自控镇痛泵联合微信管理平台对癌症晚期患者生活质量的影响
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摘要
目的探讨自控镇痛泵联合微信管理平台对提高癌症晚期患者生活质量的影响。方法选择2016年6月~2017年6月台州恩泽医疗中心(集团)路桥医院肿瘤科105例癌症晚期患者,根据居家治疗情况分为对照组、观察组1和观察组2,各35例,对照组采用盐酸曲马多缓释片口服,采用电话随访;观察组1采用居家自控静脉镇痛泵治疗,采用电话随访;观察组2采用居家自控静脉镇痛泵治疗,采用微信管理平台进行管理;比较三组疼痛评分、心理状态和生活质量。结果出院后1个月三组疼痛评分比较有显著差异(P<0.05),观察组2和观察组1显著低于对照组(P<0.05);三组心理状态比较有显著差异(P<0.05),观察组2显著低于观察组1和对照组(P<0.05),而观察组1和对照组无显著差异(P>0.05);三组生活质量比较,食欲、睡眠、心理承受能力、自理能力、自身对疾病的认识方面,差异有统计学意义(P<0.01);观察组2显著高于观察组1(P<0.01),而观察组1与对照组无显著性差异(P>0.05)。结论自控镇痛泵联合微信管理平台对癌症晚期患者居家治疗,能显著减轻疼痛,改善心理状态,提高生活质量。
Objective To investigate the effect of self-controlled analgesia pump combined with We Chat management platform on improving quality of life in patients with advanced cancer. Methods A total of 105 advanced cancer patients in the Department of Oncology of Taizhou Enze Medical Center(Group) Luqiao Hospital from June 2016 to June2017 were divided into control group, observation group 1 and observation group 2 according to the home treatment,with 35 cases in each group. The control group was treated with tramadol hydrochloride sustained-release tablets orally and was followed up by telephone. The observation group 1 was treated with home-controlled intravenous analgesia pump and was followed up by telephone. The observation group 2 was given home-controlled intravenous analgesia pump treatment, with Wechat management platform for management. The pain scores, psychological status and quality of life in 3 groups were evaluated. Results There were significant differences in pain scores between 3 the three groups at 1 month after discharge(P<0.05). And the scores in the observation group 2 and observation group 1 were significantly lower than those in control group(P<0.05). There were significant differences between the three groups in their mental status(P<0.05).The mental status of the observation group 2 was significantly lower than that of the observation group 1 and the control group(P<0.05). There was no significant difference in the mental status between the observation group 1 and the control group(P>0.05). There were significant differences in the quality of life, appetite, sleep, psychological tolerance, self-care ability and their cognition of disease(P<0.01). And those in the observation group 2 were significantly higher than those in the observation group 1(P<0.01), while there was no significant difference between observation group 1 and the control group(P>0.05). Conclusion The self-controlled analgesia pump combined with We Chat management platform in home treatment of patients with advanced cancer can significantly reduce the pain, improve the psychological status and the quality of life.
Objective To investigate the effect of self-controlled analgesia pump combined with We Chat management platform on improving quality of life in patients with advanced cancer. Methods A total of 105 advanced cancer patients in the Department of Oncology of Taizhou Enze Medical Center(Group) Luqiao Hospital from June 2016 to June2017 were divided into control group, observation group 1 and observation group 2 according to the home treatment,with 35 cases in each group. The control group was treated with tramadol hydrochloride sustained-release tablets orally and was followed up by telephone. The observation group 1 was treated with home-controlled intravenous analgesia pump and was followed up by telephone. The observation group 2 was given home-controlled intravenous analgesia pump treatment, with Wechat management platform for management. The pain scores, psychological status and quality of life in 3 groups were evaluated. Results There were significant differences in pain scores between 3 the three groups at 1 month after discharge(P<0.05). And the scores in the observation group 2 and observation group 1 were significantly lower than those in control group(P<0.05). There were significant differences between the three groups in their mental status(P<0.05).The mental status of the observation group 2 was significantly lower than that of the observation group 1 and the control group(P<0.05). There was no significant difference in the mental status between the observation group 1 and the control group(P>0.05). There were significant differences in the quality of life, appetite, sleep, psychological tolerance, self-care ability and their cognition of disease(P<0.01). And those in the observation group 2 were significantly higher than those in the observation group 1(P<0.01), while there was no significant difference between observation group 1 and the control group(P>0.05). Conclusion The self-controlled analgesia pump combined with We Chat management platform in home treatment of patients with advanced cancer can significantly reduce the pain, improve the psychological status and the quality of life.
