家庭尊严干预在晚期恶性肿瘤患者中的应用研究  

Family dignity intervention for patients with advanced malignant tumour

作　　者：李怡玮 王娟[2] 王岩[3] 陈玲[4] 张秀华[5] Li Yiwei;Wang Juan;Wang Yan;Chen Ling;Zhang Xiuhua(College of Nursing,Xinjiang Medical University,Urumqi,830011,China;The Tumour Hospital Affiliated to Xinjiang Medical University,Department of Palliative Medicine,Urumqi,830011,China;The Tumour Hospital Affiliated to Xinjiang Medical University,Department of Medical Administration,Urumqi,830011,China;The Tumour Hospital Affiliated to Xinjiang Medical University,Department of Nursing Administration,Urumqi,830011,China;The Tumour Hospital Affiliated to Xinjiang Medical University,Office of Hospital,Urumqi,830011,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830011 [2]新疆医科大学附属肿瘤医院姑息医学科 [3]新疆医科大学附属肿瘤医院医务部 [4]新疆医科大学附属肿瘤医院护理部,新疆乌鲁木齐830011 [5]新疆医科大学附属肿瘤医院医院办公室,新疆乌鲁木齐830011

出　　处：《现代临床护理》2021年第6期12-18,共7页Modern Clinical Nursing

基　　金：新疆维吾尔自治区自然科学基金项目,项目编号为2021D01C385。

摘　　要：目的探讨家庭尊严干预对晚期恶性肿瘤患者尊严感、希望水平及自我感受负担的影响,为临床实施安宁疗护干预提供参考依据。方法2019年11月—2020年10月采用便利抽样法,选取新疆医科大学附属肿瘤医院姑息医学科收治的98对晚期恶性肿瘤患者与其主要照顾者,应用随机数字表法将其分为试验组和对照组,每组分别49对。对照组实施常规护理,试验组实施家庭尊严干预,干预时间4周。比较干预前以及干预后2周、4周两组尊严感量表(patient dignity inventory,PDI)、Herth希望指数量表(Heart hope index,HHI)及自我感受负担量表(self-perceived burden scale,SPBS)得分情况。结果对照组完成研究44对,试验组完成研究42对。重复测量方差分析结果显示:两组患者尊严感、希望水平及其自我感受负担交互效应、组间效应和时间效应均具有统计学意义(均P<0.05),其中干预后2周、4周试验组尊严感、自我感受负担得分低于对照组,干预后4周试验组希望水平得分高于对照组(均P<0.0167)。结论家庭尊严干预有助于改善晚期恶性肿瘤患者的自我感受负担,提高患者的希望水平和尊严水平,值得临床推广应用。Objective To explore the influences of family dignity intervention(FDI)for patients with advanced malignant tumour,in terms of the sense of dignity,hope level and self-perceived burden hence to provide a reference for the implementation of hospice intervention.Methods The convenience sampling method was adopted to select 98 pairs of patients with advanced malignant tumour together with the main carers in the Department of Palliative Medicine,from November 2019 to October 2020.A random number table was used to divide study objects into an trial group and a control group,with 49 pairs per group.Routine care was implemented in the control group and FDI was carried out in the trial group.The patient dignity inventory(PDI),Herth hope index(HHI)and self-perceived burden scale(SPBS)were used in the survey before the intervention and in the 2nd and 4th week after the intervention.Results Forty-four pairs in the control group and 42 pairs in the trial group completed the survey.The results of repeated measure of ANOVA showed that there were statistically significant differences in the cross-group effects,time effects and interaction effects between the two groups in terms of dignity,level of hope and self-perceived burden(P<0.05).After 2 and 4 weeks of intervention,the scores of the dignity and self-perceived burden were significantly lower than those of the control group,and a higher level of hope was found in the trial group than that of the control group in week 4.(P<0.0167 for all).Conclusion FDI is able to help the reduction of self-perceived burden in patients with advanced malignant tumour,as well as to improve the hope and dignity.FDI should be promoted and applied in the clinical practices.

关 键 词：家庭尊严干预 晚期恶性肿瘤 安宁疗护 尊严感量表 Herth希望指数量表 自我感受负担量表 随机对照试验 

分 类 号：R473.73[医药卫生—护理学]