Evaluation of the Effectiveness of Pain Management Models for Children with Malignant Tumors in Qinghai Region
DOI:
https://doi.org/10.53469/jcmp.2024.06(12).17Keywords:
NAAbstract
Objective: To understand the current status of pain in children with tumors in Qinghai Province and its influencing factors, and to establish a pain management model suitable for Qinghai. Methods: A multidisciplinary pain management team was formed, consisting of physicians, nurses, pharmacists, volunteers, ethnic minority translators, and medical students, to implement multidimensional pain management. The effectiveness of this management model was statistically analyzed using questionnaires. Results: A total of 103 pediatric tumor patients were enrolled for the survey. The statistical analysis revealed the following results: 1) The intervention group's rates of regular pain assessment, pain assessment compliance, implementation and recording of analgesic measures, and pain management feedback were significantly higher than those of the control group (p < 0.05). 2) Comparison of anxiety and depression scores between the two groups showed that after the intervention, the SAS and SDS scores of the observation group were lower than those of the control group (p < 0.05). 3) Comparing pain relief effectiveness and satisfaction with pain control between the two groups, the total effective rate of pain relief in the intervention group was 88%, higher than the 54% seen in the control group (p < 0.05); satisfaction with pain control was 72.7%, also higher than the control group's 48.8% (p < 0.05). 4) Quality of life comparison between the two groups: physiological function, bodily pain, social function, and mental health scores of the observation group were significantly higher than those of the control group (p<0.01). Conclusion: Pain management through the palliative care model can alleviate the suffering of pediatric cancer patients during treatment, extend their lifespan, and improve their quality of life. This study provides clinical theoretical and data support for cancer pain management.
References
María Mar Lopez-Rodriguez, Alejandro Fernández-Millan, María Dolores Ruiz-Fernández, et al. New Technologies to Improve Pain, Anxiety and Depression in Children and Adolescents with Cancer: A Systematic Review[J]. International Journal of Environmental Research and Public Health, 2020, 17(10): 3563.
Ward Elizabeth, DeSantis Carol, Robbins Anthony, et al. Childhood and adolescent cancer statistics, 2014 [J]. CA: a cancer journal for clinicians, 2014, 64(2):83-103.
Zou Xiaonong, Jia Manman, Wang Xin, et al. Interpretation of the World Cancer Report 2020[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(01): 11-18.
Eccleston Christopher, Cooper Tess E, Fisher Emma, et al. Non-steroidal anti-inflammatory drugs (NSAIDs) for chronic non-cancer pain in children and adolescents. [J]. The Cochrane database of systematic reviews, 2017, 8:CD012537.
Li Wenjie, Liu Jinyu, Si Qian, et al. Development and Change of the Vision of Drug Treatment for Cancer Pain[J]. Herald of Medicine, 2021, 40(01): 45-51.
Zhou Yuchen, Yang Peiyi, Luo Yanhui, et al. A single center survey on pain management in pediatric patients with tumors[J]. Journal of China Pediatric Blood and Cancer, 2019, 24(06): 308-311.
Uhl Kristen, Burns Maureen, Hale Amy, et al. The Critical Role of Parents in Pediatric Cancer-Related Pain Management: a Review and Call to Action. [J]. Current oncology reports, 2020, 22(4):37.
Wang Canfei, Jia Huiying, Wu Ke, et al. Progress on application of multidisciplinary collaboration in hospice care: a literature review[J]. Chinese Journal of Nursing, 2018, 53(07): 866-872.
Yang Bo, Zhao Yun, Meng Aifeng, et al. Effect of a multidisciplinary nursing-team-based approach in providing hospice care for patients with advanced cancer[J]. Journal of Nursing Science, 2018, 33(24): 1-4.
Wang Guonian. Mechanism of Cancer Pain[J]. Chinese Journal of Cancer Prevention and Treatment, 2017, 9(01): 1-4.
Alberts Nicole M, Gagnon Michelle M, Stinson Jennifer N, et al. Chronic pain in survivors of childhood cancer: a developmental model of pain across the cancer trajectory. [J]. Pain, 2018, 159(10):1916-1927.
Zhou Yuchen, Yang Peiyi, Luo Yanhui, et al. A single center survey on pain management in pediatric patients with tumors[J]. Journal of China Pediatric Blood and Cancer, 2019, 24(06): 308-311.
Jinbing Bai, Felicity W.K. Harper, Louis A. Penner, et al. Parents’ Verbal and Nonverbal Caring Behaviors and Child Distress During Cancer-Related Port Access Procedures: A Time-Window Sequential Analysis[J]. Oncology Nursing Forum, 2017, 44(6):675-687.
Liu Ningning, Yu Yang, Song Linping. The role of standardized nursing model in improving the quality of life and self-management efficiency of cancer pain patients[J]. Chinese Journal of Woman and Child Health Research, 2017, 28(S1): 278-279.
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