对姑息治疗的胰腺癌患者及家属实施同期护理干预的效果  

Intervention effect of palliative treatment of patients with pancreatic cancer and their families to implement the same period nursing

作　　者：邓春梅[1] 曹何琼[1] 陈小凤[1] 陈楚岚[1] 

机构地区：[1]广东医学院附属医院肝胆外科,湛江524001

出　　处：《中华现代护理杂志》2011年第21期2504-2506,共3页Chinese Journal of Modern Nursing

基　　金：湛江市科技攻关项目（湛科[2009]58号C3104006）

摘　　要：目的探讨对姑息治疗的胰腺癌患者及家属实施同期护理干预的效果。方法将48例胰腺癌患者按住院号的单双分为干预组和对照组各24例，干预组对患者及家属行同期护理干预，对照组采取以患者为中心的整体护理干预，于干预前后采用汉密尔顿抑郁量表（HAMD）及领悟社会支持量表（PSSS）对患者进行问卷调查，评估患者的抑郁情绪及社会支持情况。结果对姑息治疗的胰腺癌患者及家属同期进行护理干预后，患者的抑郁情绪较对照组有了明显的改善，差异具有统计学意义[（10．17±2．41）分比（14．46±1．25）分，t=-7．750，P〈0．01]；干预组在提高领悟社会支持方面优于对照组[（61．79±7．40）分比（51．08±4．94）分，t=5．894，P〈0．01]。对照组干预后家庭内支持得分较干预前有所下降，而干预组干预后家庭内支持得分较干预前有所提高，差异均有统计学意义（P〈0．01）。结论对姑息治疗的胰腺癌患者及家属地同期行护理干预切实可行，有利于缓解患者的抑郁情绪，提高其生活质量。Objective To explore intervention effect of palliative treatment of pancreatic cancer patients and their families to implement the same period nursing. Methods 48 cases of patients with pancreatic cancer were divided into intervention group and control group by odd and even numbers in hospital, each group was 24 cases, the intervention group implemented the same period nursing to the patients with pancreatic cancer and their families, the control group took the whole patient-centered nursing intervention, Before and after the intervention, the questionnaire survey was conducted to the patients by Hamilton Depression Rating Scale and the Perceived Social Support Scale, Patients were evaluated for depression and social support. Results After the nursing intervention to palliative treatment of patients with pancreatic cancer and their families to implement the same period nursing, patients with depression had significantly improved than that of the control group, the difference was significant [ （ 10.17 ± 2.41 ） vs （ 14.46 ± 1.25 ）, t = - 7. 750, P 〈 0. 01 ] ; Intervention group in improving the perception of social support group was better than that in the control group [ 61.79 ± 7.40 ） vs （51.08 ±4.94） ,t =5. 894,P 〈0. 01 ]. Also it found, the control group scores after the intervention to support the family has declined compared with that before intervention, the intervention group scores after the intervention to support the family has increased compared with that before intervention, and differences were statistically significant （ P 〈 0. 01 ）. Conclusions The methods of palliative treatment of patients with pancreatic cancer and their famihes to implement the same period nursing were feasible, help alleviate depression in patients and improve their quality of lives.

关 键 词：姑息疗法 胰腺肿瘤 护理 抑郁 社会支持 

分 类 号：R473.73[医药卫生—护理学]