中西医结合护理 (Jun 2025)
The influence of the whole nursing intervention process on cancer pain control and negative emotion in cancer patients (全程护理干预流程对肿瘤患者癌痛控制及负面情绪的影响)
Abstract
Objective To investigate the effect of the whole nursing intervention process on cancer pain control and negative emotions in cancer patients. Methods From June 1st, 2022 to August 1st, 2023, 76 patients with cancer pain who were admitted to the Radiotherapy Department of Shanxi Provincial People's Hospital were selected. Using the random number table method, the patients were divided into two groups, with 38 cases in each group, namely the conventional nursing group and the whole process nursing group. Both groups of patients were treated with drug administration according to the three-step cancer pain medication method. The conventional nursing group conducted standard procedure of pain assessment and control. The whole process nursing group received a series of interventions including pain assessment, pain intervention, psychological care, and continuity care throughout the hospitalization. The changes in pain scores before and after nursing were observed in both groups of patients, and the changes in negative emotions of patients, including the results of the Self-Rating Depression Scale (SDS) and the Self-Rating Anxiety Scale (SAS), were evaluated. Results After nursing interventions, the NRS scores of both groups decreased compared with that before nursing (P＜0. 05), and the score of the whole process nursing group was lower than that of the conventional nursing group (P＜0. 05). Scores of SDS and SAS significantly decreased in both two groups after intervention (P＜0. 05), and scores of SDS and SAS in the whole process nursing group were lower than those of the conventional nursing group (P＜0. 05). Conclusion The whole nursing intervention process can reduce the pain degree of patients, relieve their anxiety and depression, and promote the physical and mental health of patients during treatment period. (目的 观察全程护理干预流程对肿瘤患者癌痛控制及负面情绪的影响。方法 选取2022年6月1日—2023年8月1日放疗科收治的76例肿瘤癌痛患者, 随机分为常规护理组和全程护理干预组, 各38例。两组患者均按照癌痛“三阶梯给药方法”进行给药物治疗。常规护理组采用标准护理流程, 全程护理干预组在常规护理基础上从入院开始制定全程规范化的护理程序。观察两组干预前后疼痛程度和心理状态。结果 干预后, 两组疼痛数字评定量表(NRS)、抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均下降, 且全程护理干预组NRS、SDS、SAS评分均低于常规护理组, 差异有统计学意义(P＜0. 05)。结论 针对放疗科肿瘤癌痛患者, 从入院到出院实施全程护理干预流程, 能够有效减轻患者的疼痛程度, 缓解焦虑和抑郁情绪, 进而促进患者的身心健康。)
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