摘要
Abstract
Objective To explore the effect of the evidence-based standardized cancer pain management model based on Johns Hopkins methodology on pain outcomes and sleep quality in patients with advanced breast cancer with bone metastases.Methods A total of 70 patients with advanced breast cancer with bone metastases admitted to the hospital from January 2019 to January 2023 were selected and randomly divided in-to the study group and the control group,with 35 patients in each group.In the control group,one patient died and one withdrew from the study,while one patient in the study group was lost to follow-up.Ultimately,a to-tal of 34 patients were included in the study group,and 33 patients were included in the control group.The control group received conventional cancer pain management,while the study group adopted the evidence-based standardized cancer pain management model based on Johns Hopkins methodology.Pain outcomes[measured by the American Pain Society Patient Outcome Questionnaire Revised(APS-POQ)],sleep quality[measured by the Pittsburgh Sleep Quality Index(PSQI)],quality of life[measured by the Quality of Life Measurement Scale for Breast Cancer Patients],and patient satisfaction were compared between the two groups before and after the intervention.Results After the intervention,the study group showed significantly lower APS-POQ scores for pain severity,pain interference,and pain beliefs,as well as lower total PSQI scores,compared to the control group.Meanwhile,the study group had significantly higher APS-POQ pain control satisfaction scores,total scores on the Quality of Life Measurement Scale for Breast Cancer Patients,and overall satisfaction levels compared to the control group,with statistically significant differences(P<0.05).Conclusion The evidence-based standardized cancer pain management model based on Johns Hopkins methodology can improve pain outcomes,sleep quality,and quality of life in patients with advanced breast cancer with bone metastases,thereby enhancing patient satisfaction.关键词
晚期乳腺癌/骨转移/Johns Hopkins循证/规范化癌痛管理模式/疼痛结局/睡眠质量Key words
Advanced breast cancer/Bone metastasis/Johns Hopkins evidence-based/Standard-ize cancer pain management mode/Pain outcome/Sleep quality分类
医药卫生
