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目的探讨个体化延伸护理在肿瘤患者癌痛控制及服用止痛药依从性中的应用。方法选择2013年1月—2014年1月在本院接受治疗并出院的恶性肿瘤患者168例。将患病按照出院顺序随机分为对照组和观察组各84例。观察组患者实施个体化延伸护理干预,对照组患者实施常规护理。于护理前后分别进行服药依从性评定、疼痛评估、满意度调查。计数资料比较采用χ~2检验,等级资料比较采用秩和检验,P<0.05为差异有统计学意义。结果两组患者止痛药服用依从性比较,差异均有统计学意义(均P<0.05)。两组患者癌痛控制程度比较,差异有统计学意义(P<0.05),观察组癌痛控制程度优于对照组。两组患者满意度情况比较,差异有统计学意义(P<0.05),观察组的满意度高于对照组。结论个体化延伸护理干预可明显提高癌痛患者的服药依从性,有效控制癌痛,值得临床推广。
Objective To explore the application of personalized extension nursing in cancer patients with cancer pain control and taking painkiller compliance. Methods A total of 168 patients with malignant tumors who were treated and discharged from our hospital from January 2013 to January 2014 were enrolled. The illness was randomly divided into control group and observation group according to the discharge order of 84 cases. Patients in the observation group performed individualized extension nursing intervention and patients in the control group received routine nursing. Before and after nursing medication compliance assessment, pain assessment, satisfaction survey. Counting data were compared using χ ~ 2 test, ranking data using rank sum test, P <0.05 for the difference was statistically significant. Results The two groups of patients taking pain medication compliance, the differences were statistically significant (P <0.05). The two groups of patients with cancer pain control levels, the difference was statistically significant (P <0.05), the observation group cancer control degree is better than the control group. Satisfaction between the two groups of patients, the difference was statistically significant (P <0.05), the satisfaction of the observation group was higher than the control group. Conclusion Individualized extension nursing intervention can obviously improve medication adherence of cancer patients and effectively control cancer pain, which deserves clinical promotion.