人本位健康教育路径在癌痛管理中的应用
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摘要
目的探讨人本位健康教育路径在癌性疼痛(以下简称癌痛)管理中的应用效果。方法将80例癌痛患者随机分成对照组和观察组,各40例。对照组实施常规健康教育,观察组由疼痛专管员、责任护士、责任医师组成的疼痛小组,采用人本位健康教育路径进行癌痛管理,对比分析两组患者的疼痛控制效果、疼痛知识掌握情况和生活质量评分。结果干预后观察组疼痛控制效果显著优于对照组(Z=-6.28,P<0.001)。干预后观察组与对照组疼痛知识得分分别为(92.51±11.47)分、(83.69±18.55)分,两组比较差异具有统计学意义(t=2.55,P=0.02)。观察组躯体功能、情绪功能、疲乏、恶心呕吐、疼痛、呼吸困难、失眠、食欲下降、便秘及整体生活质量均优于对照组,差异具有统计学意义(P<0.05)。结论人本位健康教育路径可提高癌痛控制效果,有效帮助癌痛患者掌握疼痛相关知识,提高生活质量,体现护士的社会价值。
Objective The objective of this study was to explore the application effect of people-focused health education path in patients with cancer pain. Methods A total of 80 cases of patients with cancer pain were randomly divided into control group and observation group, 40 cases in each group. The control group was provided with routine health education by a pain control group consisting of a pain-responsible manager, a primary nurse and a primary physician; the observation group was given people-focused health education path. Then the effect of pain control, knowledge of pain and quality of life were compared between the two groups. Results After intervention, the pain control effect of the observation group was significantly better than that of the control group(Z=-6.28,P<0.001). After intervention, the pain knowledge scores of the observation group and the control group were(92.51±11.47) and(83.69±18.55), respectively. The difference between the two groups was statistically significant(t=2.55,P=0.02). The physical function, emotional function, fatigue, nausea and vomiting, pain, dyspnea, insomnia, loss of appetite, constipation and overall quality of life of the observation group were better than those of the control group, and the differences were statistically significant(P<0.05). Conclusions People-focused health education path can improve the effect of cancer pain control, effectively help patients with cancer pain master pain-related knowledge, improve the quality of life, and realize the social value of nurses.
Objective The objective of this study was to explore the application effect of people-focused health education path in patients with cancer pain. Methods A total of 80 cases of patients with cancer pain were randomly divided into control group and observation group, 40 cases in each group. The control group was provided with routine health education by a pain control group consisting of a pain-responsible manager, a primary nurse and a primary physician; the observation group was given people-focused health education path. Then the effect of pain control, knowledge of pain and quality of life were compared between the two groups. Results After intervention, the pain control effect of the observation group was significantly better than that of the control group(Z=-6.28,P<0.001). After intervention, the pain knowledge scores of the observation group and the control group were(92.51±11.47) and(83.69±18.55), respectively. The difference between the two groups was statistically significant(t=2.55,P=0.02). The physical function, emotional function, fatigue, nausea and vomiting, pain, dyspnea, insomnia, loss of appetite, constipation and overall quality of life of the observation group were better than those of the control group, and the differences were statistically significant(P<0.05). Conclusions People-focused health education path can improve the effect of cancer pain control, effectively help patients with cancer pain master pain-related knowledge, improve the quality of life, and realize the social value of nurses.
引文
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[13]甘秋萍,卢柳霞,邹凤娥,等.护理人文关怀核心能力评价与临床培养模式的应用效果研究[J].护理实践与研究,2018(13):125-127.DOI:10.3969/j.issn.1672-9676.2018.13.051.
[14]郝筱.人文关怀护理在老年妇科恶性肿瘤癌痛患者中的应用[J].临床研究,2017(11):113-115.DOI:10.3969/j.issn.1004-8650.2017.11.059.
[15]杨军,李新霞,张爱华.乳腺癌患者自我管理行为与癌性疲乏及生存质量的相关研究[J].护士进修杂志,2017,32(2):99-102.DOI:10.16821/j.cnki.hsjx.2017.02.002.
[16]杨秀清,陈劲,彭丽彬.人文关怀对癌症患者癌因性疲乏及生活质量的影响[J].中华现代护理杂志,2012,18(8):884-886.DOI:10.3760/cma.j.issn.1674-2907.2012.08.005.
[17]罗静,曹影婕.图文式联合回馈教育法对肺癌手术后康复的人文关怀实践研究[J].中国实用护理杂志,2017,33(24):1856-1860.DOI:10.3760/cma.j.issn.1672-7088.2017.24.004.
[18]秦朝容,张卫萍,涂星.不同心理类型患者人本位整体护理效果分析[J].现代医药卫生,2014,30(17):2685-2686.DOI:10.3969/j.issn.1009-5519.2014.17.063.
[19]孙亚利,肖奇贵,任洋,等.人文关怀护理对肝癌手术患者生活质量和负性情绪的影响研究[J].中国医学伦理学,2016,29(4):704-706.DOI:10.12026/j.issn.1001-8565.2016.04.48.
