Application effect and effectiveness of evidence-based nursing in pain management of patients with advanced malignant tumors
循征护理在晚期肿瘤患者疼痛护理中的应用效果及有效性

摘要

目的 将晚期肿瘤患者作为研究对象，分析循证护理干预在疼痛护理中的应用效果，确定循证护理有效性。方法 将某市医院2021年3月到2023年3月期间收治的120例晚期肿瘤患者作为研究对象。为提高研究数据精准性，采用随机法将患者划分为对照组60例，与观察组60例。对照组接受常规疼痛护理干预，观察组患者在对照组疼痛护理基础上，同步接受循证护理。收集与比较两组患者数据信息，从患者疼痛等级、负性情绪评分、治疗依从性、护理满意度四个方面分析循证护理在疼痛护理中的具体应用效果。结论 实施护理干预后，观察组轻微级、中级与高级疼痛评分均低于对照组患者，差异具有显著统计学意义（p<0.01）；观察组负性情绪评分低于对照组患者，差异具有显著统计学意义（p<0.01）；观察组治疗依从性评分高于对照组，差异具有显著统计学意义（p<0.01）；观察组护理满意度高于对照组，差异具有统计学意义（p<0.05）。结论 对晚期肿瘤患者实施循证疼痛护理干预后，更有利于缓解患者疼痛感，改善治疗质量。循证护理可在临床实践中广泛推行与实施。

Abstract

Objective To evaluate the application effect and effectiveness of evidence-based nursing in pain management among patients with advanced malignant tumors.
Methods A total of 120 patients with advanced cancer admitted to a municipal hospital from March 2021 to March 2023 were selected as research subjects. To enhance data accuracy, patients were randomly assigned to a control group (n=60) and an observation group (n=60). The control group received routine pain nursing care, while the observation group received evidence-based nursing interventions in addition to routine care. Data from both groups were collected and compared in terms of pain levels, negative emotional scores, treatment compliance, and nursing satisfaction.
Results After the intervention, pain scores (mild, moderate, and severe) in the observation group were significantly lower than those in the control group (p < 0.01). The observation group also exhibited significantly lower negative emotional scores (p < 0.01), higher treatment compliance (p < 0.01), and higher nursing satisfaction (p < 0.05) compared to the control group.
Conclusion   Evidence-based nursing interventions are effective in alleviating pain and improving care quality in patients with advanced cancer. This approach enhances emotional well-being, treatment adherence, and overall satisfaction, and is recommended for widespread clinical application.