Research on the application value of palliative care combined with pain management in end of life cancer patients
安宁疗护联合疼痛护理在癌症临终期患者中的应用价值研究

摘要

目的 分析在癌症临终期患者的临床护理方案中应用安宁疗护联合疼痛护理的医学价值。方法 将2022年1月-2023年12月内就诊的80例癌症临终期患者纳入试验研究，而后以区组随机法分40例对照组疼痛护理，40例观察组增加安宁疗护。对比护理前后的躯体疼痛评分以及护理后的心理状态情况。结果 护理前，指标对比无统计学意义（P﹥0.05）。护理后，观察组PRI疼痛分级、VAS疼痛程度评分更低，疾病进展恐惧评分更低，希望水平评分更高，对比有统计学意义（P﹤0.05）。结论 安宁疗护联合疼痛护理在癌症临终期患者中可改善疼痛，提高希望水平和降低恐惧，让患者受益。

Abstract

Objective To analyze the medical value of applying palliative care combined with pain care in the clinical nursing plan for cancer terminally ill patients.
Methods 80 terminally ill cancer patients who received treatment between January 2022 and December 2023 were included in the experimental study. Then, they were randomly divided into a control group of 40 patients receiving pain care and an observation group of 40 patients receiving palliative care. Compare the scores of physical pain before and after nursing, as well as the psychological state after nursing.
Results Before nursing, there was no statistically significant difference in the comparison of indicators (P>0.05). After nursing, the observation group had lower PRI pain grading and VAS pain severity scores, lower disease progression fear scores, and higher hope level scores, with statistical significance (P<0.05).
Conclusion   The combination of palliative care and pain management can improve pain, increase hope levels, and reduce fear in cancer terminally ill patients, benefiting them.