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基于奥马哈系统的个性化护理对射频治疗椎体转移瘤患者癌痛程度的影响
徐金      黄莹      王婷婷▲
南京大学医学院附属鼓楼医院疼痛科,江苏南京   210008
Analysis of the effect of personalized nursing based on Omaha system on the degree of cancer pain in patients with vertebral metastases treated with radiofrequency
XU Jin   HUANG Ying   WANG Tingting▲
Department of Pain, Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Jiangsu Province, Nanjing   210008, China
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摘要 目的 探讨基于奥马哈系统的个性化护理对射频治疗椎体转移瘤患者癌痛程度的影响。 方法 选择2018年1月—2019年1月南京大学医学院附属鼓楼医院通过射频治疗的椎体转移瘤患者70例为研究对象,按随机数字表法分为对照组和试验组,各35例,对照组行常规护理,试验组基于奥马哈系统展开个性化护理,比较两组护理效果及癌痛情况。 结果 护理后,两组自我效能(GSES)评分高于护理前,遵医行为评分低于护理前,差异有统计学意义(P < 0.05),试验组护理后GSES评分高于对照组,遵医行为评分低于对照组,差异有统计学意义(P < 0.05);两组护理后简易疼痛量表(BPI)总分低于护理前,且试验组BPI评分低于对照组,差异有高度统计学意义(P < 0.01);两组护理后健康调查简表(SF-36)评分高于护理前,且试验组SF-36评分高于对照组,差异有统计学意义(P < 0.05)。 结论 基于奥马哈系统的个性化护理应用于射频治疗椎体转移瘤患者中可有效改善患者自我效能、遵医行为,并降低癌痛程度,进而使患者生活质量得以改善。
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徐金 黄莹 王婷婷▲
关键词 奥马哈系统个性化护理射频治疗椎体转移瘤癌痛    
Abstract:Objective To investigate the effect of personalized nursing based on Omaha system on the degree of cancer pain in patients with vertebral metastasis treated by radiofrequency therapy. Methods From January 2018 to January 2019, 70 patients with vertebral metastases in Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School treated by radiofrequency treatment were selected as research object, according to random number table method, they were divided into control group and experimental group, with 35 cases in each group, the control group received routine nursing care, the experimental group received personalized care based on the Omaha system, nursing effect and cancer pain were compared between the two groups. Results After nursing, the general self-efficacyscale (GSES) score of the two groups was higher than that before nursing, and the compliance behavior score was lower than that before nursing, the difference was statistically significant (P < 0.05). After nursing, the GSES score of the experimental group was higher than that of the control group, and the compliance behavior score of the experimental group was lower than that of the control group, with statistically significance (P < 0.05). The total score of brief pain inventory (BPI) after nursing was lower than that before, and the BPI score of experimental group was lower than that of control group, the difference was highly statistically significant (P < 0.01). The MOS item short from health survey (SF-36) score after nursing  was higher in the two groups than before, and SF-36 score in the test group was higher than that in the control group, the differences were highly statistically significant (P < 0.01). Conclusion Individualized care based on Omaha system can effectively improve patients’ self-efficacy and compliance behavior, reduce cancer pain, and improve patients’ quality of life in radiofrequency treatment of vertebral metastasis.
Key wordsOmaha system    Personalized care    Radiofrequency treatment    Vertebral metastases    Cancer pain
    
基金资助:国家自然科学基金资助项目(81801100)。
通讯作者: ▲通讯作者   
引用本文:   
徐金 黄莹 王婷婷▲. 基于奥马哈系统的个性化护理对射频治疗椎体转移瘤患者癌痛程度的影响[J]. 中国医药导报, 2021, 18(11): 168-171.
XU Jin HUANG Ying WANG Tingting▲. Analysis of the effect of personalized nursing based on Omaha system on the degree of cancer pain in patients with vertebral metastases treated with radiofrequency. 中国医药导报, 2021, 18(11): 168-171.
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https://www.yiyaodaobao.com.cn/CN/     或     https://www.yiyaodaobao.com.cn/CN/Y2021/V18/I11/168

 

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