基于动机访谈的健康教育对癌症晚期患者癌性疼痛控制和生活质量的影响
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摘要
目的探讨基于动机访谈的健康教育对癌症晚期患者癌性疼痛控制和生活质量的影响。方法回顾性分析我院2017年9月至2018年9月收治的85例癌症晚期患者作为研究对象,将其随机分为研究组43例和对照组42例。对照组实施常规护理,研究组实施基于动机访谈的健康教育。比较两组患者癌性疼痛控制水平和生活质量。结果干预前,两组患者各项癌性疼痛控制水平评分比较差异均无统计学意义(P>0. 05);研究组患者干预后担心耐药性、担心疼痛无法控制、担心药物成瘾、担心副作用、担心影响治疗评分均显著低于对照组,差异有统计学意义(P <0. 05)。研究组患者疼痛程度轻于对照组,差异有统计学意义(P <0. 05)。研究组患者干预后疾病康复、心理功能、社会功能、躯体功能、家庭功能评分高于对照组,差异有统计学意义(P <0. 05)。结论癌症晚期患者应用基于动机访谈的健康教育可有效提高患者癌性疼痛控制能力,促进患者心理和生理的康复,逐渐改善患者生活质量,具有临床研究价值。
Objective To explore the effect of health education based on motivational interviews on cancer pain control and quality of life in patients with advanced cancer. Methods To analyze 85 patients with advanced cancer who were admitted to our hospital from September 2017 to September 2018 by retrospective analysis and they were selected as the study subjects. They were divided into study group with 43 cases and control group with 42 cases randomly. The control group was given routine care,while the study group was implemented with health education based on motivational interviews. The level of cancer pain control and quality of life were compared between the two groups. Results Before the intervention,there was no statistically significant difference in the scores of cancer pain control between the two groups( P > 0. 05). After the intervention,the scores of fear for drug resistance,uncontrol of pain,drug addiction,side effects,and influence of treatment in the study group were significantly lower than that of the control group,and the difference was statistically significant( P < 0. 05). The pain of the study group was lighter than that of the control group,and the difference was statistically significant(P < 0. 05). The disease rehabilitation,psychological function,social function,physical function and family function scores of the study group patients were higher than those of the control group,and the difference was statistically significant( P < 0. 05). Conclusion The use of motivational interview-based health education in patients with advanced cancer can improve the ability of cancer pain control effectively. At the same time,it can promote psychological and physical rehabilitation of patients,thus improving their quality of life gradually,which has clinical research value.
Objective To explore the effect of health education based on motivational interviews on cancer pain control and quality of life in patients with advanced cancer. Methods To analyze 85 patients with advanced cancer who were admitted to our hospital from September 2017 to September 2018 by retrospective analysis and they were selected as the study subjects. They were divided into study group with 43 cases and control group with 42 cases randomly. The control group was given routine care,while the study group was implemented with health education based on motivational interviews. The level of cancer pain control and quality of life were compared between the two groups. Results Before the intervention,there was no statistically significant difference in the scores of cancer pain control between the two groups( P > 0. 05). After the intervention,the scores of fear for drug resistance,uncontrol of pain,drug addiction,side effects,and influence of treatment in the study group were significantly lower than that of the control group,and the difference was statistically significant( P < 0. 05). The pain of the study group was lighter than that of the control group,and the difference was statistically significant(P < 0. 05). The disease rehabilitation,psychological function,social function,physical function and family function scores of the study group patients were higher than those of the control group,and the difference was statistically significant( P < 0. 05). Conclusion The use of motivational interview-based health education in patients with advanced cancer can improve the ability of cancer pain control effectively. At the same time,it can promote psychological and physical rehabilitation of patients,thus improving their quality of life gradually,which has clinical research value.
引文
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[2]李耀丽,马龙,赵久达,等.心理干预与健康教育支持对老年肺癌患者癌痛及生活质量的影响[J].中国健康教育,2016,32(8):743-745.
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[4]岑俏丹,许惠明,岑相如,等.配偶参与动机性访谈对中青年癌症患者出院后性生活应对状况的影响[J].护理实践与研究,2016,13(10):54-55.
[5]邢桃红,朱晓敏,师树荫,等.自制TACE健康教育视频应用于肝癌患者的效果评价[J].介入放射学杂志,2017,26(10):935-938.
[6]李福霞,申洪昌,秦珂,等.癌痛患者基于BCW理论健康教育模式应用研究[J].中华肿瘤防治杂志,2018,25(7):518-523.
[7]胡芳,周霞.基于跨理论模型的动机访谈对肝癌介入术后患者并发症及自我管理行为的影响[J].中国地方病防治杂志,2017,32(5):573,576.
[8]陈卓园园,韩兴平,鞠梅.癌症患者癌痛自我效能感和生活质量现状调查[J].实用医学杂志,2017,33(4):636-638.
[9]陈美玲,卢焕平,梁宝卿.基于微信平台的远程动机性访谈在COPD患者延续性护理中的应用[J].护理实践与研究,2017,14(19):41-43.
[2]李耀丽,马龙,赵久达,等.心理干预与健康教育支持对老年肺癌患者癌痛及生活质量的影响[J].中国健康教育,2016,32(8):743-745.
[3]刘红,蒋远静,刘水霞.癌痛规范化治疗提高中重度癌痛患者生活质量的临床及护理分析[J].第三军医大学学报,2018,40(10):934-938.
[4]岑俏丹,许惠明,岑相如,等.配偶参与动机性访谈对中青年癌症患者出院后性生活应对状况的影响[J].护理实践与研究,2016,13(10):54-55.
[5]邢桃红,朱晓敏,师树荫,等.自制TACE健康教育视频应用于肝癌患者的效果评价[J].介入放射学杂志,2017,26(10):935-938.
[6]李福霞,申洪昌,秦珂,等.癌痛患者基于BCW理论健康教育模式应用研究[J].中华肿瘤防治杂志,2018,25(7):518-523.
[7]胡芳,周霞.基于跨理论模型的动机访谈对肝癌介入术后患者并发症及自我管理行为的影响[J].中国地方病防治杂志,2017,32(5):573,576.
[8]陈卓园园,韩兴平,鞠梅.癌症患者癌痛自我效能感和生活质量现状调查[J].实用医学杂志,2017,33(4):636-638.
[9]陈美玲,卢焕平,梁宝卿.基于微信平台的远程动机性访谈在COPD患者延续性护理中的应用[J].护理实践与研究,2017,14(19):41-43.