尊严疗法对住院晚期癌症患者生活满意度及心理状况的影响  

Effects of dignity therapy on life satisfaction and psychological condition among hospitalized patients with advanced cancer

作　　者：宁晓东[1] 张永炼[2] 杨春[1] 万恩桂[1] 潘慧[3] 李玲娟[4] 

机构地区：[1]荆门市第一人民医院护理部,湖北省448000 [2]荆门市第一人民医院胃肠小儿外科,湖北省448000 [3]荆门市第一人民医院肾脏内科,湖北省448000 [4]荆门市第一人民医院肿瘤科Ⅱ病区,湖北省448000

出　　处：《中国护理管理》2018年第3期306-311,共6页Chinese Nursing Management

基　　金：2015年度湖北省卫生计生科研课题(WJ2015HB034)

摘　　要：目的:观察尊严疗法对住院晚期癌症患者生活满意度及心理状况的影响。方法:将122例肿瘤科住院晚期癌症患者随机分为实验组(n=62)和对照组(n=60),对照组接受常规照护,实验组在此基础上接受尊严疗法。采用重复测量方差分析对干预前、干预15天及30天时两组的生活满意度、焦虑、抑郁及尊严水平进行比较。结果:两组的生活满意度、焦虑、抑郁和尊严得分的组间效应具有统计学意义(P<0.05);两组的焦虑、抑郁和尊严得分的时间效应具有统计学意义(P<0.05);两组的生活满意度、焦虑、抑郁和尊严得分的干预与时间因素存在交互效应(P<0.05)。结论:尊严疗法能有效提高住院晚期癌症患者生活满意度及尊严水平,改善其焦虑抑郁情绪。Objective： To explore the effect of Dignity Therapy （DT） on life satisfaction and psychological status among hospitalized patients with advanced cancer. Methods： Totally 122 hospitalized patients with advanced cancer were divided into the experimental group （n=62） and the control group （n=60）. The experimental group received the DT in addition to routine care, and the control group received routine care. Life satisfaction, anxiety and depression, and dignity were assessed on the 15th and the 30th day. Results： The main scores of life satisfaction, anxiety and depression, and dignity were statistically significant between the two groups （P〈0.05）. The time effect on dignity, anxiety and depression were statistically significant （P〈0.05） and there were interaction effects between intervention and time on satisfaction, anxiety and depression, and dignity （P〈0.05）. Conclusion： Dignity Therapy could effectively improve satisfaction and dignity level and alleviate anxiety and depression among hospitalized patients with advanced cancer.

关 键 词：尊严疗法 肿瘤 生活满意度 焦虑抑郁 

分 类 号：R47[医药卫生—护理学]