摘要
目的探讨医-护-志多学科协作模式在癌症终末期患者及照护者中的应用效果。方法选择2021年4月—2023年9月于福建省肿瘤医院进行治疗的103例晚期癌症患者作为研究对象,采用类实验的研究方法将癌症终末期患者分为试验组(n=50)与对照组(n=53)。试验组采取医-护-志多学科协作模式的照护模式,对照组采取常规的照护模式。每4周对2组患者心理痛苦程度、照护者的生活满意度进行评估,随访到患者死亡后。对2组患者在心理痛苦程度、照护者生活满意度、住院次数、生存期、治疗决策及临终决策等数据后进行统计学分析。结果试验组心理痛苦程度为(3.64±1.41)分,优于对照组的(4.25±1.53)分,差异有统计学意义(P<0.05)。试验组医疗决策和临终决策等均优于对照组,差异有统计学意义(P<0.05)。2组患者在住院次数、生存期、照护者生活满意度比较,差异无统计学意义(P>0.05)。结论对终末期癌症患者采取医-护-志多学科协作模式可降低患者心理痛苦程度,指导患者及家属的治疗决策及临终决策,此模式简单易行且临床可操作性强,可为终末期癌症住院患者的安宁疗护照护模式提供借鉴。照护者生活满意度提升仍需要更多社会支持。医护人员和患者及家属对缓和医疗的认知不够深刻,仍需要大力推广安宁疗护的理念,提升临床医护人员的安宁疗护专业水平、提高患者和家属的认知水平。
Objective To explore the application effect of the multidisciplinary collaboration model of doctors-nurses-volunteers in end-stage cancer patients and caregivers.Methods A total of 103 advanced cancer patients who underwent treatment at Fujian Cancer Hospital from April 2021 to September 2023 were selected as the research subjects.Using quasi experimental research method,cancer end-stage patients were divided into the experimental group(n=50)and in the control group(n=53).The experimental group adopted the care model of multidisciplinary collaboration of doctors-nurses-volunteers,the control group adopted conventional care mode.The level of psychological pain and caregiver satisfactionof two groups of patients every fourweeks were evaluated.Statistical analysis was conducted on the psychological pain levels,caregiver life satisfaction,number of hospitalizations,survival time,treatment decisions,and end-of-life decisions of the two groups after following up until the patients′death.Results The degree of psychological distress in the experimental group was(3.64±1.41)points,which was superior(4.25±1.53)pointsto the control group′s,and the difference was statistically significant(P<0.05).The medical and end-of-life decisions of the experimental group were superior to those of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference between the two groups of patients in terms of hospitalization frequency,survival period,and caregiver life satisfaction(P>0.05).Conclusion This multidisciplinary collaboration model of doctors-nurses-volunteer can alleviate the psychological pain of patients with end-stagecancer and assist patients and their families in making treatment decisions and end-of-life decisions.This model is simple,easy to implement,and has strong clinical operability,which can provide reference for the care model of end-stage cancer inpatients.More social support is still needed to improve the life satisfaction of caregivers.Medical staf
作者
朱芳
刘爱琴
杨眉
吴光峰
吴子栏
ZHU Fang;LIU Aiqin;YANG Mei;WU Guangfeng;WU Zilan(Department of Oncology,Clinical Oncology School of Fujian Medical University/Fujian Cancer Hospital,Fuzhou Fujian 350014,China)
出处
《中国卫生标准管理》
2024年第19期189-193,共5页
China Health Standard Management
基金
福建省自然科学基金资助项目(2020J011114)。
关键词
多学科协作
终末期癌症患者
照护者
生活满意度
治疗决策
临终决策
multidisciplinary collaboration
end-stage cancer patients
caregivers
life satisfaction
treatment decisions
end-of-life decision
