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1. 郑州大学第二附属医院老年医学科
2. 郑州大学第二附属医院护理教研室
纸质出版日期:2022,
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王永瑞, 翟清华. 基于正念激励的阶梯式护理在癌因性疼痛患者护理中的应用[J]. 保健医学研究与实践, 2022,19(5):99-103.
Wang Yongrui, Zhai Qinghua. Application of stepped nursing based on mindfulness motivation in nursing care of patients with cancer-related pain[J]. Health Medicine Research and Practice, 2022,19(5):99-103.
目的 探究基于正念激励的阶梯式护理在癌因性疼痛患者护理中的应用效果。方法 选取郑州市某医院2019年7月—2020年7月收治的106例癌因性疼痛患者作为研究对象
按随机数字表法分为常规组和研究组
各53例。常规组患者采用常规护理
研究组患者在常规组护理基础上
给予基于正念激励的阶梯式护理进行干预
2组患者均持续护理1个月。比较2组患者护理前后疼痛评分及护理后疼痛缓解情况
比较2组患者护理前后疼痛对生活各方面的影响程度
比较2组患者护理满意度。结果 护理前
2组患者疼痛评分比较
差异无统计学意义(P>0.05);护理后
2组患者疼痛评分均低于护理前
且研究组低于常规组
差异均有统计学意义(P<0.05)。2组患者疼痛缓解率等级分布差异具有统计学意义(P<0.05)
且研究组患者疼痛缓解率高于常规组疼痛缓解率
差异有统计学意义(P<0.05)。护理前
2组患者生命质量测定量表(FACT-G)评分比较
差异均无统计学意义(P>0.05);护理后
2组患者FACT-G评分均低于护理前
且研究组低于常规组
差异均有统计学意义(P<0.05)。2组患者护理满意度等级分布差异具有统计学意义(P<0.05)
且研究组患者护理满意度高于常规组
差异有统计学意义(P<0.05)。结论 在癌因性疼痛患者护理中
基于正念激励的阶梯式护理可显著缓解患者的疼痛症状
降低疼痛对患者生活的影响程度
提高患者疼痛缓解率及护理满意度
值得在临床上推广使用。
Objective To explore the effect of steped nursing based on mindfulness motivation in nursing care of patients with cancer-related pain.Methods A total of 106 patients with cancer-related pain treated in a hospital in Zhengzhou from July 2019 to July 2020 were randomly divided into routine group and study group
with 53 cases in each group.Patients in the routine group were given routine nursing
while patients in the study group were intervened with stepped nursing based on mindfulness motivation on the basis of routine nursing.Patients in both groups were given nursing continuously for one month.The pain score before and after nursing
the pain relief after nursing and the influence of pain on all aspects of life were compared between the two groups
and the nursing satisfaction of the two groups were compared.Results Before nursing
there was no significant difference in pain score between the two groups(P>0.05)
however
after nursing
the pain score in the two groups was lower than that before nursing
and the pain score in the study group was lower than that in the routine group
and the difference was statistically significant(P<0.05).There was significant difference in the grade distribution of pain relief rate between the two groups(P<0.05)
and the pain relief rate in the study group was significantly higher than that in the routine group
and the difference was statistically significant(P<0.05).Before nursing
there was no significant difference in the scores of pain on all aspects of life between the two groups(P>0.05)
however
after nursing
the scores of pain on sleep
activity
emotion and appetite in the two groups were lower than those before nursing
and the scores in the study group were lower than those in the routine group
and the differences were statistically significant(P<0.05).There was significant difference in the grade distribution of nursing satisfaction between the two groups(P<0.05)
and the nursing satisfaction of patients in the study group was significantly higher than that in the routine group
and the differences were statistically significant(P<0.05).Conclusion In the nursing care of patients with cancer-related pain
stepped nursing based on mindfulness motivation can significantly relieve patients’ pain symptoms
reduce the impact of pain on patients’ life
and improve patients’ pain relief rate and nursing satisfaction
which is worth popularizing in clinical practice.
正念激励阶梯式护理癌因性疼痛护理满意度
Mindfulness motivationStepped nursingCancer-related painNursing satisfaction
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