肝癌晚期患者的疼痛控制与临终关怀护理体会 .pdf

月福螂患匏融醐与附户理臊

【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(Pv0.05)o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(Pv0.05)。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(Pv0.05)。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

Experienceinpaincontroandpaiativecarenursingforpatientswithadvancedivercancer

YAOMin

EasternDistrict,SuzhouMunicipaHospita,Suzhou,Jiangsu215000,China

［Abstract］Objective：Todiscussthepaincontroandhospicecareofpatientswithadvancediver

cancer.Methods：Atotaof100patientswithadvancedivercancerinourdepartmentfromJanuary2022toJune2023

wereseectedasresearchobjects.Thepatientswererandomyassignedtotheexperimentagroupandthe

conventionagroupusingthecomputermethod,with50casesineachgroup.Theexperimentagroupreceived

high-quaitypainmanagementandhospicecare,whietheconventionagroupreceivedroutinenursingforadvanced

patients,andthenursingeffectsofthetwogroupswerecompared.Resuts：Beforenursing,thepainconditionsofthe

twogroupsweresimiar(P0.05)；At1,3and7daysafternursing,thepainscoresoftheexperimentagroupwere

owerthanthoseoftheconventionagroup(P0.05).Beforecare,thePANASscoresofthetwogroupsweresimiar

(P0.05)；Aftercare,thepositiveemotionscoreoftheexperimentagroupwashigherthanthatoftheconventiona

group,andthenegativeemotionscorewasowerthanthatoftheconventionagroup(P0.05).Afternursing,the

scoresofquaityofifesuchasphysioogica,emotiona,socia,painandoveraheathintheexperimentagroupwere

higherthanthoseintheconventionagroup(P0.05).Concusion：Paincontroandhospicecarec