在综合性医院实施姑息照护对癌症末期患者生活质量的影响  

The effect of hospital-based palliative care on life quality of terminal cancer patients

作　　者：傅静[1] 王益平[2] 李德华[3] 

机构地区：[1]泸州医学院护理学院护理学综合教研室,四川泸州646000 [2]泸州医学院附属中医院护理部,四川泸州646000 [3]四川大学华西第二医院护理部

出　　处：《泸州医学院学报》2013年第3期278-281,共4页Journal of Luzhou Medical College

基　　金：四川省科技厅科研项目(2011ZR0063);四川省卫生厅科研项目(100239)

摘　　要：目的:了解综合性医院中癌症末期患者生活质量状况,以及对癌症末期患者实施姑息照护对患者生活质量的影响,为在综合性医院中开展姑息与临终关怀服务提供依据。方法:选取符合条件的癌症末期患者122例分为两组,对照组60例接受原病房的治疗护理,姑息照护组62例除接受原病房治疗外接受姑息照护。用McGill生活质量问卷(MQOL)中文版对两组患者进行干预前测、干预3周后测,数据输入SPSS 17.0统计软件做分析。结果:癌症末期患者生活质量较低,得分值(3.83±1.20);姑息照护组患者生活质量显著提升;在身体症状、心理情绪、灵性存在、社会支持四个范畴差异均有统计学意义(P﹤0.05),而原治疗护理组前后对照生活质量差异无统计学意义(P﹥0.05),在身体症状、心理情绪两个方面生活质量下降,差异具有统计学意义(P﹤0.05)。结论:在综合性医院中实施姑息照护能有效提升癌症末期患者的整体生活质量,满足患者姑息照护需求。建议在综合性医院中成立姑息与临终关怀专业小组,对癌症末期患者提供关怀服务,提升其生活质量,走过生命最后旅程。Objective： To explore the life quality of terminal cancer patients and the effects of hospital-based palliative care.Methods： 122 subjects were divided into two groups.60 patients received ordinary care in the ward（control）,62 patients received both ordinary care and palliative care.The McGill quality of life questionnaire（MQOL）-Chinese version was tested pre-and post-intervention（3 weeks after the intervention）.SPSS 17.0 was used to run statistic analysis.Results： The life quality of the terminal cancer patients before intervention was low,scored 3.82±1.20.The life quality patients after receiving palliative care was significantly improved in physical symptoms,psychological mood,and spiritual existence and social support（P0.05）.In control group,the quality of life had no significant change（P0.05）;the physical symptoms and psychological mood decreased significantly（P 0.05）.Conclusion： The life quality of terminal cancer patients can be effectively improved and their needs can be met by hospital-based palliative care.Palliative care team should be established in the general hospital to improve the life quality of the terminal cancer patients in their final life journey.

关 键 词：姑息照护 癌症末期患者 生活质量 

分 类 号：R48[医药卫生—临床医学]