无痛病房住院癌症患者疼痛管理结局现状及影响因素研究

发布时间：2018-01-09 19:03

本文关键词：无痛病房住院癌症患者疼痛管理结局现状及影响因素研究　出处：《郑州大学》2015年硕士论文　论文类型：学位论文

【摘要】：目的通过对郑州市部分无痛病房住院癌症患者疼痛管理结局的现况调查,了解郑州市无痛病房住院癌症患者疼痛管理结局现状,探讨影响疼痛管理结局相关因素,为更好的开展疼痛管理工作提供理论参考依据。方法本研究于2014年4月~2014年10月抽取郑州市3家三级医院和2家二级医院无痛病房内住院的458名癌症患者作为研究对象,采用一般资料调查表、美国修订版疼痛协会病人结局问卷和自设病历核查表进行调查,统计学处理采用SPSS17.0统计软件,运用单因素分析及Logistic回归分析等统计方法进行统计分析,描述无痛病房住院癌症患者疼痛管理结局现况并分析其影响因素。结果1.对符合纳入标准的470例无痛病房内的癌痛患者进行问卷调查,回收有效问卷458份,有效回收率为97.44㳠。2.无痛病房住院癌症患者的目前疼痛程度得分为2.92±1.43分,过去24小时内最剧烈疼痛均分为4.45±1.89分;疼痛对患者的影响程度均分为3.73±2.08分;患者疼痛管理满意度为4.54±0.66分;患者的疼痛信念为2.45±0.88分。3.有序多分类Logistic回归分析结果显示,影响目前疼痛程度的因素有疼痛缓解程度、性别、等待止痛药的时间、疾病分期、强阿片类药物;影响疼痛对患者的影响程度的因素有更换其他止痛药物、疼痛缓解程度、等待止痛药物时间和强阿片类药物;影响疼痛管理满意度的因素有护士态度、疼痛未缓解时是否要求更换止痛药物、不同级别医院和疼痛治疗指数;影响疼痛信念的因素有护士关注度、医生关注度、疼痛缓解程度和医院级别。结论1.癌症患者的疼痛程度处在中到低度水平,疼痛对患者的影响程度处于中等偏下水平,患者对疼痛管理较满意,疼痛信念较差。2.单因素方差分析和Logistic回归分析方法得出,一般人口学资料中的年龄,临床资料中的癌症分期,疼痛管理服务因素中的护士态度和等待止痛药物时间等,疼痛管理治疗因素中的疼痛缓解程度和疼痛治疗指数等均是影响癌症患者的疼痛管理结局的因素。
[Abstract]:Objective to investigate the pain management outcome of cancer inpatients in some painless wards in Zhengzhou. Objective: to explore the factors related to the outcome of pain management. Methods from April 2014 to October 2014, 4 inpatients in painless wards of 3 level 3 hospitals and 2 second class hospitals in Zhengzhou were selected. Fifty-eight cancer patients were studied. General information questionnaire, the revised version of the pain Association of the United States patient outcome questionnaire and the self-made medical records of the investigation, statistical processing using SPSS17.0 statistical software. Single factor analysis and Logistic regression analysis were used to carry out statistical analysis. Describe the pain management outcome of hospitalized cancer patients in painless wards and analyze its influencing factors. 1. Questionnaire survey was conducted on 470 cancer patients in painless wards who met the inclusion criteria. 2. 458 effective questionnaires were collected and the effective recovery rate was 97.44? The current pain score of cancer patients in painless ward was 2.92 卤1.43, and the most severe pain in the past 24 hours was 4.45 卤1.89; The influence degree of pain on patients was 3.73 卤2.08; Patients' satisfaction with pain management was 4.54 卤0.66; The pain belief of the patients was 2.45 卤0.88 .3.The results of Logistic regression analysis showed that the factors influencing the current pain degree were pain relief degree and sex. Waiting time for painkillers, stages of disease, and strong opiates; Factors affecting the degree of pain to patients included the replacement of other painkillers, the degree of pain relief, waiting time for painkillers and strong opiates. The factors influencing the satisfaction of pain management were the attitude of nurses, whether to change the painkiller when the pain was not alleviated, the hospital of different level and the index of pain treatment. Influencing factors of pain belief are nurse attention, doctor's attention, pain relief and hospital level. Conclusion: 1. Cancer patients' pain degree is at the middle to low level. 2. The influence of pain on patients was at the middle and lower level, the patients were satisfied with pain management, and the beliefs of pain were poor. 2. Univariate ANOVA and Logistic regression analysis were obtained. Age in general demographic data, cancer staging in clinical data, nurse attitude in pain management services and waiting time for painkillers, etc. The degree of pain relief and the pain treatment index are the factors that affect the outcome of pain management in cancer patients.
【学位授予单位】：郑州大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R473.73

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