药物治疗及护理干预对中重度老年癌痛患者生活质量的影响

13,2#,3,3,1(11,100050;21,100050;31,100191)R97911B1672-2124(2009)03-0221-03::,:,,:;;;;EffectsofDrugTreatmentandNursingInterventiononQualityofLifeofElderlyPatientswithModerateorSevereCancerPainWANGJing13,HANJian2#,YIZhan2miao3,ZHUChuan2jun3,JIAAi2hua1(11TiantanHospiceHospital,BeijingTiantanHospitalAffiliatedtoCapitalUniversity,Beijing100050,China;21Dept.ofPharmacy,BeijingTiantanHospitalAffiliatedtoCapitalUniversity,Beijing100050,China;31SchoolofPharmaceuticalScience,PekingUniversity,Beijing100191,China)ABSTRACTOBJECTIVE:Toinvestigatetheeffectsofdrugtreatmentandnursinginterventiononthequalityoflifeofelderlypatientswithmoderateorseverecancerpain.METHODS:Drugtreatmentandnursinginterventionwereappliedforhospicetreatmentsofelderlypatientswithmoderateorseverecancerpain,andthecancerpaindegreeandqualityoflifeofthepatientswereevaluated.RESULTS:Afterdrugtreatmentandnursingintervention,theVASscoresforcancerpaindecreasedwhilescoreoflifequalityoftheelderlypatientsincreased.CONCLUSION:Drugtreatmentandnursinginterventioncanalleviatethecancerpainwhileimprovingthequalityoflifeoftheelderlypatientswithmoderateorseverecancerpain.KEYWORDSCancerpain;Elderlypatients;Qualityoflife;Drugtreatment;Nursingintervention3:E2mail:[e-mail]#::E2mail:hanjian15@1631com,75%,[1];,,,,,111120057312008731608828,26VAS49:25,5,4,4,16:25,20,9112,(WHO)[2],,(1140mgd-1),3d3,(NCCN):(g)=(mg)015,,,,200993221113[3],11311:,,,,,,,,,,11312:,,,,,11313:1,,,11314:,,,,,114VAS(Visualanaloguescale)[4]0100:,10:,13,46,710115,5,1,5116EXCEL,xs,t2211,VAS61751131,45,VAS21930193,(t=17150,P01001)212,5,,,1213[5],3,[6],,5,,1Tab1QualityoflifeoftheelderlypatientswithmoderateorseverecancerpainbeforeandafterdrugtreatmentandnursinginterventiontP11250144214901571217101001114301492154016881920100111350143215201651112301001111301522138017210134010011158014921480170717501001,,,,,,,,,,,,,,[7]45,,1P3,,,,,,,,,,,,,,,,,,,,,,3P4,,,P,,,WHO,222Evaluationandanalysisofdrug2useinhospitalsofChina2009Vol.9No.33,:E2mail:[e-mail]4,,,,,[1],.[J].,2008,8(18):4385.[2].[M].2.:,1999:8100.[3],,,.[J].,2007,7(26):6235.[4],.[J].,2005,3(5):406.[5],,,.[J].,2005,11(4):586.[6],,,.[J].,2008,8(9):695.[7],.[J].,2006,23(4):44.(:2009-01-12:2009-02-04)3,,,,(,100091)R975+12B1672-2124(2009)03-0223-02:(Esomeprazole)(Omeprazole):90AB,40mg,1,40mg,1,4:9419%7814%,8712%7215%(P0105):;;EfficaciesofProtonPumpInhibitorsforPatientswithGastroesophagealReflexafterEsophagogastrostomyJINWen2bo3,ZHOUNai2kang,ZHENGMeng2li,QIYan2jun,MALian2jun(Dept.ofThoracicSurgery,TheSecondAffiliatedHospitalofPLAGeneralHospital,Beijing100091,China)ABSTRACTOBJECTIVE:Toevaluatetheclinicaleffectsoftwoprotonpumpinhibitors(esomeprazolevs.omeprazole)ongastricacidsecretion,symptomaticrelief,curerateofesophagitisetcinpatientswithgastroesophagealreflexafteresophagogastrostomy.METHODS:Atotalof90patientswhohadbeengastroscopicallyconfirmedashavinggastroesophagealreflexwererandomlyassignedtoreceiveoralEsomeprazole40mgqdororalOmeprazole40mgqdfor4weeks.RESULTS:Thesymptomaticreliefratesofthetwoprotonpumpinhibitors(Esomeprazolevs.Omeprazole)was9419%vs.7814%,andthecurerateofEsophagitisundergastricendoscopewas8712%vs.7215%(P0105).CONCLUSION:EsomeprazoleissuperiortoOmeprazoleinsymptomaticreliefrateandcurerateofesophagitisinpatientswithgastroesophagealreflexafteresophagogastrostomy.KEYWORDSProtonpumpinhibitors;Gastro-esophagealreflux;Esophagogastrostomy(GERD)P,[1],,,,90%,,200993223