尊严疗法在临终护理实践中的应用研究  

Study on the Application of Dignity Therapy in Hospice Nursing Practice

作　　者：刘敏娟 LIU Minjuan(First Department of Oncology,Chifeng Hospital,Chifeng Inner Mongolia 024000,China)

机构地区：[1]赤峰市医院肿瘤内一科,内蒙古赤峰024000

出　　处：《中国卫生标准管理》2022年第3期175-178,共4页China Health Standard Management

摘　　要：目的研究临终护理实践中尊严疗法的应用效果。方法选取2019年4月—2021年1月本院肿瘤内科患者100例进行回顾性分析,依据临床护理实践方法分为尊严疗法组、常规护理组两组,各50例,常规护理组采用常规护理,尊严疗法组采用尊严疗法,统计分析两组患者的自尊状况、负性情绪、心理痛苦程度、生命质量、希望水平、护理满意度。结果两组患者护理后的外表自尊、行为自尊、社会自尊评分、SSES总分均高于护理前,差异有统计学意义(P<0.05);护理后,尊严疗法组患者的外表自尊、行为自尊、社会自尊评分、SSES总分均高于常规护理组,差异有统计学意义(P<0.05)。两组患者护理后的SAS评分、SDS评分、DT评分、SCL-90评分均低于护理前,差异有统计学意义(P<0.05);护理后,尊严疗法组患者的SAS评分、SDS评分、DT评分、SCL-90评分均低于常规护理组,差异有统计学意义(P<0.05)。两组患者护理后的亲密关系、行为态度、积极态度评分、希望水平总分均高于护理前,差异有统计学意义(P<0.05);护理后,尊严疗法组患者的亲密关系、行为态度、积极态度评分、希望水平总分均高于常规护理组,差异有统计学意义(P<0.05)。尊严疗法组患者的护理满意度96.0%(48/50)高于常规护理组76.0%(38/50),差异有统计学意义(P<0.05)。结论实施尊严疗法能够显著改善患者的自尊状况,缓解患者焦虑、抑郁等负性情绪,进而减轻患者心理痛苦程度,从而提高患者最后的生命质量,值得在临床推广应用。Objective To study the effect of dignity therapy in hospice nursing practice.Methods A total of 100 cases of oncology patients in our hospital from April 2019 to January 2021 were retrospectively selected.According to clinical nursing practice methods,they were divided into two groups:dignity therapy group and routine nursing group,with 50 cases in each group.The routine nursing group was treated with routine nursing,and the dignity therapy group was treated with dignity therapy.The self-esteem,negative emotions,psychological pain,quality of life,level of hope and nursing satisfaction of the two groups were statistically analyzed.Results The scores of appearance self-esteem,behavior self-esteem,social self-esteem,total scores of SSES were higher than those before nursing,the difference was statistically significant(P<0.05).After nursing,the scores of appearance self-esteem,behavior self-esteem,social self-esteem and SSES in the dignity therapy group were higher than those in the routine nursing group,the difference was statistically significant(P<0.05).The SAS score,SDS score,DT score and SCL-90 score of the two groups were lower than those before nursing,the difference was statistically significant(P<0.05).After nursing,the SAS score,SDS score,DT score and SCL-90 score of patients in dignity therapy group were lower than those in routine nursing group,the difference was statistically significant(P<0.05).The total scores of intimacy,behavior attitude,positive attitude and hope level of patients in the two groups after nursing were higher than those before nursing,the difference was statistically significant(P<0.05).After nursing,the total scores of intimacy,behavior attitude,positive attitude and hope level in dignity therapy group were higher than those in routine nursing group,the difference was statistically significant(P<0.05).The nursing satisfaction of patients in dignity therapy group was 96.0%(48/50)higher than that in conventional nursing group 76.0%(38/50),the difference was statistically significant(P<

关 键 词：临终护理实践 尊严疗法 自尊状况 负性情绪 心理痛苦程度 生命质量 希望水平 护理满意度 

分 类 号：R487[医药卫生—临床医学]