晚期癌症患者基于安心卡引导的优逝护理干预  

Good death care guided by Heart to Heart cards in advanced cancer patients

作　　者：张梦乔 尹志东 张丽敏[1] 李维 Zhang Mengqiao;Yin Zhidong;Zhang Limin;Li Wei(Department of Gastrointestinal Surgery,Harbin Medical University Can-cer Hospital,Harbin 150040,China)

机构地区：[1]哈尔滨医科大学附属肿瘤医院胃肠外科,黑龙江哈尔滨150040 [2]哈尔滨医科大学附属肿瘤医院疼痛介入病区,黑龙江哈尔滨150040

出　　处：《护理学杂志》2024年第18期107-110,115,共5页Journal of Nursing Science

基　　金：黑龙江省教育科学规划重点课题(GJB1423218)。

摘　　要：目的探讨晚期癌症患者安宁疗护中基于安心卡引导的优逝护理干预效果。方法按照入院时间将晚期癌症患者分为对照组与干预组各70例。对照组实施常规护理,干预组在对照组基础上实施基于安心卡引导的优逝护理干预。干预后,比较两组感知安宁疗护质量与优逝得分。结果对照组67例、干预组65例完成研究。干预后干预组感知安宁疗护质量总分、优逝总分及各维度得分显著高于对照组(均P<0.05)。结论基于安心卡引导的优逝护理干预能最大程度地满足晚期癌症患者的期望与需求,改善晚期癌症患者感知的安宁疗护质量,提高患者的优逝水平,达到患者优逝的目的。Objective To explore the implementation effect of the intervention of good death care guided by Heart to Heart cards in hospice care for advanced cancer patients.Methods Advanced cancer patients were divided into a control group and an intervention group chronologically,with 70 cases in each group.The control group received routine nursing care,while the intervention group additionally received good death care guided by Heart to Heart cards.After the intervention,the scores of the Questionnaire Quality from the Patient′s Perspective for Palliative Care(QPP-PC)and the Terminally Ill Patients′Good Dealth Scale(TIPGDS)between the two groups were compared.Results Sixty seven patients in the control group and 65 patients in the intervention group completed the study.After the intervention,the total score of QPP-PC,the total score and each subscale score of TIPGDS in the intervention group were significantly higher than those in the control group(all P<0.05).Conclusion Good death care guided by Heart to Heart cards can meet the expectations and needs of advanced cancer patients to the largest extent,improve their perceived quality of hospice care,enhance their level of good death,finally achieve the goal of good death.

关 键 词：晚期癌症 安宁疗护 安心卡 优逝 护理干预 临终护理 

分 类 号：R47[医药卫生—护理学] R48[医药卫生—临床医学]