出院准备计划+安宁疗护模式对肿瘤晚期患者及主要照顾者的影响  

Effect of discharge preparation plan + palliative care mode on advanced cancer patients and primary caregivers

作　　者：陈莺[1] 王静 徐虹 CHEN Ying;WANG Jing;XU Hong(Department of Oncology,the Affiliated Hospital of Jiangnan University,Jiangsu Province,Wuxi 214061,China)

机构地区：[1]江南大学附属医院肿瘤科,江苏无锡214061

出　　处：《中国医药导报》2024年第3期162-165,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81773297)。

摘　　要：目的 探讨出院准备计划+安宁疗护模式对肿瘤晚期患者及主要照顾者的影响。方法 选择2022年1月至12月江南大学附属医院收治的120例肿瘤晚期患者及其家属为研究对象,根据随机数字表法将其分为参照组和研究组,患者各60例,家属各60名。参照组行常规护理+出院准备计划,研究组在参照组的基础上增加安宁疗护干预。观察两组心理状态及主要照顾者心理应激和生活质量变化情况。结果 干预后,两组抑郁自评量表、焦虑自评量表评分均低于干预前,且研究组低于参照组,差异有统计学意义(P<0.05);两组主要照顾者家属应激量表评分均低于干预前,且研究组低于参照组,差异有统计学意义(P<0.05);两组主要照顾者生活质量量表评分均高于干预前,且研究组高于参照组,差异有统计学意义(P<0.05)。结论 出院准备计划+安宁疗护用于肿瘤晚期患者,可有效改善患者及其主要照顾者负面情绪,提高照顾者生活质量。Objective To explore the effect of discharge preparation plan + palliative care mode on advanced cancer patients and primary caregivers.Methods A total of 120 patients with advanced cancer and their families admitted to the Affiliated Hospital of Jiangnan University from January to December 2022 were selected as the research objects.According to the number table method,they were divided into the reference group and the study group,with 60 patients and 60families.The control group received routine nursing + discharge preparation plan,and the study group also added palliative care intervention.The psychological state of the two groups and the changes of psychological stress and quality of life of the main caregivers were observed.Results After intervention,the scores of self-rating depression scale and self-rating anxiety scale in both groups were lower than that before intervention,and the study group was lower than those of the reference group,the differences were statistically significant(P<0.05).The scores of the rumination on sadness scale of the main caregivers in both groups were lower than that before intervention,and the study group was lower than those of the reference group,the differences were statistically significant(P<0.05).The score of family caregiver-specific quality of life scale of primary caregivers in both groups was higher than that before intervention,and the score of study group was higher than that of reference group,and the differences were statistically significant(P<0.05).Conclusion Discharge preparation plan +palliative care for patients with advanced cancer can effectively improve the negative emotions of patients and their main caregivers,and improve the quality of life of caregivers.

关 键 词：肿瘤晚期 出院准备计划 安宁疗护 心理应激 生活质量 

分 类 号：R473[医药卫生—护理学]