安宁疗护在临终肿瘤患者中的护理效果  

Nursing Effect of Hospice Care in Terminal Cancer Patients

作　　者：蔡淑燕 朱文丽[1] Cai Shuyan;Zhu Wenli(Department of Oncology and Radiotherapy,Shantou Central Hospital,Shantou 515041,Guangdong Province,China)

机构地区：[1]汕头市中心医院肿瘤放疗科,广东汕头515041

出　　处：《中外医药研究》2024年第20期94-96,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

摘　　要：目的:探究安宁疗护在临终肿瘤患者中的护理效果。方法:选取2021年1月—2023年3月汕头市中心医院收治的临终肿瘤患者70例为研究对象,采用随机分组法分为对照组和观察组,各35例。对照组应用常规护理,观察组在对照组基础上应用安宁疗护。比较两组疼痛数字评分法(NRS)、抑郁自评量表(SDS)、中文版死亡焦虑量表(C-T-DAS)、生存质量测定量表(QOL)评分及满意度。结果:干预前,两组NRS、SDS、C-T-DAS评分比较,差异无统计学意义(P>0.05);干预后,两组NRS、SDS、C-T-DAS评分低于干预前,观察组低于对照组,差异有统计学意义(P<0.05)。干预前,两组社会关系、环境、心理、生理评分比较,差异无统计学意义(P>0.05);干预后,两组社会关系、环境、心理、生理评分高于干预前,观察组高于对照组,差异有统计学意义(P<0.05)。观察组满意度高于对照组,差异有统计学意义(P<0.001)。结论:安宁疗护能够减轻临终肿瘤患者的疼痛症状,改善其不良心理,提高生活质量及满意度。Objective:To explore the nursing effect of hospice care in terminal cancer patients.Methods:Seventy patients with terminal cancer admitted to Shantou Central Hospital from January 2021 to March 2023 were selected as the study objects,and were randomly divided into control group and observation group,with thirty-five patients in each group.The control group received routine nursing,and the observation group received hospice care on the basis of the control group.The scores of Pain Numerical Rating Scale(NRS),Self-rating Depression Scale(SDS),Chinese Version of Death Anxiety Scale(C-T-DAS),Quality of Life Scale(QOL)and satisfaction were compared between the two groups.Results:Before intervention,there was no significant difference in NRS,SDS and C-T-DAS scores between the two groups(P>0.05);after intervention,NRS,SDS and C-T-DAS scores of the two groups were lower than before intervention,and the observation group was lower than the control group,the difference was statistically significant(P<0.05).Before intervention,there was no significant difference in social relationship,environment,psychological and physiological scores between the two groups(P>0.05);after intervention,the scores of social relationship,environment,psychology and physiology of the two groups were higher than before intervention,and the observation group was higher than the control group,the difference was statistically significant(P<0.05).The satisfaction of observation group was higher than that of control group,and the difference was statistically significant(P<0.001).Conclusion:Hospice care can alleviate the pain symptoms of terminal cancer patients,improve their bad psychology,improve the quality of life and satisfaction.

关 键 词：临终肿瘤 安宁疗护 生活质量 心理 疼痛 

分 类 号：R473.73[医药卫生—护理学]