摘要
目的 观察晚期肿瘤患者安宁疗护中开展疼痛护理干预的作用。方法 按照纳入患者对比护理
观察的方式开展探究，选入 2021 年 2 月至 2022 年 5 月晚期肿瘤患者 74 例，按照数字表随机抽选方式均分
为对照组（37 例，常规护理）和观察组（37 例，疼痛护理）。对比两组患者在安宁疗护期间心理状态以及
疼痛程度等。结果 对比两组患者在治疗期间疼痛程度，在干预前，两组无差异，P>0.05，干预后 3 天、7
天、10 天，观察组疼痛程度明显低于对照组，P<0.05。对比两组在治疗期间心理状态，在 SDS、SAS 量表
评分上，在干预前两组无差异，P>0.05，干预后，观察组评分低于对照组，P<0.05。对比两组护理满意度以
及日常生活能力，观察组均高于对照组，P<0.05。结论 在对晚期肿瘤患者进行安宁疗护过程中将疼痛护理
进行运用，可以有效改善患者在治疗期间疼痛程度，并对患者负面心理进行改善，提升患者护理满意度以
及日常生活能力。
关键词： 疼痛护理；晚期肿瘤；安宁疗护
Abstract
Objective To observe the effect of pain nursing intervention in hospice care of patients with
advanced cancer. Methods According to the way of comparative nursing observation of patients, 74 patients with
advanced cancer were selected from February 2021 to May 2022, and randomly divided into control group (37
cases, routine nursing) and observation group (37 cases, pain nursing) according to the number table. The
psychological state and pain degree of the two groups were compared during hospice care. Results The pain degree
of the two groups during the treatment was compared. Before the intervention, there was no difference between the
two groups (P>0.05). On the 3rd, 7th and 10th day after the intervention, the pain degree of the observation group
was significantly lower than that of the control group (P<0.05). The psychological status of the two groups during
treatment was compared. There was no difference in SDS and SAS scores between the two groups before
intervention (P>0.05). After intervention, the score of the observation group was lower than that of the control
group (P<0.05). Compared the nursing satisfaction and daily living ability of the two groups, the observation group
was higher than the control group (P<0.05). Conclusion The application of pain nursing in the process of hospice
care for patients with advanced cancer can effectively improve the degree of pain of patients during treatment,
improve their negative psychology, and enhance their satisfaction with nursing and their ability of daily life.
Key words： pain nursing; Advanced tumor; Hospice Care
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