多学科协作模式联合灵性关怀在晚期癌痛患者中的应用研究

Study on the Application of Multidisciplinary Collaborative Model Integrated with Spiritual Care in Patients with Advanced Cancer Pain

摘要: 目的：探讨多学科协作(MDT)联合灵性关怀对晚期癌痛患者的干预效果。方法：选取102例晚期癌痛患者，将其随机分为两组，各51例，对照组行常规护理，干预组加用MDT联合灵性关怀。干预1个月后，采用简明疼痛量表(BPI)、抑郁自评量表(SDS)、焦虑自评量表(SAS)、生活质量核心量表(FACT-G)评估疼痛、心理状态及生活质量，对比癌痛控制满意度。结果：干预组BPI、SDS、SAS评分均低于对照组，FACT-G评分及疼痛控制满意度(96.08%)高于对照组(80.39%)，差异均有统计学意义(p < 0.05)；疼痛程度与负性情绪呈正相关，与生活质量呈负相关(p < 0.001)。结论：MDT联合灵性关怀可有效改善晚期癌痛患者的疼痛、心理状态及生活质量，值得在癌痛整体照护中推广。

Abstract: Objective: To investigate the interventional efficacy of multidisciplinary team (MDT) collaboration combined with spiritual care in patients with advanced cancer pain. Methodology: A total of 102 patients with advanced cancer pain were randomly allocated into two groups of 51 cases each. The control group received standard care, while the intervention group received additional multidisciplinary team (MDT) support combined with spiritual care. After one month of intervention, pain intensity, psychological status, and quality of life were assessed using the Brief Pain Inventory (BPI), Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS), and the Functional Assessment of Cancer Therapy-General (FACT-G), respectively. Satisfaction with cancer pain control was also compared between the two groups. Result: The results indicated that the intervention group exhibited significantly lower scores on the BPI, SDS, and SAS scales compared to the control group, while demonstrating higher FACT-G scores and a greater rate of pain control satisfaction (96.08% vs. 80.39%). All differences were statistically significant (p < 0.05). Furthermore, pain intensity showed a positive correlation with negative emotions and a negative correlation with quality of life (p < 0.001). Conclusion: The integration of multidisciplinary team (MDT) therapy with spiritual care effectively ameliorates pain, psychological distress, and quality of life in patients with advanced cancer-related pain. This approach warrants broad implementation within comprehensive cancer pain management protocols.