本文關(guān)鍵詞：無痛病房住院癌癥患者疼痛管理結(jié)局現(xiàn)狀及影響因素研究　出處：《鄭州大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

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【摘要】：目的通過對(duì)鄭州市部分無痛病房住院癌癥患者疼痛管理結(jié)局的現(xiàn)況調(diào)查,了解鄭州市無痛病房住院癌癥患者疼痛管理結(jié)局現(xiàn)狀,探討影響疼痛管理結(jié)局相關(guān)因素,為更好的開展疼痛管理工作提供理論參考依據(jù)。方法本研究于2014年4月~2014年10月抽取鄭州市3家三級(jí)醫(yī)院和2家二級(jí)醫(yī)院無痛病房內(nèi)住院的458名癌癥患者作為研究對(duì)象,采用一般資料調(diào)查表、美國修訂版疼痛協(xié)會(huì)病人結(jié)局問卷和自設(shè)病歷核查表進(jìn)行調(diào)查,統(tǒng)計(jì)學(xué)處理采用SPSS17.0統(tǒng)計(jì)軟件,運(yùn)用單因素分析及Logistic回歸分析等統(tǒng)計(jì)方法進(jìn)行統(tǒng)計(jì)分析,描述無痛病房住院癌癥患者疼痛管理結(jié)局現(xiàn)況并分析其影響因素。結(jié)果1.對(duì)符合納入標(biāo)準(zhǔn)的470例無痛病房內(nèi)的癌痛患者進(jìn)行問卷調(diào)查,回收有效問卷458份,有效回收率為97.44㳠。2.無痛病房住院癌癥患者的目前疼痛程度得分為2.92±1.43分,過去24小時(shí)內(nèi)最劇烈疼痛均分為4.45±1.89分;疼痛對(duì)患者的影響程度均分為3.73±2.08分;患者疼痛管理滿意度為4.54±0.66分;患者的疼痛信念為2.45±0.88分。3.有序多分類Logistic回歸分析結(jié)果顯示,影響目前疼痛程度的因素有疼痛緩解程度、性別、等待止痛藥的時(shí)間、疾病分期、強(qiáng)阿片類藥物;影響疼痛對(duì)患者的影響程度的因素有更換其他止痛藥物、疼痛緩解程度、等待止痛藥物時(shí)間和強(qiáng)阿片類藥物;影響疼痛管理滿意度的因素有護(hù)士態(tài)度、疼痛未緩解時(shí)是否要求更換止痛藥物、不同級(jí)別醫(yī)院和疼痛治療指數(shù);影響疼痛信念的因素有護(hù)士關(guān)注度、醫(yī)生關(guān)注度、疼痛緩解程度和醫(yī)院級(jí)別。結(jié)論1.癌癥患者的疼痛程度處在中到低度水平,疼痛對(duì)患者的影響程度處于中等偏下水平,患者對(duì)疼痛管理較滿意,疼痛信念較差。2.單因素方差分析和Logistic回歸分析方法得出,一般人口學(xué)資料中的年齡,臨床資料中的癌癥分期,疼痛管理服務(wù)因素中的護(hù)士態(tài)度和等待止痛藥物時(shí)間等,疼痛管理治療因素中的疼痛緩解程度和疼痛治療指數(shù)等均是影響癌癥患者的疼痛管理結(jié)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 鹵1.43, and the most severe pain in the past 24 hours was 4.45 鹵1.89; The influence degree of pain on patients was 3.73 鹵2.08; Patients' satisfaction with pain management was 4.54 鹵0.66; The pain belief of the patients was 2.45 鹵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.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2015
【分類號(hào)】：R473.73

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