Observation on the effect of pain management in the nursing of patients with advanced tumor
疼痛管理在晚期肿瘤患者安宁疗护中的效果观察

摘要

目的 探析在晚期肿瘤患者安宁疗护中应用疼痛管理的价值和效果。方法 本研究开始时间为2019年8月，结束时间为2020年8月，研究期间选择在我院接受治疗的晚期肿瘤患者共计80例作为主要研究对象，将患者按照随机数字表法分为两组，一组命名为对照组（n=40例），另一组命名为观察组（n=40例）；两组患者接受不同护理方法，分别是对照组（常规护理）、观察组（疼痛管理）；患者接受不同护理方法后，对其临床状况进行观察和分析，并统计相关数据，主要包括：治疗前后NRS评分、生活能力评分、疼痛缓解效果等数据，同时将两组记录后的数据进行比较。结果 两组患者接受护理前NRS评分相比无明显差异（P＞0.05），护理后NRS评分分别为对照组（5.33±1.05）分、观察组（3.88±0.67）分，相较于护理前有明显改善，差异有统计学意义（P＜0.05），其中后者优于前者，差异有统计学意义（P＜0.05）；观察组日常生活能力评分（81.41±6.25）分相对于对照组（69.13±7.08）分较高，存在明显差异和统计学意义（P＜0.05）；对照组患者的疼痛缓解程度不足于观察组（P＜0.05）。结论 使用安宁疗护对晚期肿瘤患者进行干预时，同时使用疼痛管理的方法，能够有效地缓解患者的他呢工，提高其生活能力，对患者生活质量的改善有着积极作用，临床中有较高应用价值。

Abstract

Objective: To explore the value and effect of applying pain management in the nursing care of advanced cancer patients.
Methods: The study started in August 2019 and ended in August 2020. During the study, a total of 80 patients with advanced tumors who were treated in our hospital were selected as the main research objects. The patients were divided into two according to the random number table method. Group, one group is named the control group (n=40 cases), and the other group is named the observation group (n=40 cases); the two groups of patients receive different nursing methods, namely the control group (routine care) and the observation group (pain Management); After patients receive different nursing methods, observe and analyze their clinical conditions, and collect relevant data, mainly including: NRS score before and after treatment, life ability score, pain relief effect and other data. At the same time, the two groups of recorded data Compare.
Results: There was no significant difference in NRS scores between the two groups of patients before receiving nursing care (P>0.05). After nursing, the NRS scores were respectively in the control group (5.33±1.05) and observation group (3.88±0.67). There is a significant improvement, the difference is statistically significant (P<0.05), and the latter is better than the former, and the difference is statistically significant (P<0.05); the score of daily living ability score (81.41±6.25) of the observation group is relative to that of the control group ( The score of 69.13±7.08) was higher, there was significant difference and statistical significance (P<0.05); the pain relief of the control group was not better than that of the observation group (P<0.05).
Conclusion  : When using Anning Therapy to intervene patients with advanced tumors and using pain management methods at the same time, it can effectively relieve the patient’s other work, improve their living ability, and have a positive effect on the improvement of the patient’s quality of life. It is clinically more effective. High application value.