引文
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[16]李雪薇.自控静脉镇痛泵在疼痛介入科的应用及护理体会[J].护理实践与研究,2012,9(16):63-64.
[17]杨敏,刘军燕,王建宁,等.微信群对肠造口患者延伸护理的应用效果分析[J].护理实践与研究,2016,13(20):144-147.
[18]岳林,谢淑敏,刘家浩,等.肿瘤外科医生对癌痛治疗和吗啡临床应用的认知调查[J].中国全科医学,2017,20(10):1262-1266.
[19]赵晓婕,杨逸,吴啊萍,等.晚期癌症患者对临终关怀需求的调查分析[J].护理学杂志,2015,30(9):27-30.
[20]赵文硕,杨中,张青,等.超声聚焦治疗胰腺癌60例的临床观察[J].中国医药导刊,2012,14(11):1841-1842.
[2]刘文华,田云虎,邱玉金,等.经皮穿刺椎体成形术治疗多发性胸椎转移瘤[J].中国微创外科杂志,2010,10(9):798-801.
[3]蒋春鹤,马文杰.中医药治疗癌性疼痛的研究现状[J].临床医药文献电子杂志,2016,3(24):4913-4914.
[4]陈国荣,段嘉,李君艳,等.医学生义工服务对晚期癌症患者情绪及生活质量的影响研究[J].中国全科医学,2013,16(17):1540-1542.
[5]杨璞,朱建华.癌症患者支持治疗需求的研究进展[J].解放军护理杂志,2016,33(5):38-42.
[6]袁建虎,张旭光.酮咯酸氨丁三醇与氟比洛芬酯联合舒芬太尼用于痔上黏膜环切术后自控静脉镇痛的对比观察[J].中国医刊,2016,51(4):92-94.
[7]高燕凤,袁伟,丁晓英,等.地佐辛联合氟比洛芬酯术后多模式镇痛对胃癌根治术患者细胞免疫功能的影响[J].西安交通大学学报(医学版),2014,35(5):669-713.
[8]孟静,刘志梅,于树红.家庭护理模式应用于自控镇痛泵治疗顽固性癌痛的临床护理研究[J].临床普外科电子杂志,2014,2(1):41-44.
[9]程亚,荚卫东,许戈良,等.加速康复外科理念在肝细胞癌肝切除围手术期中的应用[J].中华肝脏外科手术学电子杂志,2017,6(3):187-191.
[10]郝丽琼,赵文瑶,吴师容,等.心理干预对晚期肿瘤患者心理和生活质量的影响[J].解放军医药杂志,2017,29(6):65-67.
[11]陈青青,陈金晖,黄丹红,等.心理护理对肝癌患者手术前后心理状态和术后生活质量的影响[J].中国现代医生,2016,54(7):150-153.
[12]李穗晖,黎玉辉,叶小卫,等.盐酸羟考酮控释片改善中重度癌性疼痛患者不良情绪状态的临床研究[J].中国疼痛医学杂志,2013,19(7):387-391.
[13]胡夕春,王杰军,常建华,等.癌症疼痛诊疗上海专家共识(2017年版)[J].中国癌症杂志,2017,27(4):312-320.
[14]阚红莉,孙红,周姝,等.氟哌利多的研究现状[J].中国医刊,2011,46(11):32-34.
[15]钟燕,李怡巍,陈兰.静脉留置镇痛泵镇痛对剖宫产妇母乳喂养的影响[J].中国医药导刊,2015,17(1):101-102.
[16]李雪薇.自控静脉镇痛泵在疼痛介入科的应用及护理体会[J].护理实践与研究,2012,9(16):63-64.
[17]杨敏,刘军燕,王建宁,等.微信群对肠造口患者延伸护理的应用效果分析[J].护理实践与研究,2016,13(20):144-147.
[18]岳林,谢淑敏,刘家浩,等.肿瘤外科医生对癌痛治疗和吗啡临床应用的认知调查[J].中国全科医学,2017,20(10):1262-1266.
[19]赵晓婕,杨逸,吴啊萍,等.晚期癌症患者对临终关怀需求的调查分析[J].护理学杂志,2015,30(9):27-30.
[20]赵文硕,杨中,张青,等.超声聚焦治疗胰腺癌60例的临床观察[J].中国医药导刊,2012,14(11):1841-1842.