康复期癌症志愿者参与安宁疗护的效果研究  

Study on the effect of cancer volunteers participating in hospice care in convalescence

作　　者：王丹[1] 刘芹[1] 卞丽娟[1] WANG Dan;LIU Qin;BIAN Lijuan(Department of Oncology,Nanjing Drum Tower Hospital,the Affiliated Hospital of Nanjing University Medical School,Nanjing,Jiangsu 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院肿瘤科,南京210000

出　　处：《重庆医学》2021年第24期4200-4203,共4页Chongqing medicine

基　　金：江苏省卫健委面上项目(M2020035)。

摘　　要：目的探讨康复期癌症志愿者参与安宁疗护对优质死亡结局的影响。方法选取2019年3月至2020年3月该院收治的晚期癌症患者108例,分为对照组和观察组,各54例。对照组采用常规安宁疗护,观察组由康复期癌症志愿者共同参与安宁疗护。对比两组干预前后负性情绪、灵性安适度、生存质量变化。结果观察组干预后焦虑、抑郁评分均低于对照组(P<0.05);观察组干预后平和、意义、信念评分均高于对照组(P<0.05);观察组干预后社会/家庭状况评分均高于对照组(P<0.05),躯体状况、情感状况、功能状况与对照组比较差异无统计学意义(P>0.05)。结论康复期癌症志愿者参与安宁疗护可有效改善癌症晚期患者心理状态和灵性安适度,优化死亡结局。Objective To investigate the effect of participating in hospice care of cancer volunteers during the rehabilitation period on improving the quality of death outcomes.Methods A total of 108 patients with advanced cancer admitted to the hospital from March 2019 to March 2020 were randomly divided into two groups with 54 cases in each group.The control group was treated with conventional hospice care,and the observation group was consisted of convalescent cancer volunteers who participated in hospice care.The changes in the negative emotion,spiritual well-being,and quality of life were compared between the two groups before and after intervention.Results The scores of anxiety and depression in the observation group after intervention were lower than those of the control group(P<0.05).The scores of peace,significance and belief in the observation group were higher than those of the control group(P<0.05).The scores of social/family status in the observation group after intervention were all higher than the control group(P<0.05).And there were no significant differences in physical,emotional,and functional status between the two groups(P>0.05).Conclusion Convalescent cancer volunteers participating in hospice care can effectively improve the mental state and spiritual well-being of patients with advanced cancer,and optimize the outcome of death.

关 键 词：康复期 癌症志愿者 安宁疗护 死亡结局 负性情绪 生存质量 

分 类 号：R473.73[医药卫生—护理学]