International Journal of Nursing Research
International Journal of Nursing Research. 2021; 3: (3) ; 10.12208/j.ijnr. 20210065 .
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中国人民解放军空军军医大学第二附属医院 陕西西安
*通讯作者： 张钰琪,单位：中国人民解放军空军军医大学第二附属医院 陕西西安；
目的 探讨综合护理对癌性疼痛患者疼痛管理质量的影响。方法 采用整群随机抽样的方法选取2020年2月至2021年2月我院收治的癌性疼痛患者60例，依据护理方法将这些患者分为常规护理组（n=30）和综合护理组（n=30）两组，常规护理组患者接受常规护理，综合护理组患者接受综合护理，然后统计分析两组患者的疼痛程度、疼痛管理质量。结果 和护理前相比，两组患者护理后的VAS评分均显著较低（P<0.05）；护理后和常规护理组相比，综合护理组患者的VAS评分显著较低（P<0.05），但护理前两组患者的VAS评分之间的差异不显著（P>0.05）。综合护理组患者的疼痛控制率、止痛满意率、治疗配合率86.7%（26/30）、76.7%（23/30）、83.3%（25/3/0）均显著高于常规护理组43.3%（13/30）、46.7%（14/30）、56.7%（17/30）（P<0.05），不良反应发生率36.7%（11/30）显著低于常规护理组73.3%（22/30）（P<0.05）。结论 综合护理对癌性疼痛患者疼痛管理质量较常规护理高。
Objective: To explore the effect of comprehensive nursing care on the quality of pain management for patients with cancer pain. Methods: A cluster random sampling method was used to select 60 patients with cancer pain admitted to our hospital from February 2020 to February 2021, and these patients were divided into routine care group (n=30) and comprehensive care group ( n=30) In the two groups, patients in the routine care group received routine care, and patients in the comprehensive care group received comprehensive care. Then the pain degree and pain management quality of the two groups were statistically analyzed. Results: Compared with before nursing, the VAS scores of the two groups of patients after nursing were significantly lower (P<0.05); after nursing, compared with the conventional nursing group, the VAS scores of patients in the comprehensive nursing group were significantly lower (P<0.05). However, the difference between the VAS scores of the two groups of patients before nursing was not significant (P>0.05). The pain control rate, pain satisfaction rate, and treatment cooperation rate of patients in the comprehensive care group were 86.7% (26/30), 76.7% (23/30), and 83.3% (25/30) significantly higher than those in the conventional care group (43.3%). /30), 46.7% (14/30), 56.7% (17/30) (P<0.05), and the adverse reaction rate of 36.7% (11/30) was significantly lower than that of the conventional care group, 73.3% (22/30) ( P<0.05). Conclusion : The quality of comprehensive nursing care for patients with cancer pain is higher than that of conventional nursing care.
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