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    疼痛自我管理APP在癌痛患者中的应用研究

    A study of pain self-management application in patients with cancer pain

    • 摘要: 目的 探讨疼痛自我管理应用程序(APP)在癌痛患者中的应用效果。方法 选取2018年11月—2019年10月在徐州医科大学附属医院肿瘤科和疼痛科住院的80例癌痛患者为研究对象,其中干预组和对照组各40例。2组患者住院期间给予常规疼痛治疗与护理,出院时进行常规出院指导,干预组在此基础上还通过疼痛自我管理APP以个性化的方式对患者实施疼痛管理。结果 研究实施12周时,干预组患者疼痛状况各条目得分显著低于对照组,自我效能感得分显著高于对照组,差异有统计学意义(P<0.05)。除恶心呕吐、失眠、腹泻和经济困难外,2组患者生活质量各条目得分的差异均有统计学意义(P<0.05)。结论 使用疼痛自我管理APP进行癌痛管理能显著减轻患者的疼痛状况,有效提高患者的自我效能感和生活质量。

       

      Abstract: Objective To investigate the use of a pain self-management application for patients with cancer pain. Methods A total of 80 patients with cancer pain were enrolled, who were admitted into Department of Oncology and Department of Pain in the Affiliated Hospital of Xuzhou Medical University from November 2018 to October 2019. They were divided into two groups (n=40): an intervention group and a control group. Both groups received routine nursing care during hospitalization and guidance at discharge. Furthermore, patients in the intervention group performed pain management in a personalized way where a pain self-management application was used. Results After 12 weeks of use, the intervention group presented remarkably lower pain scores and higher self-efficacy scores than the control group (P<0.05). Statistical difference was found in the scores of quality of life between the intervention group and the control group, except nausea and vomiting, insomnia, diarrhea and economic difficulties (P<0.05). Conclusions The use of the pain self-management application can effectively alleviate pain condition and improve pain self-efficacy and quality of life.

       

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