肝癌晚期患者的疼痛控制与临终关怀护理体会.docx

肝癌晚期患者的疼痛控制与临终关怀护理体会\o分享到微博\o分享到微信\o分享到QQ\o分享到QQ空间

【摘要】目的：讨论肝癌晚期患者的疼痛控制与临终关怀。方法：将2022年1月—2023年6月期间我科100例肝癌晚期患者作为研究对象，利用计算机法将患者随机分配至实验组与常规组，每组50例，实验组采取优质疼痛管理与临终关怀护理，常规组实施常规晚期患者护理，对比两组护理效果。结果：护理前，两组疼痛情况相似（P0.05）；护理后1、3及7d，实验组疼痛评分均低于常规组（P0.05）。护理前，两组PANAS评分相似（P0.05）；护理后，实验组正性情绪评分高于常规组，负性情绪评分低于常规组（P0.05）。护理后，实验组生理、情感、社会、疼痛、总体健康等各项生活质量评分均高于常规组（P0.05）。结论：疼痛控制与临终关怀可以有效改善肝癌晚期患者的生理和心理状态，提升其生命质量，具有临床推广价值。

【关键词】肝癌；晚期；疼痛控制；临终关怀

Experienceinpaincontrolandpalliativecarenursingforpatientswithadvancedlivercancer

YAOMin

EasternDistrict，SuzhouMunicipalHospital，Suzhou，Jiangsu215000，China

【Abstract】Objective：Todiscussthepaincontrolandhospicecareofpatientswithadvancedlivercancer.Methods：Atotalof100patientswithadvancedlivercancerinourdepartmentfromJanuary2022toJune2023wereselectedasresearchobjects.Thepatientswererandomlyassignedtotheexperimentalgroupandtheconventionalgroupusingthecomputermethod，with50casesineachgroup.Theexperimentalgroupreceivedhigh-qualitypainmanagementandhospicecare，whiletheconventionalgroupreceivedroutinenursingforadvancedpatients，andthenursingeffectsofthetwogroupswerecompared.Results：Beforenursing，thepainconditionsofthetwogroupsweresimilar（P0.05）；At1，3and7daysafternursing，thepainscoresoftheexperimentalgroupwerelowerthanthoseoftheconventionalgroup（P0.05）.Beforecare，thePANASscoresofthetwogroupsweresimilar（P0.05）；Aftercare，thepositiveemotionscoreoftheexperimentalgroupwashigherthanthatoftheconventionalgroup，andthenegativeemotionscorewaslowerthanthatoftheconventionalgroup（P0.05）.Afternursing，thescoresofqualityoflifesuchasphysiological，emotional，social，painandoverallhealthintheexperimentalgroupwerehigherthanthoseintheconventionalgroup（P0.05）.Conclusion：Paincontrolandhospicecarecaneffectivelyimprovethephysiologicalandpsychologicalstatesofpatients