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临床药学服务在癌痛患者规范化治疗中对患者疼痛程度和服药依从性的影响

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目的 探讨临床药学服务在癌痛患者规范化治疗中对患者疼痛程度和服药依从性的影响。方法 选取2021年7月至2022年6月吉安市第一人民医院住院患者40名,均经相关检查确诊为恶性肿瘤,将2021年7月至12月未实施临床药学服务的40名患者作为对照组,将2022年1月至6月实施临床药学服务同样的40名患者作为研究组,比较两组的用药依从性和疼痛控制障碍评分、疼痛程度和满意度评分、功能状态评分(KPS)评分、饮食量变化。结果 对照组服药依从性评分明显低于研究组(P<0。05),疼痛控制障碍评分明显高于研究组(P<0。05);对照组治疗方式、疼痛照顾、止痛效果、健康教育的满意度评分均明显低于研究组(P<0。05);对照组过去24h最严重疼痛、最轻微疼痛、平均疼痛程度、调查时疼痛程度评分均明显高于研究组(P<0。05);研究组日常生活、情绪、行走能力、日常工作、与他人关系、睡眠、生活兴趣各项KPS评分均明显高于对照组(P<0。05);对照组饮食量增加例数明显低于研究组(P<0。05),无变化例数明显高于研究组(P<0。05)。结论 将临床药学服务用于癌痛患者规范化治疗,可保证药师参与癌痛管理,并取得了良好效果,这对树立药师的良好形象,增加医患对药师的信任,促进临床药师参与癌痛管理有重要意义。
Effect of Clinical Pharmaceutical Care on Patient Pain Level and Medication Compliance in the Standardized Treatment of Patients with Cancer Pain
Objective To explore the pain degree and medication of pharmaceutical patients in the standardized treatment of cancer pain patients.Methods From July 2021 to June 2022,40 patients in Ji'an First People's Hospital were diagnosed as malignant tumors by relevant examination,and 40 patients who did not receive clinical pharmaceutical care from July to December 2021 were treated as the control group,and 40 patients who received clinical pharmaceutical care from January to June 2022 were compared with medication compliance and pain control disorder score,pain degree and satisfaction score,functional status score(KPS)score,and diet volume changes between the two groups.Results The control group medication adherence score was significantly lower than the study group(P<0.05),Pain control disorder score was significantly higher than after the intervention(P<0.05);the treatment style,pain care,pain relief,and health education were significantly lower than that of the study group(P<0.05);in the control group,the worst pain,the least pain,the average pain degree and the pain degree in the past 24h were significantly higher than that of the study group(P<0.05);the KPS scores of the study group in daily life,mood,walking ability,daily work,relationship with others,sleep,and life interest were significantly higher than that of the control group(P<0.05);the number of cases in the control group was significantly lower than the study group(P<0.05),the number of no changes was significantly higher than that in the study group(P<0.05).Conclusion Using clinical pharmaceutical services for the standardized treatment of patients with cancer pain can ensure that pharmacists can participate in the management of cancer pain and achieve good results,which is of great significance to establish a good image of pharmacists,increase the trust of doctors and patients in pharmacists,and promote clinical pharmacists to participate in the management of cancer pain.

Clinical pharmaceutical careCancer pain patientsStandardized treatmentPain degreeMedication compliance

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吉安市第一人民医院,江西 吉安 343000

临床药学服务 癌痛患者 规范化治疗 疼痛程度 服药依从性

2024

药品评价
江西省药学会

药品评价

影响因子:0.672
ISSN:1672-2809
年,卷(期):2024.21(1)
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