摘要
目的：采用叙事医学方法强化护士对癌痛患者的健康教育,并分析其效果。方法选取入住青岛中心医院肿瘤科的NRS≥4分癌痛患者544例,2012年7—12月收治的264例患者作为对照组,2013年3—8月收治的280例患者作为试验组。对照组给予癌痛规范化治疗和基本的疼痛健康教育,试验组在给予癌痛规范化治疗的同时利用叙事医学方法强化护士的健康教育水平,发现存在于患者自身的具体问题并针对性地解决,减轻患者疼痛。采用疼痛数字评价量表（ NRS）和自制的疼痛患者满意度调查表比较两组患者疼痛缓解情况和满意度。结果试验组患者疼痛缓解有效率为81.1%,对照组72.7%,两组比较差异有统计学意义（χ^2=5.35,P〈0.05）；试验组患者对护士满意度为98.6%,对照组95.5%,两组比较差异有统计学意义（χ^2=4.62,P〈0.05）。结论叙事医学方法在临床治疗中能够辅助提高患者疼痛缓解率及其对疼痛治疗的满意度,在对患者疼痛的健康教育中有效,值得在临床应用和推广。
Objective To explore the narrative medicine method to strengthen health education for patients with cancer pain, and analyze the effect of it. Methods A total of 544 patients with cancer pain, in which 264 of them admitted from July to December 2012 as control group and 280 of them hospitalized during March to August 2013 as experimental group, acquired NRS ≥4 in Oncology Department in Qingdao Center Hospital. Patients in the control group underwent standardized treatment of cancer pain and pain relative health education, but the experimental group strengthen health education by narrative medicine to find out the specific personal issues and take corresponding intervention based on standardized treatment of cancer pain. The effect of pain relief and patient′s satisfaction had been compared by numerical rating scale （ NRS ） and self-designed satisfaction scale for patients with pain. Results The effective rate of pain relief was 81. 1% in the experimental group compared 72. 7% in the control group （χ^2 =5. 35,P〈0. 05）, while 98. 6% of the satisfaction rate in the experimental group contrasted 95. 5% in the control group （χ^2 =4. 62,P 〈0. 05）. Conclusions Narrative medicine method can improve the pain relief rate of pain treatment and patient′s satisfaction in clinical treatment, and is effective on health education for patients with pain. It is worth of clinical promotion.
出处
《中华现代护理杂志》
2015年第4期386-390,共5页
Chinese Journal of Modern Nursing
关键词
肿瘤
疼痛
叙事医学
健康教育
Cancer
Pain
Narrative medicine
Health Education
作者简介
通信作者：周洁，Email：zhouzhoujie123@163．com
