癌痛患者鞘内镇痛全程管理方案的构建及实施
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女,硕士,主管护师

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四川省卫生健康信息中心2023年度“卫生健康数字化+临床应用发展”科研课题(2023ZXKY06007);四川省肿瘤医院2023年护理专项科研课题(HL202406)


Development and application of a full process intrathecal analgesia management program for cancer pain patients
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    目的 评价基于时机理论的癌痛患者鞘内镇痛全程管理方案的应用效果。方法 按照入院顺序将收治的癌痛鞘内镇痛患者分为对照组和观察组各49例,对照组接受常规护理方案,观察组实施基于时机理论的癌痛患者鞘内镇痛全程管理方案,该方案通过文献研究、需求评估、专家函询构建,包括鞘内镇痛前期、临床治疗期、出院准备期、出院调整期、出院适应期5个阶段的针对性护理管理措施。于干预前、干预后3个月评价两组疼痛程度、不良反应发生率和生活质量。结果 干预后3个月,观察组疼痛评分显著低于对照组,生活质量评分显著高于对照组(均P<0.05);两组不良反应发生率差异无统计学意义(P>0.05)。结论 实施基于时机理论的癌痛患者鞘内镇痛全程管理方案能有效提升患者镇痛效果,降低治疗相关不良反应发生率,提升患者生活质量。

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    Objective To evaluate the application effects of a full process intrathecal analgesia management program for cancer pain patients based on Timing It Right Theory.Methods Patients undergoing intrathecal analgesia for cancer pain were divided into a control group and an observation group of 49 cases each according to the admission order.The control group received routine nur-sing care, while the observation group was subjected to a full process intrathecal analgesia management program based on Timing It Right Theory.This program was developed through literature research, needs assessment, and expert consultation, including targeted nursing management measures for five stages:pre-intrathecal analgesia, clinical treatment, discharge preparation, discharge adjustment, and post-discharge adaptation.Pain intensity, adverse reaction incidence, and quality of life were evaluated before and three months after the intervention.Results Three months after intervention, the pain score of the observation group was significantly lower than that of the control group, and the quality of life score was significantly higher (both P<0.05); there was no significant difference in the incidence of adverse reactions between the two groups (P>0.05).Conclusion The implementation of a full process intrathecal analgesia management program based on Timing It Right Theory can effectively improve pain relief, reduce the incidence of treatment-related adverse reactions, and enhance the quality of life of patients.

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徐薇薇,文彦,杨青,向明飞,谢沛希,赵静怡,王怀明.癌痛患者鞘内镇痛全程管理方案的构建及实施[J].护理学杂志,2025,(13):27-32

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  • 收稿日期:2025-02-20
  • 最后修改日期:2025-04-12
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  • 在线发布日期: 2025-07-31