鞘内吗啡输注系统治疗晚期癌痛的镇痛效果与护理对策1.docx

鞘内吗啡输注系统治疗晚期癌痛的镇痛效果与护理对策[摘要]目的分析鞘?嚷鸱茸⑸湎低持瘟仆砥诎┩吹恼蛲葱Ч?与护理对策。方法选取2015年1月～2016年12月我院收治的100例晚期癌症患者，随机分为观察组与对照组。两组患者均采用鞘内吗啡注射系统治疗，对照组采取常规护理模式，观察组在对照组的基础上加入疼痛护理。比较两组患者的镇痛效果、护理依从性及家属对护理的满意度，并使用焦虑自评量表（SAS评分）和抑郁自评量表（SDS评分）观察两组患者护理前后心理状况变化。结果观察组患者的镇痛效果略高于对照组，但两组间差异无统计学意义。观察组护理依从性及护理满意率均显著优于对照组，两组间比较差异有统计学意义（P<0.05）。观察组护理前后SAS评分、SDS评分比较差异有统计学意义（P<0.05），而对照组护理前后SAS评分、SDS评分比较差异无统计学意义。结论鞘内吗啡输注有助于缓解晚期癌症患者的疼痛症状，通过疼痛护理干预有助于提高患者对临床护理的依从性，缓解晚期癌症患者的疼痛症状和焦虑、抑郁情绪，从而提升患者和家属对护理服务的满意率。[中图分类号]R473.73[文献标识码]B[文章编号]1673-9701（2017）14-0152-04[Abstract]ObjectiveToanalyzetheanalgesiceffectandnursingstrategyofintrathecalmorphineinfusionsysteminthetreatmentofadvancedcancerpain.Methods100patientswithadvancedcancerwhowereadmittedtoourhospitalfromJanuary2015toDecember2016wereselectedandwererandomlydividedintotheobservationgroupandthecontrolgroup.Twogroupsofpatientsweregivenintrathecalmorphineinjectionsystem.Thecontrolgroupwasgivenroutinenursingmode，andtheobservationgroupwasgivenpaincareonthebasisofthecontrolgroup.Theanalgesiceffect，nursingcomplianceandthefamiliessatisfactiondegreetowardsnursingcarewerecomparedbetweenthetwogroupsofpatients.Theself-ratinganxietyscale（SASscore）andself-ratingdepressionscale（SDSscore）wereusedtoobservethechangesofpsychologicalstatusbeforeandafternursinginbothgroups.ResultsTheanalgesiceffectintheobservationgroupwasslightlyhigherthanthatinthecontrolgroup，buttherewasnostatisticallysignificantdifferencebetweenthetwogroups；thenursingcomplianceandnursingsatisfactionrateintheobservationgroupweresignificantlybetterthanthoseinthecontrolgroup，andthedifferencebetweenthetwogroupswasstatisticallysignificant（P<0.05）；therewerestatisticallysignificantdifferencesinSASscoresandSDSscoresbeforeandafternursingintheobservationgroup（P<0.05），andtherewasnostatisticallysignificantdifferenceinSASscoreandSDSscorebeforeandafternursinginthecontrolgroup.ConclusionIntrathecalmorphineinfusionisconducivetorelievingthepainsymptomsinthepatientswithadvancedcancer；painnursinginterventionhelpstoimprovepatients'com