摘要
目的探讨舒适护理模式干预在晚期癌症患者居家安宁疗护中的应用效果,为晚期癌症患者居家安宁疗护提供参考。方法采用随机对照试验,便利抽样法选取2023年1—2月在哈尔滨医科大学附属肿瘤医院接受治疗的112例晚期癌症患者为研究对象,按照随机数字表法将其分为对照组和干预组各56例。对照组采用常规护理,干预组在此基础上给予舒适护理模式干预,共干预4周。比较2组干预前后姑息照护结局、生命质量及死亡焦虑情况变化。结果最终纳入研究对象105例,对照组53例,干预组52例。对照组男25例,女28例,年龄(58.96±10.71)岁;干预组男22例,女30例,年龄(59.82±10.53)岁。干预前,2组患者姑息照护结局、生命质量、癌症死亡焦虑得分比较差异均无统计学意义(均P>0.05)。干预后,干预组姑息照护结局总分(13.34±5.88)分,显著低于对照组的(16.15±5.72)分,差异有统计学意义(t=2.48,P<0.05);生命质量总体健康状况得分(68.55±9.34)分,高于对照组的(63.01±9.28)分,差异有统计学意义(t=3.05,P<0.05);癌症死亡焦虑总分(8.85±2.72)分,低于对照组的(10.59±3.14)分,差异有统计学意义(t=3.04,P<0.05)。结论舒适护理模式应用于居家安宁疗护中可以改善晚期癌症患者安宁疗护质量,降低其死亡焦虑水平,对提高晚期癌症患者生命质量具有重要意义。
Objective To explore the effect of comfort nursing intervention in hospice care for advanced cancer patients at home,and to provide reference for hospice care for advanced cancer patients at home.Methods A randomized controlled trial was conducted.A total of 105 patients with advanced cancer who were treated in the Cancer Hospital Affiliated to Harbin Medical University from January to February 2023 were selected as the research objects.According to the random number table,they were divided into control group of 53 cases and intervention group of 52 cases.The control group received routine nursing methods,while the intervention group received comfort nursing interventions on this basis.The intervention lasted for 4 weeks.The changes in palliative care outcomes,quality of life and death anxiety were compared between the two groups before and after intervention.Results Totally 105 cases were included,53 cases in the control group and 52 cases in the intervention group.In the control group,there were 25 males,28 females,aged(58.96±10.71)years old;in the intervention group,there were 22 males,30 females,aged(59.82±10.53)years old.Before intervention,there was no statistically significant difference in palliative care outcomes,quality of life and cancer death anxiety scores between the two groups of patients(all P>0.05).After intervention,the total score of palliative care outcomes in the intervention group was(13.34±5.88)points,significantly lower than(16.15±5.72)points in the control group,with a statistically significant difference(t=2.48,P<0.05).The overall health status score of quality of life was(68.55±9.34)points in the intervention group,higher than(63.01±9.28)points in the control group(t=3.05,P<0.05).The total score of cancer death anxiety was(8.85±2.72)points,significantly lower than(10.59±3.14)points of the control group,with a statistically significant difference(t=3.04,P<0.05).Conclusions The application of comfort nursing mode in home based hospice care can improve the quality of hospice care f
作者
潘春艳
吴莹莹
纪红梅
刘丽秀
王岩
张丽敏
Pan Chunyan;Wu Yingying;Ji Hongmei;Liu Lixiu;Wang Yan;Zhang Limin(Second Ward of Colorectum,Harbin Medical University Cancer Hospital,Harbin 150040,China;Peritoneal Tumor Surgery,Shijitan Hospital Affiliated to Capital Medical University,Beijing 100080,China;First Gastrointestinal Ward,Harbin Medical University Cancer Hospital,Harbin 150040,China)
出处
《中国实用护理杂志》
2024年第8期575-582,共8页
Chinese Journal of Practical Nursing
基金
海燕科研基金(JJMS2021-04)。
关键词
护理
舒适护理模式
居家安宁疗护
晚期癌症
Nursing care
Comfortable care mode
Home tranquil care
Advanced cancer
