Effect Of Transitional Care On The Quality Of Life And Pain Treatment Of Cancer Patients With Cancer Pain

ObjectiveThe aim of this study was to investigate the effects of transitional care intervention on the quality of life of patients with cancer pain,explore the effect of the transitional care on the patients? drug therapy compliance and pain treatment;provide new transitional care model.Methods1.A total of 70 cancer pain patients treated by opiates from October 2014 to October 2015 were randomly divided into experimental group(n=35)and control group(n=35).All the patients received routine discharge guidance.In addition,transitional care was provided for patients of experimental group after discharge.2.Transitional care method includes telephone follow-up?home visit?WeChat?WeChat public platform.The patients situation can be gotten comprehensively and dynamicly.Experimental group patients received a telephone follow-up every two days in the first week after discharge.The nurse supervise the patients to take pain killers,and teach the patients how to prevent the side effect of opiates.One weeks later,experimental group patients received a telephone follow-up every three days for two weeks.The nurse ask the patients whether they take the pain killers or not,and teach the patients how to deal with the side effect of opiates.In the three weeks after discharge,the experimental group patients or watcher focus on the cancer pain WeChat public platform,they can received cancer pain related knowledge every three days.In addition,experimental group patients or watcher and the study nurse are WeChat friends.To the patients mind,they can talk with the study nurse through voice or video on WeChat.According to the patients situation,they can get home visit at least one times.3.Two groups patients are all received pain score test by NRS,and fill QLQ-C30 questionnaire on the discharge day.After 22 days,Two groups patients are all received pain score test by NRS,and fill QLQ-C30 questionnaire again.Data base were established,independent-samples t-testing and chi-square testing were conducted with SPSS software.Results1.The comparison of two groups patients? gender?age?marital status? education level? medical expense category?family income and pain lasting time were no significant difference(P>0.05).2.The comparison of two group patients' pain score on the discharge day were no significant difference(P>0.05);The experimental group patients pain score was lower than the control groups after discharged 22 days(P<0.05);The experimental group patients pain killer taken was higher than the control groups after discharged 22 days(P<0.05).3.The comparison of the QOL of the control group on the discharge day and after discharged 22 days.The score of functional scales(RF?CF?SF?DI and FI)were no significant difference(P>0.05);The score of functional scales(PF?EF?QL)were higher on the discharge day than 22 days later(P<0.05).The score of symptoms scales(PA?FA?NV?DY?AP?SL and CO)were lower on the discharge day than 22 days later(P<0.05).4.The comparison of the QOL of the experimental group on the discharge day and discharged 22 days later.The score of PF?DI and FI were no significant difference(P>0.05);The score of functional scales(RF?EF?CF?SF and QL)were lower on the discharge day than 22 days after discharge(P<0.05).The score of symptoms scales(PA?FA?NV?DY?AP?SL and CO)were higher on the discharge day than discharged 22 days(P<0.05).The score of FA were lower on the discharge day than discharged 22 days later(P<0.05).5.The comparison of two groups of QOL on after discharged 22 days.The score of SF?FA?DY?CO and FI of the two groups were no significant difference(P>0.05).The score of functional scales(PF?RF?CF and QL)of the experimental group was higher than the control group(P<0.05).The score of symptoms scales(PA?NV?AP?SL and CO)of the experimental group was lower than the control group.(P<0.05).Conclusions1.Transitional care program can enhance the patients? drug therapy compliance and pain treatment effect.Besides,It can reduce the side effect of opiates such as nausea and vomiting.Transitional care can improve the total quality of life and some dimensions,it is a valid nursing method.2.We have formed transitional care model preliminary,assess and guide the discharge patients dynamically and continuously with the transitional care methods of telephone follow-up?home visit ?WeChat talk and WeChat public platform.It can lower the readmission rate,improve the quality of life of the cancer patients with pain.The study summarize some experiences of transitional care,and can be referred in promoting our country?s transitional care to a higher level,and be presented some new ideas in promoting the domestic cancer patients with pain nursing practice.