The Comprehensive Nursing Interventions On The Use Of Opioid Analgesics In Cancer Patients

Objective:To evaluate the effect of comprehensive nursing interventions on the use of opioid analgesics in cancer patients, discuss more measures and proposals to the nursing of cancer patients, and provide a scientific basis for improving nursing level of cancer pain and normalizing cancer care routine.Methods:Choose80cases of patients with cancer pain who have received opioid analgesic therapy in our hospital (Chemotherapy, radiotherapy and hematology department) from January2012to December2012. All the patients’NRS pain scores were4points or more, and they were all the first time to accept opioid analgesic medications(medicine used in this study is Morphine Sulfate produced by Mundipharma Pharmaceutical Co., Ltd.,a dose of30mg). According to the order of drug use, they were respectively divided into control group and observation group,40cases each.Control group was treated with routine care, such as prescribed for pain medications, cold, heat, massage, relaxation therapy, distraction such as listening to music, reading, watching TV, chatting, etc.;while observation group was treated with comprehensive nursing interventions in addition to the conventional treatment care, such as psychological care, families education, prevention of complications knowledge interpretation, health education seminars and regular follow-up.Comparative analysis was conducted on two groups form three indicators-pain, complications, and quality of life. For analgesic efficacy and complications occurrence, homemade pain assessment and nursing records were used, including pain scores, location, nature, duration, medication, nursing measures, adverse reactions, etc. Quality of patients’life studies used WHOQOL summary tables. Assessed and recorded their pain after two groups of patients first complain of pain before using opioid analgesics, following surveys to their life quality. Assessed again two weeks after discharge (follow-through door or the patients are readmitted), and the average observation days was22.5days.Analgesic efficacy assessed by WHO evaluation criteria-Complete remission:painless; Partial remission:the pain is significantly reduced compared with before treatment, can live a normal life; Mild relief:less pain than before treatment, but still significant, affecting sleep; Invalid:compared with before treatment without ease.Research data using SPSS13.0_software package for statistical analysis. Count data using the chi-square test, measurement data using t test, P<0.05be considered statistically significance.Results:1. Comparison of analgesic effect of the two groups:observation group’s complete remission rate was higher, no less efficient than control group. By the chi-square test, the difference in the two groups is statistically significant (p<0.05).2. Comparison of two groups of patients with constipation:observation group had significantly less cases of constipation than control group. By the chi-square test, the difference is statistically significant (p<0.05).3. Comparison of life quality of the two groups:with the implementation of nursing intervention, improvement of life quality of patients in observation group was more evident than that of control group. By t test, the difference is statistically significant (p <0.05).Conclusion:1. Comprehensive nursing intervention can effectively relieve the patient’s pain.2. Comprehensive nursing intervention can significantly reduce complications.3. Comprehensive nursing intervention can improve the life quality of patients to a greater extent.