安宁疗护与传统治疗干预下癌症晚期患者的医疗成本与生活质量对比研究  

A Comparative Study on Medical Costs and Quality of Life in Terminal Cancer Patients Under Palliative Care and Conventional Treatment Interventions

作　　者：吉辉 刘瑞 王静 文雯 JI Hui;LIU Rui;WANG Jing;WEN Wen(Affiliated Hospital of Panzhihua University,Panzhihua 617000,Sichuan;School of Health and Wellness,Panzhihua University,Panzhihua 617000,Sichuan)

机构地区：[1]攀枝花学院康养学院,四川攀枝花617000 [2]攀枝花学院附属医院,四川攀枝花617000

出　　处：《攀枝花学院学报》2024年第5期96-102,共7页Journal of Panzhihua University

基　　金：2022年中国攀西康养产业研究中心项目“安宁疗护与传统治疗干预下癌症晚期患者的医疗成本与生活质量对比研究”(PXKY-YB-202214)。

摘　　要：目的:探讨安宁疗护与传统治疗干预下癌症晚期患者的医疗成本与生活质量。方法:选择2019年1月—2023年10月攀枝花市某三甲医院安宁疗护试点病房收治的癌症晚期患者62例为研究对象,采用随机对照试验和随机数字表法,随机分为对照组和安宁组,各31例。对照组进行传统的治疗干预,安宁组在对照组的基础上实施安宁疗护干预。对比分析两组的医疗成本、生活质量、治疗结果的情况。结果:安宁组的治疗费、检查费、护理费高于对照组(P<0.05);安宁组Braden量表、Barthel量表评分比较低于对照组(P<0.05);对照组出院率高于安宁组(P<0.05)。结论:安宁疗护有利于癌症晚期患者生活质量的提高,临床推广应用价值较高,国家及政府应积极采取合适的策略措施,减少因地域发展及医保DRGs政策的影响造成安宁疗护医疗成本增高而限制安宁疗护的发展。Objective:To explore the medical costs and quality of life in terminal cancer patients under palliative care compared to conventional treatment interventions.Methods:Sixty-two terminal cancer patients admitted to a palliative care pilot ward of an upper first-class hospital in Panzhihua from January 2019 to October 2023 were selected as research subjects.They were randomly assigned to the control group and the palliative care group,with 31 patients in each,using a randomized controlled trial and random number table method.The control group received conventional treatment interventions,while the palliative care group received palliative care interventions in addition to the conventional treatments.The medical costs,quality of life,and treatment outcomes of the two groups were compared and analyzed.Results:The cost of treatment,medical examination,and nursing in the palliative care group were higher than those in the control group(P<0.05).The Braden scale and Barthel index scores in the palliative care group were lower than those in the control group(P<0.05).The discharge rate in the control group was higher than that in the palliative care group(P<0.05).Conclusion:Palliative care contributes to the improvement of the quality of life in terminal cancer patients and exhibits high clinical application value.The state and government should actively adopt appropriate strategies and measures to reduce the increase in medical costs for palliative care due to regional development and the impact of the DRGs policy,which may otherwise limit the development of palliative care.

关 键 词：安宁疗护 癌症晚期 医疗成本 生前预嘱 护理模式 

分 类 号：R473[医药卫生—护理学]