[20]王素明,王志中.灵性照顾在晚期癌症病人临终关怀中的应用[J].中国社会医学杂志,2018(1):42-45.DOI:10.3969/j.issn.1673-5625.2018.01.013.
[21]周丽莎,段松玲,王继红.人文关怀在癌症病人护理中的应用[J].循证护理,2017,3(3):230-231.DOI:10.3969/j.issn.2095-8668.2017.03.009.
[2]许刚.一级亲属陪护干预对癌痛患者癌痛治疗及生活质量的影响[J].中国农村卫生事业管理,2017(2):216-218.
[3]陈汝桂,张俏雯,陈美芬.护理干预对规范化癌痛治疗患者依从性的分析[J].国际护理学杂志,2016(14):1951-1954.DOI:10.3760/cma.j.issn.1673-4351.2016.14.026.
[4]Leininger M M.Caring:An essential human need[M].New Jersey:Charless B Slack Inc,1981:24.
[5]Watson J.Nursing:Human science and human care.Atheory of nursing[M].New York:National League for Nursing,1988:1-104.
[6]徐倩倩,吴玲玲,王吉平.护理干预对癌性疼痛病人疼痛管理影响的系统评价[J].护理研究,2016,30(19):2322-2327.DOI:10.3969/j.issn.1009-6493.2016.19.006.
[7]Salehian M,Heydari A,Aghebati N,et al.Principle-based concept analysis:Caring in nursing education[J].Electron Physician,2016,8(3):2160-2167.DOI:10.19082/2160.
[8]Cho O H,Yoo Y S,Kim N C.Efficacy of comprehensive group rehabilitation for women with early breast in South Korea[J].Nurs Health Sci,2006,8(3):140-146.DOI:10.1111/j.1442-2018.2006.00271.x.
[9]Gillon R.Defending the four principles approach as a good basis for good medical practice and therefore for good medical ethics[J].J Med Ethics,2015,41(1):111-116.DOI:10.1136/medethics-2014-102282.
[10]郭淑娟,王春秀,王筱红,等.“人本位”整体护理模式的构建与实施[J].护理实践与研究,2017,14(5):1-3.DOI:10.3969/j.issn.1672-9676.2017.05.001.
[11]熊梨花,周海平,孙小平,等.身心灵全人健康模式辅导对抑郁症患者康复效果的分析[J].中国全科医学,2009,12(21):1959-1962.DOI:10.3969/j.issn.1007-9572.2009.21.011.
[12]罗志芹,王宁,刘家浩,等.晚期癌症患者生活质量量表EORTC QLQ-C15-PAL中文版有效性的评价[J].中国实用护理杂志,2014(13):20-25.DOI:10.3760/cma.j.issn.1672-7088.2014.13.006.
[13]甘秋萍,卢柳霞,邹凤娥,等.护理人文关怀核心能力评价与临床培养模式的应用效果研究[J].护理实践与研究,2018(13):125-127.DOI:10.3969/j.issn.1672-9676.2018.13.051.
[14]郝筱.人文关怀护理在老年妇科恶性肿瘤癌痛患者中的应用[J].临床研究,2017(11):113-115.DOI:10.3969/j.issn.1004-8650.2017.11.059.
[15]杨军,李新霞,张爱华.乳腺癌患者自我管理行为与癌性疲乏及生存质量的相关研究[J].护士进修杂志,2017,32(2):99-102.DOI:10.16821/j.cnki.hsjx.2017.02.002.
[16]杨秀清,陈劲,彭丽彬.人文关怀对癌症患者癌因性疲乏及生活质量的影响[J].中华现代护理杂志,2012,18(8):884-886.DOI:10.3760/cma.j.issn.1674-2907.2012.08.005.
[17]罗静,曹影婕.图文式联合回馈教育法对肺癌手术后康复的人文关怀实践研究[J].中国实用护理杂志,2017,33(24):1856-1860.DOI:10.3760/cma.j.issn.1672-7088.2017.24.004.
[18]秦朝容,张卫萍,涂星.不同心理类型患者人本位整体护理效果分析[J].现代医药卫生,2014,30(17):2685-2686.DOI:10.3969/j.issn.1009-5519.2014.17.063.
[19]孙亚利,肖奇贵,任洋,等.人文关怀护理对肝癌手术患者生活质量和负性情绪的影响研究[J].中国医学伦理学,2016,29(4):704-706.DOI:10.12026/j.issn.1001-8565.2016.04.48.
[20]王素明,王志中.灵性照顾在晚期癌症病人临终关怀中的应用[J].中国社会医学杂志,2018(1):42-45.DOI:10.3969/j.issn.1673-5625.2018.01.013.
[21]周丽莎,段松玲,王继红.人文关怀在癌症病人护理中的应用[J].循证护理,2017,3(3):230-231.DOI:10.3969/j.issn.2095-8668.2017.03.009.