌握情况。癌症初诊病人疼痛发生率约25%,晚期病人发生率约75%o 2癌性疼痛从生理、心理、社会多方面影响患者的生活质量。为进一步提高我国 癌痛病人规范化治疗水平，改善肿瘤病人生活质量，“让癌症患者无疼痛”已 成为医学界，特别是肿瘤医务工作者奋斗的目标。实施有效的健康教育，提高癌 痛患者对止痛治疗的态度和认识，对癌痛的控制有很