十堰市三级甲等医院癌痛患者疼痛控制结局的现状调查及影响因素分析
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摘要
目的了解十堰市三级甲等医院癌痛患者疼痛控制结局的现状,并分析其影响因素。方法 2016年8月至2017年8月,采用整群抽样的方法,选取十堰市开设有肿瘤科的3所三级甲等医院收治的303例癌痛患者作为研究对象,使用一般资料调查表、美国疼痛协会患者结局问卷修订量表(American Pain Society Patient Outcome Questionnaire Modified)对其进行问卷调查。结果本组患者疼痛控制结局的4个指标中,疼痛程度、疼痛对患者影响、疼痛信念的平均得分均低于国内常模水平,疼痛控制满意度得分高于国内常模水平(均P<0.05)。多元线性回归分析结果显示,生活区域、文化程度为癌痛患者疼痛控制结局水平的影响因素,可解释总体变异的41.3%。结论十堰市三级甲等医院癌痛患者疼痛控制结局处于相对满意水平,护理管理者应根据患者不同的生活区域、文化程度加强对癌痛患者的规范化管理。
Objective To understand the current situation of pain control outcomes of cancer patients in Shiyan hospital, and to analyze its influencing factors.Methods By using the cluster sampling method, 303 cancer patients who met the inclusion criteria from August 2016 to August 2017 were selected and investigated by the general information questionnaire and the American Pain Society Patient Outcomes Questionnaire Modified.Results Among the four outcome indicators, the pain level, the effect of pain, the pain belief were lower than the domestic norm level in China, and the satisfaction of pain control was higher than the domestic norm level(all P<0.05).The multiple regression analysis showed that living area and education were the influencing factors of pain control outcome, which explained 41.3% of the total variance.Conclusions The pain control outcomes of cancer pain patients in Shiyan tertiary hospitals are relatively satisfactory. Nursing managers should strengthen the standardized management of cancer pain according to patients' different living areas and educational levels.
Objective To understand the current situation of pain control outcomes of cancer patients in Shiyan hospital, and to analyze its influencing factors.Methods By using the cluster sampling method, 303 cancer patients who met the inclusion criteria from August 2016 to August 2017 were selected and investigated by the general information questionnaire and the American Pain Society Patient Outcomes Questionnaire Modified.Results Among the four outcome indicators, the pain level, the effect of pain, the pain belief were lower than the domestic norm level in China, and the satisfaction of pain control was higher than the domestic norm level(all P<0.05).The multiple regression analysis showed that living area and education were the influencing factors of pain control outcome, which explained 41.3% of the total variance.Conclusions The pain control outcomes of cancer pain patients in Shiyan tertiary hospitals are relatively satisfactory. Nursing managers should strengthen the standardized management of cancer pain according to patients' different living areas and educational levels.
引文
[1] 王贞,伍晓员.肿瘤科护士疼痛管理知识和态度与疼痛护理质量相关性研究[J].当代护士:中旬刊,2018(6):125-127.
[2] 余伟冰,吴春凤.规范化护理对癌痛患者提高生活质量增强自我管理效能的作用[J].中国当代医药,2016,23(29):179-181.
[3] 温影,乔蕾,孙冰野,等.探究规范化疼痛管理对癌痛及护理满意度的影响[J].世界最新医学信息文摘:电子版,2018,18(83):290.
[4] 杨海霞,吴丽华.癌痛护理干预对肿瘤患者疼痛及生活质量的影响观察[J].基层医学论坛,2018,22(30):4336-4337.
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[6] MCNEILL J A,SHERWOOD G D,STARCK P L,et al.Assessing clinical outcomes:patient satisfaction with pain management[J].J Pain Symptom Manage,1998,16(1):29-40.
[7] 董秀丽,郭超,沈杰,等.骨科护士疼痛知识与培训需求的调查分析[J].护理学杂志,2012,27(24):70-72.
[8] 李之曦,贾钰铭,李志斌,等.四川省癌症疼痛现状调查:第八届全国癌症康复与姑息医学大会论文汇编[C].青岛:中国抗瘤协会,2012.
[9] 康晶晶.无痛病房住院癌症患者疼痛管理结局现状及影响因素研究[D].郑州:郑州大学,2015.
[10]胡夏菊.北京市三级甲等医院住院癌症患者的疼痛控制结局现状及影响因素的研究[D].北京:北京协和医学院,2010.
[11]GEORGE J M,MENON M,GUPTA P,et al.Use of strong opioids for chronic non-cancer pain:a retrospective analysis at a pain centre in Singapore[J].Singapore Med J,2013,54(9):506-510.
[12]WIDERSTROM-NOGA E G,FELIPE-CUERVO E,YEZIERSKI R P.Chronic pain after spinal injury:interference with sleep and daily activities[J].Arch Phys Med Rehabil,2001,82(11):1571-1577.
[13]杨云环.癌痛规范化管理对提高行吗啡疼痛治疗患者疗效和治疗依从性的护理体会[J].世界最新医学信息文摘:电子版,2016,16(93):244-245.
[14]陈晓燕,成守珍,高明榕,等.广东5家三级甲等医院ICU护士疼痛管理知识态度调查分析[J].护理学报,2013,20(17):1-4.
[2] 余伟冰,吴春凤.规范化护理对癌痛患者提高生活质量增强自我管理效能的作用[J].中国当代医药,2016,23(29):179-181.
[3] 温影,乔蕾,孙冰野,等.探究规范化疼痛管理对癌痛及护理满意度的影响[J].世界最新医学信息文摘:电子版,2018,18(83):290.
[4] 杨海霞,吴丽华.癌痛护理干预对肿瘤患者疼痛及生活质量的影响观察[J].基层医学论坛,2018,22(30):4336-4337.
[5] 巩丽华.济南市住院癌症患者疼痛控制结局现状及其影响因素分析[D].济南:山东大学,2015.
[6] MCNEILL J A,SHERWOOD G D,STARCK P L,et al.Assessing clinical outcomes:patient satisfaction with pain management[J].J Pain Symptom Manage,1998,16(1):29-40.
[7] 董秀丽,郭超,沈杰,等.骨科护士疼痛知识与培训需求的调查分析[J].护理学杂志,2012,27(24):70-72.
[8] 李之曦,贾钰铭,李志斌,等.四川省癌症疼痛现状调查:第八届全国癌症康复与姑息医学大会论文汇编[C].青岛:中国抗瘤协会,2012.
[9] 康晶晶.无痛病房住院癌症患者疼痛管理结局现状及影响因素研究[D].郑州:郑州大学,2015.
[10]胡夏菊.北京市三级甲等医院住院癌症患者的疼痛控制结局现状及影响因素的研究[D].北京:北京协和医学院,2010.
[11]GEORGE J M,MENON M,GUPTA P,et al.Use of strong opioids for chronic non-cancer pain:a retrospective analysis at a pain centre in Singapore[J].Singapore Med J,2013,54(9):506-510.
[12]WIDERSTROM-NOGA E G,FELIPE-CUERVO E,YEZIERSKI R P.Chronic pain after spinal injury:interference with sleep and daily activities[J].Arch Phys Med Rehabil,2001,82(11):1571-1577.
[13]杨云环.癌痛规范化管理对提高行吗啡疼痛治疗患者疗效和治疗依从性的护理体会[J].世界最新医学信息文摘:电子版,2016,16(93):244-245.
[14]陈晓燕,成守珍,高明榕,等.广东5家三级甲等医院ICU护士疼痛管理知识态度调查分析[J].护理学报,2013,20(17):1-4.