首页|基于患者需求视觉下的疼痛护理对结肠癌患者术后疼痛及生活质量的影响

基于患者需求视觉下的疼痛护理对结肠癌患者术后疼痛及生活质量的影响

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目的 探讨基于患者需求视觉下的疼痛护理对结肠癌患者术后疼痛及生活质量的影响.方法 方便选取2021年6月—2022年7月在厦门大学附属第一医院普外科进行手术治疗的92例结肠癌患者为研究对象,按照手术先后顺序分为两组,即对照组(n=46)和观察组(n=46),对照组行常规疼痛护理进行干预,观察组行基于患者需求视觉下的疼痛护理进行干预.对两组患者术后临床康复指标进行记录和比较,对两组术后1、3、7 d时的疼痛程度进行评估,并对干预前后两组患者的生活质量进行评价.结果 相较术后1 d时,术后3 d、7 d时两组患者视觉模拟量表(Visual Analogue Scale,VAS)评分均下降,观察组在术后3 d、7 d的VAS评分分别为(2.83±1.11)分、(1.75±0.67)分,均低于对照组的(3.92±1.18)分、(2.65±0.98)分,差异有统计学意义(t=4.563、5.142,P均<0.05).相较干预前,干预后7 d时两组患者的癌症患者生命质量测定量表4个因子评分均显著升高,差异有统计学意义(P均<0.05),观察组生理状况、社会状况、功能状况及情感状况等因子评分明显高于对照组,差异有统计学意义(P均<0.05).观察组的并发症总发生率为6.52%,明显低于对照组的21.74%,差异有统计学意义(χ2=4.389,P=0.036).结论 基于患者需求视觉下的疼痛护理对结肠癌患者术后的应用效果较理想,患者术后的疼痛程度得以显著减轻,生活质量得以有效改善,与手术相关的并发症发生风险明显降低,这对患者生活质量及远期生存率的提升有积极影响.
Impact of Pain Care Based on Visualization of Patients'Needs on Postop-erative Pain and Quality of Life of Colon Cancer Patients
Objective To explore the effect of pain care based on the visualization of patients'needs on postoperative pain and quality of life of colon cancer patients.Methods A total of 92 colon cancer patients who underwent surgical treatment in the Department of General Surgery of the First Affiliated Hospital of Xiamen University from June 2021 to July 2022 were conveniently selected as the study subjects,and were evenly divided into two groups according to the order of surgery,the control group(n=46)and the observation group(n=46).The control group was intervened with conventional pain care,and the observation group was intervened with pain care based on the visualization of patients'needs.The postoperative clinical rehabilitation indexes of the two groups were recorded and compared,and the pain levels of the two groups at 1,3 and 7 d postoperatively were assessed,and the quality of life of the two groups before and after the intervention was evaluated.Results Compared with 1 d after surgery,the Visual Analogue Scale(VAS)scores of patients in both groups decreased at 3 d and 7 d after surgery,and the VAS scores of the observation group were(2.83±1.11)points and(1.75±0.67)points at 3 d and 7 d after surgery,respectively,which were lower than the scores of the control group(3.92±1.18)points and(2.65±0.98)points,and the differences were statistically significant(t=4.563,5.142,both P<0.05).Compared with the pre-intervention period,the scores of the four factors of the Quality of Life Measurement Scale for Cancer Patients in the two groups at 7 d after intervention were significantly higher,the differences were statistically significant(all P<0.05),and the scores of physiological status,social status,functional status,and affective status of the observation group were significantly higher than those of the control group,the differ-ences were statistically significant(all P<0.05).The total complication rate in the observation group was 6.52%signifi-cantly lower than the 21.74%in the control group,and the difference was statistically significant(χ2=4.389,P=0.036).Conclusion The application of pain care based on the visualization of patients'needs for colon cancer patients in the postoperative period is more effective,and the patients'postoperative pain level can be significantly reduced,the qual-ity of life can be effectively improved,and the risk of surgery-related complications is significantly reduced,which has a positive impact on the improvement of the patients'quality of life and long-term survival.

Colon cancerPatients'needs perspectivePain carePain levelQuality of life

林翠娥、陈惠敏、范文丽

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厦门大学附属第一医院普外科,福建厦门 361000

结肠癌 患者需求视角 疼痛护理 疼痛程度 生活质量

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(7)
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