陆玲芳 朱菊娥

摘要：目的  探讨一种标准化电话随访模式在癌痛患者延伸护理中的应用。方法  根据相关文献及现况调查，制定标准化电话随访内容及流程，选取2018年2月～2019年2月在我科住院的癌痛患者160例，随机分为对照组和实验组，各80例。对照组采用常规方式进行出院随访，实验组采用标准化电话随访模式进行出院随访，比较两组患者疼痛控制满意度、疼痛知识掌握程度、服药依从性和对护理的满意度。结果  实验组患者的疼痛控制满意度、疼痛知识掌握程度、服药依从性和对护理的满意度分别为72.50%、87.50%、75.00%、87.50%，高于对照组的37.50%、72.50%、43.75%、68.75%，差异有统计学意义（P<0.05）。结论  标准化电话随访模式能提高癌痛患者出院后疼痛控制满意度、服药依从性、疼痛知識掌握程度和对护理的满意度。

关键词：标准化电话随访模式;癌痛;延伸护理

Abstract：Objective  To explore the application of a standardized telephone follow-up model in extended care for patients with cancer pain.Methods  Based on the relevant literature and current situation survey， standardized telephone follow-up content and procedures were developed， 160 patients with cancer pain who were admitted to our department from February 2018 to February 2019 were randomly divided into a control group and an experimental group， with 80 patients in each group.Patients in the control group were followed up in the usual way. Patients in the experimental group were followed up using a standardized telephone follow-up model. The two groups of patients were compared for pain control satisfaction， pain knowledge mastery， medication compliance， and nursing satisfaction.Results  Patients in the experimental group had 72.50%， 87.50%， 75.00%， and 87.50% of pain control satisfaction， pain knowledge mastery， medication compliance， and nursing satisfaction， which were higher than the control group's 37.50%， 72.50%， 43.75% ， 68.75%， the difference was statistically significant（P<0.05）.Conclusion  The standardized telephone follow-up mode can improve the satisfaction of pain control， medication compliance， pain knowledge and nursing satisfaction of patients with cancer pain after discharge.

Key words：Standardized telephone follow-up mode;Cancer pain;Extended care

癌痛是肿瘤患者最常见的、最痛苦的症状之一。全球每年至少有500万癌症患者在遭受疼痛折磨，其中70%的晚期患者以癌痛为主要症状[1]。癌痛可严重影响患者食欲、睡眠质量，加重焦虑、恐惧症状，甚至因长期疼痛导致拒绝积极治疗。因此，癌痛对患者生活质量的影响越来越引起护理人员的重视。世界卫生组织早在1986年就提出癌痛的“三阶梯止痛原则”[2]，但多数患者出院后因缺乏规范的自我管理及配合度差，导致癌痛控制效果较差[3，4]。标准化电话随访是延伸护理服务的一种快捷、高效的模式，是利用信息化工具在护士和家庭成员之间建立有目的的互动，也是医院走向社会的延伸护理形式，延续护理能够使患者在从医院过渡到家庭的过程中得到专业性的照护，帮助患者解决出院后护理支持不足和自我保健知识缺乏的问题[5]。……