持續性癌痛護理評估之成效探討

The Effects of Ongoing Pain Assessment on Patinets with Cancer Pain

楊淑雅(Shu-Yaa Yang) ； 湯蕙娟(Hei-Chain Tang) ； 周承珍(Cheng-Chen Chou)

《領導護理》 12卷3期 (2011/12) Pp. 38-49

https://doi.org/10.29494/LN.201112.0006

摘要

The aim of this study is to explore the effects of ongoing pain reassessment on pain control, especial cancer pain. With a quasi-experimental design, 60 hospitalized cancer patients at a university hospital in southern Taiwan were included. The experimental group received pain reassessment by the nurses every 4 hours. When the pain score exceeded the patient's comfort zone, the physician was notified for further treatment as needed. The patients in the control group received routine pain assessment once a day without reassessment. The patient's pain assessment, including cancer pain level and interference in performance, was completed on the first, third, and fifth days of hospitalization. Two groups were no significant differences in the demographic data (p＞ 0.05). The pain score in the experimental group was significantly lower than that of the control group (p＜0.05) on the third day. The experimental group also showed significantly lower scores in the highest, lowest level of pain, and mean score respectively on the fifth day (p＜0.05). The impact of pain on the interference in daily activities, patient emotion, mobility, social interaction, and the enjoyment of life were significantly lower in the experimental group, compared to those in the control group (p＜0.05). In conclusion, this study demonstrates that ongoing pain reassessment is likely to reduce patient's pain level, effectively managing the patient's pain.

關鍵字

護理評估 ； 癌症疼痛 ； 照護成效

並列摘要

The aim of this study is to explore the effects of ongoing pain reassessment on pain control, especial cancer pain. With a quasi-experimental design, 60 hospitalized cancer patients at a university hospital in southern Taiwan were included. The experimental group received pain reassessment by the nurses every 4 hours. When the pain score exceeded the patient's comfort zone, the physician was notified for further treatment as needed. The patients in the control group received routine pain assessment once a day without reassessment. The patient's pain assessment, including cancer pain level and interference in performance, was completed on the first, third, and fifth days of hospitalization. Two groups were no significant differences in the demographic data (p＞ 0.05). The pain score in the experimental group was significantly lower than that of the control group (p＜0.05) on the third day. The experimental group also showed significantly lower scores in the highest, lowest level of pain, and mean score respectively on the fifth day (p＜0.05). The impact of pain on the interference in daily activities, patient emotion, mobility, social interaction, and the enjoyment of life were significantly lower in the experimental group, compared to those in the control group (p＜0.05). In conclusion, this study demonstrates that ongoing pain reassessment is likely to reduce patient's pain level, effectively managing the patient's pain.

並列關鍵字

Cancer pain ； nursing assessment ； care outcomes