[1]赵贝贝),娄小平)#,康晶晶),等.住院癌症患者疼痛管理结局现状及影响因素分析*[J].郑州大学学报(医学版),2016,(06):770-774.
 ZHAO Beibei),LOU Xiaoping),KANG Jingjing),et al.Descriptive study of outcomes of cancer pain management in patients from good pain management ward[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2016,(06):770-774.
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住院癌症患者疼痛管理结局现状及影响因素分析*()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2016年06期
页码:
770-774
栏目:
应用研究
出版日期:
2016-11-20

文章信息/Info

Title:
Descriptive study of outcomes of cancer pain management in patients from good pain management ward
作者:
赵贝贝1)娄小平1)#康晶晶2)杜文婷1)郑 晓1)申红霞1)
1)郑州大学第一附属医院护理部 郑州450052;
2)郑州大学第一附属医院生殖中心 郑州 450052
Author(s):
ZHAO Beibei1)LOU Xiaoping1)KANG Jingjing2)DU Wenting1)ZHENG Xiao1)SHEN Hongxia1)
1)Nursing Department,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052;
2)Reproductive Medicine Centre,the First Affiliated Hospital,Zhengzhou University,Zhengzhou 450052
关键词:
无痛病房 癌症 疼痛管理 影响因素
Keywords:
good pain management ward cancer pain management predictor
分类号:
R473
摘要:
目的:探讨无痛病房住院癌症患者疼痛管理结局现状及影响因素。方法:应用美国疼痛协会患者结局问卷修订版,采用分层随机整群的抽样方法进行抽样后,对郑州市5家无痛病房458例癌症患者进行调查。结果:住院癌症患者平均疼痛程度得分为(3.16±1.39)分,疼痛对患者的影响程度得分为(3.68±1.94)分,患者疼痛管理满意度得分为(4.54±0.66)分,患者的疼痛信念得分为(2.45±0.88)分。回归分析结果显示,影响疼痛程度的因素有疼痛缓解程度、性别、等待止痛药时间、肿瘤分期、止痛药物类型、评估记录、疼痛治疗指数(P<0.05); 影响疼痛对患者的影响程度的因素有换用其他止痛药物、疼痛缓解程度、等待止痛药时间、止痛药物类型、评估记录、用药方法(P<0.05); 影响疼痛管理满意度的因素有疼痛缓解程度、护士态度、换用其他止痛药物、医院级别和疼痛治疗指数(P<0.05); 影响疼痛信念的因素有护士关注度、医生态度、等待止痛药时间、疼痛缓解程度和医院级别(P<0.05)。结论:无痛病房癌症患者仍有中到低度的疼痛,疼痛信念较差。医护人员应对患者加强疼痛教育。
Abstract:
Aim: To describe the outcomes of cancer pain management in good pain management ward and explore related factors.Methods: The American Pain Society Patient Outcomes Questionnaire Modified was used to survey 458 cancer inpatients recruited from good pain management wards of five hospitals in Zhengzhou City.Results: The mean of the pain intensity was(3.16±1.39), the mean of pain interfere was(3.68±1.94), the mean of patients' satisfaction was(4.54±0.66), and the mean of pain beliefs was(2.45±0.88). The predictors of the pain intensity included pain relief, gender, waiting time for analgesic, cancer stage, analgesic type,assessment and recording,and pain treatment index(P<0.05). The predictors of the pain interfere included replacing for another analgesic, pain relief, waiting time for analgesic, analgesic type,assessment and recording,treatment method(P<0.05). The predictors of the pain management satisfaction included pain relief, nurses' attitude, replacing for changing analgesic, hospital level and pain treatment index(P<0.05). The predictors of the pain beliefs included doctors' and nurses' attention on pain, waiting time for analgesic,pain relief and hospital level(P<0.05).Conclusion: The score of pain intensity is in lower level, and the pain faith is poor. Medical personnel should strengthen pain education of cancer patients.

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备注/Memo

备注/Memo:
*郑州市科技局普通科技攻关项目 141PPTGG459
#通信作者,女,1962年11月生,硕士,主任护师,研究方向:慢性病护理,E-mail:louxiaoping@163.com
更新日期/Last Update: 2016-11-20