门诊止痛药学服务在老年癌痛规范化治疗的应用研究
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摘要
目的:探讨门诊止痛药学服务在老年癌痛规范化治疗的应用研究。方法:选取2017年4月-2018年12月笔者所在医院收治的80例老年癌痛患者,将其随机分为两组,每组40例。对照组按照医师常规治疗门诊开药给患者,临床药学服务组在此基础上进行临床药学服务,比较两组患者干预前后的疼痛强度评分及止痛满意度。结果:两组患者干预前的NRS评分比较,差异无统计学意义(P>0.05);干预后临床药学服务组NRS评分明显低于对照组,差异有统计学意义(P<0.05)。对照组患者止痛总满意度为47.5%,临床药学服务组患者止痛总满意度为77.5%,临床药学服务组明显高于对照组,差异有统计学意义(P<0.05)。结论:门诊止痛药学服务对于老年癌痛患者的规范化治疗具有非常重要的意义,不仅可以改善患者的疼痛强度评分,还可以提高患者的止痛满意度,值得临床推广应用。
Objective:To explore the application of outpatient analgesics pharmaceutical service in the standardized treatment of cancer pain in the elderly.Method:A total of 80 cases of elderly cancer pain patients admitted to our hospital from April 2017 to December 2018 were selected.They were randomly divided into two groups,40 cases in each group.Patients in the control group were prescribed drugs according to the routine treatment of physicians,while patients in the clinical pharmaceutical service group were given clinical pharmaceutical service on this basis.The pain intensity score and pain relief satisfaction before and after intervention were compared between the two groups.Result:There was no significant difference in NRS scores between the two groups before intervention(P>0.05).After intervention,the NRS score of patients in the clinical pharmaceutical service group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The total pain relief satisfaction of patients in the control group was 47.5%,and the total pain relief satisfaction of patients in the clinical pharmaceutical service group was 77.5%.The clinical pharmaceutical service group was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Outpatient analgesics pharmaceutical care is of great significance for the standardized treatment of elderly cancer pain patients.It can not only improve the pain intensity score of patients,but also improve the pain satisfaction of patients,which is worthy of clinical promotion and application.
Objective:To explore the application of outpatient analgesics pharmaceutical service in the standardized treatment of cancer pain in the elderly.Method:A total of 80 cases of elderly cancer pain patients admitted to our hospital from April 2017 to December 2018 were selected.They were randomly divided into two groups,40 cases in each group.Patients in the control group were prescribed drugs according to the routine treatment of physicians,while patients in the clinical pharmaceutical service group were given clinical pharmaceutical service on this basis.The pain intensity score and pain relief satisfaction before and after intervention were compared between the two groups.Result:There was no significant difference in NRS scores between the two groups before intervention(P>0.05).After intervention,the NRS score of patients in the clinical pharmaceutical service group was significantly lower than that in the control group,the difference was statistically significant(P<0.05).The total pain relief satisfaction of patients in the control group was 47.5%,and the total pain relief satisfaction of patients in the clinical pharmaceutical service group was 77.5%.The clinical pharmaceutical service group was significantly higher than the control group,the difference was statistically significant(P<0.05).Conclusion:Outpatient analgesics pharmaceutical care is of great significance for the standardized treatment of elderly cancer pain patients.It can not only improve the pain intensity score of patients,but also improve the pain satisfaction of patients,which is worthy of clinical promotion and application.
引文
[1]杨彩艳,柳全霞,许大庆,等.癌痛规范化病房中癌痛治疗药物的应用分析[J].中国药物应用与监测,2016,13(4):235-237,242.
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[8]中国抗癌协会癌症康复与姑息治疗专业委员会难治性癌痛学组.难治性癌痛专家共识(2017年版)[J].中国肿瘤临床,2017,44(16):787-793.
[9]张娟,汤忠秀,吴光峰.规范化疼痛管理在癌痛规范化治疗示范病房中的应用效果[J].国际护理学杂志,2016,35(5):658-660.
[10]Gagnon L,Fairchild A,Pituskin E,et al.Optimizing pain relief in a specialized outpatient palliative radiotherapy clinic:contributions of a clinical pharmacist[J].J Oncol Pharm Pract,2012,18(1):76-83.
[11]方晓,吴慧莉,季晶晶,等.癌痛患者规范化管理体会[J].护理与康复,2014,13(8):777-779.
[12]王标.智能麻醉药品管理系统药柜的研究进展[J].中国医院管理,2013,33(4):43-44.
[2]房文通,罗璨,孟玲,等.临床药师参与“癌痛规范化治疗示范病房”创建的成果分析[J].中国医院药学杂志,2016,36(21):1928-1930.
[3]陈璐,陈岷,童荣生,等.合作药物治疗管理模式在癌痛规范化治疗中的应用[J].中国药师,2017,20(1):127-130.
[4]刘斌,冉凤鸣,胡建华.创建“癌痛规范化治疗示范病房”对医院癌痛药物处方行为的影响[J].中国医院药学杂志,2013,33(20):1718-1720.
[5]张桦.药师参与癌痛规范化治疗病房创建的实践与思考[J].心血管外科杂志,2018,7(4):834.
[6]丁海樱,郑小卫,陈凌亚,等.癌痛规范化治疗示范医院创建中的药学服务与药事管理[J].中国现代应用药学,2018,35(9):1420-1422.
[7]谢绍菊,蒋烈洪.癌痛示范病房中临床护理规范化管理的应用效果分析[J].基层医学论坛,2018,22(27):3857-3858.
[8]中国抗癌协会癌症康复与姑息治疗专业委员会难治性癌痛学组.难治性癌痛专家共识(2017年版)[J].中国肿瘤临床,2017,44(16):787-793.
[9]张娟,汤忠秀,吴光峰.规范化疼痛管理在癌痛规范化治疗示范病房中的应用效果[J].国际护理学杂志,2016,35(5):658-660.
[10]Gagnon L,Fairchild A,Pituskin E,et al.Optimizing pain relief in a specialized outpatient palliative radiotherapy clinic:contributions of a clinical pharmacist[J].J Oncol Pharm Pract,2012,18(1):76-83.
[11]方晓,吴慧莉,季晶晶,等.癌痛患者规范化管理体会[J].护理与康复,2014,13(8):777-779.
[12]王标.智能麻醉药品管理系统药柜的研究进展[J].中国医院管理,2013,33(4):43-44.