中国大陆宁养肿瘤患者691例生活质量研究报告  

Report on quality of life for 691 patients with advanced cancer accepting hospice care in China's Mainland

作　　者：沈伟[1] 吴克瑾[2] 钟进才[3] 王京娥[4] 刘芳[5] 牛润桂[6] 刘明恒[7] 林维德 

机构地区：[1]上海交通大学医学院附属新华医院宁养院,上海200092 [2]上海交通大学医学院附属新华医院普外科,上海200092 [3]广西医科大学第一附属医院宁养院,广西壮族自治区南宁530021 [4]南昌大学第一附属医院宁养院,江西南昌330006 [5]吉林大学第一医院宁养院,吉林长春130031 [6]山西省肿瘤医院宁养院,山西太原030013 [7]湖南省肿瘤医院宁养院,湖南长沙410205 [8]李嘉诚基金会全国宁养医疗服务计划办公室,广东汕头515041

出　　处：《肿瘤》2012年第10期828-832,共5页Tumor

基　　金：李嘉诚基金会全国宁养医疗服务计划资助项目(编号:2001-04)

摘　　要：目的:评估宁养医疗服务前后晚期肿瘤患者的生活品质,为宁养医护人员实施医疗干预、有效改善患者生活质量提供依据。方法:691例接受宁养服务的晚期肿瘤患者自愿完成问卷调查,统计分析宁养医疗干预前后患者的躯体症状、心理压力和精神层面以及社会、家庭支持受影响的差异。结果:接收宁养服务前,晚期肿瘤患者的躯体症状、心理压力和精神层面均已受到不同程度的影响,在家庭和社会支持方面影响较小。宁养医疗服务干预后,患者的躯体症状和心理压力明显缓解,特别是疼痛症状得到一定控制;同时,患者的精神层面需求提高。结论:通过开展宁养医疗服务,最大程度地改善肿瘤患者的躯体症状,缓解其心理压力,提升其精神层面需求,可使晚期肿瘤患者全面提高生活品质。Objective： To evaluate the change of quality of life for patients with advanced cancer after the hospice care was provided, and to provide a basis for implementing hospice intervention and improving the quality of life of cancer patients. Methods： Six hundred and ninety-one patients with advanced cancer accepting hospice care completed the questionnaire voluntarily. The patients’ physical symptoms, psychological stress, spiritual dimensions as well as family and social support were assessed before and after hospice care intervention, and the difference was also analyzed. Results： Before accepting hospice care, the patients presented with physical symptoms, psychological stress and spiritual injury to some degree, but the quality of family and social support was not affected obviously. After the hospice care was provided, the physical symptoms and the psychological stress were relieved remarkably, especially for the symptoms of pain. Furthermore, there had been an increase in the spiritual needs. Conclusion： The physical symptoms and psychological stress are relieved significantly and an increase in spiritual needs is largely met by implementing hospice intervention, which leads to an improved quality of life for patients with advanced cancer.

关 键 词：肿瘤护理 生活质量 干预性研究 

分 类 号：R730.9[医药卫生—肿瘤]