结构化教育管理在癌痛标准化治疗中的应用。

IF 1.3 4区 医学 Q3 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Cancer Education Pub Date : 2025-12-01 Epub Date: 2025-03-08 DOI:10.1007/s13187-025-02600-7
Hai-Hui Zhou, Guo-Qing Xiao, Qi Zhu, Nan-Nan Zheng
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引用次数: 0

摘要

在中国,很多癌痛患者的药物治疗明显受到人们缺乏知识和信心的影响,癌痛症状未能得到有效控制。本回顾性病例对照研究探讨结构化教育管理在癌痛规范化治疗中的应用效果。选取2022年6月至2023年4月符合条件的癌性疼痛患者作为对照组。干预组选取时间为2023年5月至2023年12月。对照组患者按三步镇痛法进行镇痛治疗,干预组患者在对照组治疗的基础上进行结构化癌性疼痛教育干预。比较两组患者入组时和术后2周的疼痛控制障碍程度、疼痛缓解总有效率和疼痛发作频率、等效吗啡用量和不良事件发生率。治疗后,两组患者疼痛控制障碍评分和NRS评分均低于治疗前,干预组低于对照组。干预组疼痛缓解总有效率高于对照组。干预组总等效吗啡剂量低于对照组。干预组便秘、恶心、呕吐、疲劳发生率明显低于对照组,但皮疹发生率无显著差异。临床药师主导的结构化教育能显著提高癌痛的治疗效果,减少不良反应。
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Application of Structured Education Management in Standardized Treatment of Cancer Pain.

In China, the drug treatment of many cancer pain patients is obviously affected by people's lack of knowledge and confidence, and cancer pain symptoms fail to be effectively controlled. This retrospective case-control study explored the effect of application of structured education management in standardized treatment of cancer pain. Eligible cancer pain patients from June 2022 to April 2023 were selected as the control group. The intervention group was selected from May 2023 to December 2023. Control group received analgesic treatment according to three-step analgesia method, the intervention group received structured cancer pain education intervention on the basis of the treatment for control group. The level of pain control disorders, total effective rate of pain relief and the frequency of pain outbreak, equivalent morphine consumption, and incidence of adverse events were compared between the two groups at enrollment and 2 weeks after. After treatment, the pain control disorder scores and NRS scores in the two groups were lower than that before treatment, and intervention group were lower than that in control group. The total effective rate of pain relief in intervention group was higher than that in control group. The total equivalent morphine dosage in the intervention group was lower than that in the control group. The incidence of constipation, nausea, vomiting, and fatigue in the intervention group was significantly lower than that in the control group, but there was no significant difference in the incidence of rash. Clinical pharmacist-led structured education can significantly improve therapeutic effect on cancer pain and reduce the adverse reactions.

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来源期刊
Journal of Cancer Education
Journal of Cancer Education 医学-医学:信息
CiteScore
3.40
自引率
6.20%
发文量
122
审稿时长
4-8 weeks
期刊介绍: The Journal of Cancer Education, the official journal of the American Association for Cancer Education (AACE) and the European Association for Cancer Education (EACE), is an international, quarterly journal dedicated to the publication of original contributions dealing with the varied aspects of cancer education for physicians, dentists, nurses, students, social workers and other allied health professionals, patients, the general public, and anyone interested in effective education about cancer related issues. Articles featured include reports of original results of educational research, as well as discussions of current problems and techniques in cancer education. Manuscripts are welcome on such subjects as educational methods, instruments, and program evaluation. Suitable topics include teaching of basic science aspects of cancer; the assessment of attitudes toward cancer patient management; the teaching of diagnostic skills relevant to cancer; the evaluation of undergraduate, postgraduate, or continuing education programs; and articles about all aspects of cancer education from prevention to palliative care. We encourage contributions to a special column called Reflections; these articles should relate to the human aspects of dealing with cancer, cancer patients, and their families and finding meaning and support in these efforts. Letters to the Editor (600 words or less) dealing with published articles or matters of current interest are also invited. Also featured are commentary; book and media reviews; and announcements of educational programs, fellowships, and grants. Articles should be limited to no more than ten double-spaced typed pages, and there should be no more than three tables or figures and 25 references. We also encourage brief reports of five typewritten pages or less, with no more than one figure or table and 15 references.
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