昆明医科大学学报2018，Vol.39Issue(3)：141-144,4.
医联体医护一体化在癌症患者居家镇痛中的应用
Application of Doctor-nurse Integrative Medical Care in Analgesia at Home for Cancer Patients
摘要
Abstract
Objecctive To explore the construction and effect of the Doctor-nurse integrative medical care mode for domestic analgesia in middle and late stage cancer patients.Me thods From september 2016 to February 2017, 120 Cancer patients in The People's hospitalof Du Jiang Yan were included, and randomly divided into experimental group (n=60) and observation group (n=60). The observation group received routine outpatient follow-up after discharge.The experimental group was treated with the Doctor-nurse integrative medical care mode.The analgesic modes included psychological support, immediate morphine and morphine sustained release tablets for personalized home titration. The Net bottom-hospitals were responsible for the follow-up and intervention, the training and guidance were bore by Hub hospitals. The patients were followed up at the first and twelfth weeks, followed by telephone follow-up at fourth and eighthweek, after discharge. The quality of life, the degree of depression and the degree of anxiety of caregiver were compared between the two groups at the beginning of the study and the twelfth weeks after discharge. Re s ults In experimental group, the scores of in the life quality of patints before and after intervention were (62.43±12.83) and (50.33 ±9.04), respectively, the scores of depression before and after intervention were (50.33± 6.59) and (47.37±4.97), respectively, the scores of anxiety before and after intervention were (55.05 ±8.82) and (52.22 ±5.37). There was statistically significant difference between the two groups (P＜0.05). Conclus ions Doctor-nurse integrative medical care mode can improve the quality of life of patients with advanced cancer, reduce the degree of depression, and reduce the degree of anxiety of patients.关键词
癌症/居家镇痛/医护一体化Key words
Cancer/Domestic analgesia/Doctor-nurse integrative medical care分类
医药卫生引用本文复制引用
周玲,钟琼,王敏,谭思,刘永秀..医联体医护一体化在癌症患者居家镇痛中的应用[J].昆明医科大学学报,2018,39(3):141-144,4.基金项目
四川省卫生和计划生育委员会科研基金资助项目(16PJ148) （16PJ148）
