安宁疗护在晚期肝癌患者中的应用效果  

Application effects of hospice care in patients with advanced liver cancer

作　　者：张丽娟 ZHANG Lijuan(Department of Oncology of Longhai Hospital,Zhengzhou450000 Henan,China)

机构地区：[1]郑州陇海医院肿瘤科,河南郑州450000

出　　处：《中国民康医学》2024年第18期164-166,170,共4页Medical Journal of Chinese People’s Health

摘　　要：目的:观察安宁疗护在晚期肝癌患者中的应用效果。方法:回顾性分析2020年9月至2021年6月该院收治的90例晚期肝癌患者的临床资料,根据护理方法不同将其分为对照组和观察组各45例。对照组给予常规护理,观察组在对照组基础上给予安宁疗护,比较两组护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、姑息照护结局量表(POS)评分、应对方式[医学应对问卷(MCMQ)]评分及生命质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]评分。结果:护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组POS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组面对评分均高于护理前,且观察组高于对照组,两组回避、屈服评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组心理健康、社会关系、生理健康、周围环境等各项WHOQOL-BREF评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:安宁疗护应用于晚期肝癌患者,可减轻患者负性情绪,改善姑息照护结局和应对方式,提高生命质量,效果优于常规护理。Objective:To observe application effects of hospice care in patients with advanced liver cancer.Methods:The clinical data of 90 patients with advanced liver cancer admitted to this hospital from September 2020 to June 2021 were retrospectively analyzed.According to different nursing methods,they were divided into control group and observation group,45 cases in each group.The control group was given routine nursing,while the observation group was given the hospice care on the basis of that of the control group.The scores of negative emotions[selfrating anxiety scale(SAS),self-rating depression scale(SDS)],palliative care outcome scale(POS),coping style[medical coping mode questionnaire(MCMQ)]and quality of life[World Health Organization quality of life-brief(WHOQOL-BREF)]were compared between the two groups before and after the nursing.Results:After the nursing,the scores of SAS and SDS in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the nursing,the POS scores of the two groups were lower than those before the nursing,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).After the nursing,the facing scores of the two groups were higher than those before the nursing,and that in the observation group was higher than that in the control group;the avoidance and yielding scores of the two groups were lower than those before the nursing,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).Further,after the nursing,the WHOQOL-BREF scores of mental health,social relations,physical health and surrounding environment in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:

关 键 词：安宁疗护 晚期肝癌 负性情绪 姑息照护结局 应对方式 生命质量 

分 类 号：R473.73[医药卫生—护理学]