摘要
目的探讨基于多学科协作的安宁疗护对癌症患者癌因性疲乏、生活质量、社会支持度的影响,评估其应用价值。方法采用方便抽样法,选取郑州大学附属肿瘤医院2019年4月—2021年5月住院的682例临终期癌症患者为研究对象,依据随机数表法将其分为对照组和观察组,各341例。对照组接受传统癌症临终医疗、护理管理,观察组在此基础上接受多学科协作的安宁疗护。比较两组患者癌症疲乏情况、生活质量、护理满意度以及患者家庭、社会支持程度。结果干预前两组患者癌因性疲乏评分比较差异无统计学意义(P>0.05);干预后两组癌因性疲乏各项评分均下降,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预前两组生活质量评分比较差异无统计学意义(P>0.05);干预后两组生活质量评分均提高,且观察组高于对照组,差异有统计学意义(P<0.05)。干预前两组家庭支持、朋友支持、其他支持比较差异均无统计学意义(P>0.05);干预后两组家庭支持、朋友支持、其他支持评分均提高,且观察组家庭支持、其他支持高于对照组,差异有统计学意(P<0.05)。观察组护理总满意度高于对照组,差异有统计学意义(P<0.05)。结论基于多学科协作的安宁疗护可以改善患者癌症疲乏,提高生活质量,提升患者家庭、社会支持程度与护理满意度。
Objective To analyze the effect of palliative care based on multidisciplinary collaboration on cancer-related fatigue,quality of life and social support of cancer patients and to evaluate its application value.Methods From April 2019 to May 2021,a total of 682 terminal cancer patients who were admitted to Affiliated Cancer Hospital of Zhengzhou University were selected as the research objects by the convenient sampling method.According to the random number table method,they were divided into the control group and the observation group,with 341 cases in each group.The control group received traditional cancer hospice medical treatment and nursing management,while the observation group received multidisciplinary hospice care on this basis.The cancer-related fatigue,quality of life,nursing satisfaction,and the degree of family and social support were compared between the two groups.Results There was no statistically significant difference in the score of cancer-related fatigue between the two groups before intervention(P>0.05).After intervention,the scores of cancer-related fatigue in the two groups decreased and that of the observation group was lower than the control group,and the differences were statistically significant(P<0.05).There was no statistically significant difference in quality of life score between the two groups before intervention(P>0.05).After intervention,the quality of life scores of the two groups were improved and that of the observation group was higher than the control group,and the differences were statistically significant(P<0.05).There were no statistically significant differences in family support,friend support and other support between the two groups before intervention(P>0.05).After intervention,the scores of family support,friend support and other support in the two groups were improved,and the scores of family support and other support in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total nursing sat
作者
卢红梅
赵瑞
霍霞
李鹏阳
任红艳
Lu Hongmei;Zhao Rui;Huo Xia;Li Pengyang;Ren Hongyan(Department of Internal Medicine,Affiliated Cancer Hospital of Zhengzhou University,Henan Cancer Hospital,Zhengzhou 450000,China;Nursing Department,Cancer Hospital Affiliated to Zhengzhou University,Henan Cancer Hospital,Zhengzhou 450000,China;Health Management Center,Cancer Hospital Affiliated to Zhengzhou University,Henan Cancer Hospital,Zhengzhou 450000,China;Phase I Clinical Research Center,Cancer Hospital Affiliated to Zhengzhou University,Henan Cancer Hospital,Zhengzhou 450000,China)
出处
《中华现代护理杂志》
2022年第26期3652-3656,共5页
Chinese Journal of Modern Nursing
基金
河南省医学科技攻关计划项目(LHGJ20210209)。
关键词
肿瘤
安宁疗护
多学科协作
临终患者
Neoplasms
Palliative care
Multidisciplinary cooperation
Terminal stage patients
