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恶性肿瘤中晚期患者癌痛护理质量评价指标体系的构建及实践

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目的 构建恶性肿瘤中晚期患者癌痛护理质量评价指标体系,并探讨其应用效果.方法 选取2020 年 1 月—2022 年 10 月江西省新余市人民医院收治的 120 例恶性肿瘤中晚期患者为研究对象,按组间基本资料匹配原则将其分为对照组和观察组各 60 例.对照组给予常规护理,观察组在对照组基础上按照恶性肿瘤中晚期患者癌痛护理质量评价指标体系进行干预,比较两组患者癌痛认知水平、癌痛护理效果及护理满意度评分.结果 构建的指标体系包括 3 个一级指标、7 个二级指标、26 个三级指标.按照指标体系实施护理干预后,观察组患者在癌痛全面评估率、癌痛动态评估率、癌痛护理记录合格率、癌痛干预有效率等评价癌痛护理效果的指标均优于对照组,观察组患者护理满意度评分高于对照组,差异均有统计学意义(P<0.05).护理干预前,两组患者癌痛认知评分比较差异无统计学意义(P>0.05);干预后,观察组患者癌痛认知评分高于对照组,差异有统计学意义(P<0.05).结论 恶性肿瘤中晚期患者癌痛护理质量评价指标体系的构建能为恶性肿瘤中晚期患者提供科学有效的癌痛护理,能有效提升患者癌痛认知度,改善癌痛护理效果,提高护理满意度.
Construction and practice of a quality evaluation indicator system for cancer pain nursing in patients with middle and advanced stage malignant tumors
Objective To construct an quality evaluation indicator system for cancer pain nursing in patients with middle and advanced stage malignant tumors and explore its application effect.Methods A total of 120 patients with middle and advanced stage malignant tumors who were admitted to Xinyu People's Hospital of Jiangxi Province from January 2020 to October 2022 were selected as study subjects.According to the principle of matching basic data between groups,they were divided into a control group and an observation group,with 60 cases in each group.The control group received routine nursing care,while the observation group received interventions based on the quality evaluation indicator system for cancer pain nursing in patients with advanced malignant tumors,in addition to the routine care provided to the control group.The cancer pain cognitive level,cancer pain nursing outcomes and nursing satisfaction scores were compared between the two groups.Results The constructed indicator system included 3 primary indicators,7 secondary indicators and 26 tertiary indicators.After implementing nursing intervention according to the indicator system,the observation group showed better indicators than the control group in evaluating cancer pain nursing effects,such as the overall assessment rate of cancer pain,dynamic assessment rate of cancer pain,qualified rate of cancer pain nursing records,and effective rate of cancer pain intervention,the nursing satisfaction score in the observation group was higher than that in the control group,and the differences were all statistically significant(P<0.05).Before nursing intervention,there was no statistically significant difference in cancer pain cognition scores between the two groups(P>0.05).After intervention,the cancer pain cognition score of the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The construction of the quality evaluation indicator system for cancer pain nursing in patients with middle and advanced stage malignant tumors provides a scientific and effective approach to cancer pain nursing for these patients.It effectively enhances patients'awareness of cancer pain,improves the effects of cancer pain nursing,and increases nursing satisfaction.

Malignant tumorsMiddle and advanced stageCancer pain nursingQuality evaluationCancer pain cognition level

黎瑶、邓菊花、万林林、袁传平、姚建利

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新余市人民医院(江西省新余市,338000)

恶性肿瘤 中晚期 癌痛护理 质量评价 癌痛认知水平

2024

护理实践与研究
河北省儿童医院

护理实践与研究

影响因子:1.354
ISSN:1672-9676
年,卷(期):2024.21(10)