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中文摘要：
目的探讨院外延续性护理对规范化癌痛患者治疗效果的影响。方法126例使用阿片类药物治疗的中晚期癌痛患者随机分为对照组及实验组各63例，对照组实施常规护理。实验组住院期间常规应用规范化无痛病房护理的基础上出院后给予延续性护理，比较两组的规范用药、复诊／再次入院疼痛评分、KPS评分、SAS评分、SDS评分、完成全程化疗情况。结果实验组患者规范用药率96．8％，明显高于对照组的92．15％，复诊／再次入院疼痛评分（3．4±1．1）分，明显低于对照组的（5．3±1．3）分，KPS评分（72．3±5．0）分，明显高于对照组的（55．4±9．2）分，SAS、SDS评分明显低于对照组，完成全程化疗比率明显提高，达92．1％，差异有统计学意义（P〈0．05）。结论在癌痛规范化治疗的基础上，实施院外延续性护理干预，可有效地控制癌痛，提高患者治疗的依从性，及时处理不良反应，提高中晚期癌痛患者的生活质量。
英文摘要：
Objective To investigate the influence of hospitalextension continued nursing on the standardized patient pain treatment effect. Methods A total of 126 cases of advanced cancer patients used opioids were randomly divided into control group and experimental group, the control group based on the routine use of standardized painless hospital ward nursing, given the continuing nursing care after discharge. Results Patients in the experimental group drug stan- dard rate 96.8% was significantly higher than 92.15% in control group visit/readmission pain score was （3.4±1.1）, was significantly lower than that in control group （5.3±1.3）, KPS score （72.3±5.0）was significantly higher than that in con- trol group （55.4±9.2）, SAS, SDS score were significantly lower than those in control group, the complete chemothera- py ratio significantly increased, up to 92.1%, the difference was statistically significant （P 〈 0.05）. Conclusion Based on the standardized treatment of cancer pain, the implementation of hospital extension continued nursing intervention, can effectively control the pain, improve patient compliance, timely treatment of adverse reaction, has important clini- eal significance in patients with advanced cancer pain to improve the quality of life.
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