Ⅱ~Ⅳ分期食管癌患者化疗过程中灵性水平与生活质量的相关性及灵性照护的应用效果  

Correlation between Spiritual Level and the Quality of Life during Chemotherapy in Stage II~IV Esophageal Cancer Patients and Their Response to Spiritual Care

作　　者：闫思瑞 陈园园[1] 伊晓燕 YAN Sirui;CHEN Yuanyuan;YI Xiaoyann(The First Affiliated Hospital,and College of Clinical Medicine of Henan University of Science and Technology,Luoyang,China,471023)

机构地区：[1]河南科技大学临床医学院,河南科技大学第一附属医院,洛阳471023

出　　处：《食管疾病》2025年第1期68-73,共6页Journal of Esophageal Diseases

摘　　要：目的分析Ⅱ~Ⅳ分期食管癌患者化疗过程中灵性水平与生活质量的相关性,并探究食管癌患者化疗过程中灵性照护的应用效果。方法从2021年1月至2024年3月在河南科技大学第一附属医院接受化疗的Ⅱ~Ⅳ分期食管癌患者中抽取162例临床资料进行回顾性分析。所有患者均应用中文版欧洲癌症治疗与研究生命质量-灵性健康量表(EORTC QLQ-SWB32)进行灵性水平测试,同时应用中文版欧洲癌症治疗与研究生命质量-生存质量量表(EORTC QLQ-OES18)评估所有患者的生活质量。根据EORTC QLQ-SWB32结果将患者分为低水平86例、中水平45例、高水平31例3个等级,比较不同等级灵性水平患者的生活质量,分析灵性水平与生活质量间的相关性。同时将灵性水平为低水平的患者按照是否实施灵性照护分为对照组43例和观察组43例,对照组化疗期间实施常规干预,观察组在常规干预基础上实施灵性照护,比较两组干预前和干预1个月后的灵性水平和生活质量。结果比较不同等级灵性水平患者的生活质量显示,高水平的EORTC QLQ-OES18评分最高,其次为中水平,低水平的EORTC QLQ-OES18评分最低,3个等级患者的EORTC QLQ-OES18评分比较组间差异具有统计学意义(P<0.05)。相关性分析结果显示,食管癌化疗患者EORTC QLQ-SWB32各维度、条目以及总分和生存质量呈正相关(r>0,P<0.05)。干预1个月后,观察组的EORTC QLQ-SWB32总分和EORTC QLQ-OES18总分均高于对照组(P<0.05)。结论Ⅱ~Ⅳ分期食管癌患者化疗过程中的生活质量与灵性水平密切相关,通过在Ⅱ~Ⅳ分期食管癌患者化疗过程中实施灵性照护可进一步提升其灵性水平,进而促进其生活质量的改善。Objective To analyze the correlation between spiritual level and quality of life in patients with stage II~IV esophageal cancer during chemotherapy,and to explore the application effects of spiritual care in these patients.Methods A retrospective analysis was conducted on the clinical data of 162 patients with stage II~IV esophageal cancer who received chemotherapy at our hospital from January 2021 to March 2024.All patients were assessed using the Chinese version of the european organization for research and treatment of cancer quality of life-spiritual well-being scale(EORTC QLQ-SWB32)for spiritual level testing,and their quality of life was evaluated with the Chinese version of the EORTC QLQ-OES18.Patients were divided into 3 groups:86 with low spiritual level,45 with moderate spiritual level,and 31 with high spiritual level.The quality of life of patients with different spiritual levels was compared,and the correlation between spiritual level and quality of life was analyzed.Patients with low spiritual level were further divided into a control group(43 cases)and an intervention group(43 cases)based on whether spiritual care was implemented.The control group received routine interventions during chemotherapy,while the intervention group received spiritual care in addition to routine interventions.The spiritual level and quality of life of both groups were compared before the intervention and one month after the intervention.Results The quality of life of patients with different spiritual levels showed that the EORTC QLQ-OES18 scores were highest in the high spiritual level group,followed by the moderate level group,and lowest in the low spiritual level group.The differences in EORTC QLQ-OES18 scores among the three groups were statistically significant(P<0.05).Correlation analysis revealed that the EORTC QLQ-SWB32 dimensions,items,and total score were positively correlated with the quality of life in esophageal cancer patients undergoing chemotherapy(r>0,P<0.05).One month after the intervention,the total score

关 键 词：食管癌 化疗 灵性水平 生存质量 相关性 灵性照护 

分 类 号：R473.5[医药卫生—护理学]