摘要
目的研究家庭临终关怀对终末期老年肺癌患者生活质量及精神状态的影响。方法选取2013年12月至2014年12月我院肿瘤科60例终末期老年肺癌患者作为研究对象,采用随机数字表法将患者分为对照组和试验组,每组各30例。对照组给予一般照护,试验组在此基础上增加家庭临终关怀护理内容。入组干预3月后,分别采用抑郁量表(GDS)和自测健康评定量表(SRHMS)进行评分,并比较2组不良反应的发生情况。结果在3月的家庭临终关怀后,试验组GDS评分(44.65±1.41)、不良反应发生率(43.33%)均低于对照组(56.78±1.46,56.67%)(P均<0.05)。试验组SRHMS评分(32.36±40.23)高于对照组(3.72±10.58,P<0.05)。结论家庭临终关怀能缓解终末期老年肺癌患者的心理压力,减低患者的抑郁情绪,同时有利于患者症状的缓解,改善患者的生活质量及精神状态。
Objective To study the effect of family hospice on the quality of life and mental health in elderly patients with end-stage lung cancer. Methods Sixty cases of end-stage lung cancer were selected from December 2013 to December 2014 in our hospital,and divided into control group and experimental group by random number table method.The control group received usual care,and the experimental group received home hospice care on the basis of usual care.Depression Scale（ GDS） and self-rated health measurement scale（ SRHMS） were assessed and compared before and three months after intervention in two groups. The adverse symptoms were recorded and compared between two groups. Results After three months of home hospice care,the GDS score was 44. 65±1. 41 and the incidence rate of adverse reaction was43. 33% in the experimental group,compared with 56. 78 ± 1. 46,56. 67% in the control group（ P〈0. 05）. The SRHMS score of experimental group（ 32. 36±40. 23） was higher than that in control group（ 3. 72±10. 58,P〈0. 05）. Conclusions Family hospice can ease psychological stress of patients with end-stage lung cancer,reducing depression,alleviating symptoms,and improving quality of life and mental state of the patients.
出处
《实用老年医学》
CAS
2016年第11期965-967,共3页
Practical Geriatrics
