临终关怀对临终患者死亡质量的影响
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摘要
目的探讨临终关怀对临终患者死亡质量的影响,探索有效的临终关怀措施以促进终末期患者实现优逝。方法 100例临终患者随机分为研究组50例和对照组50例,试验组开展临终关怀治疗措施,对照组采用常规治疗措施。对死亡患者家属进行回访,采用善终期望量表(GDI)比较2组患者死亡质量。结果对照组患者GDI得分为(118±20)分,研究组患者得分为(139±16)分,高于对照组(P<0.01)。并且研究组患者GDI表的10个核心维度均高于对照组患者。结论本研究采取的人性化临终关怀策略可有效提高患者的死亡质量。
Objective To explore the impact of hospice care on the death quality of hospice patients and explore effective hospice care measures to promote the optimal death of end-stage patients. Methods One hundred patients with dying were randomly divided into study group and control group,50 cases in each group. The study group carried out hospice care measures,and the control group used routine treatment measures. A return visit was conducted to the families of the patients who died,and the quality of death in the two groups was compared using the Good Death Inventory(GDI).Results The GDI score of the control group was(118±20),and the score of the study group was(139±16),which was significantly higher than that of the control group(P<0.01). And the 10 core dimensions of the GDI table in the study group were higher than those in the control group. Conclusion The humanized hospice strategy adopted in this study can effectively improve the quality of death in patients.
Objective To explore the impact of hospice care on the death quality of hospice patients and explore effective hospice care measures to promote the optimal death of end-stage patients. Methods One hundred patients with dying were randomly divided into study group and control group,50 cases in each group. The study group carried out hospice care measures,and the control group used routine treatment measures. A return visit was conducted to the families of the patients who died,and the quality of death in the two groups was compared using the Good Death Inventory(GDI).Results The GDI score of the control group was(118±20),and the score of the study group was(139±16),which was significantly higher than that of the control group(P<0.01). And the 10 core dimensions of the GDI table in the study group were higher than those in the control group. Conclusion The humanized hospice strategy adopted in this study can effectively improve the quality of death in patients.
引文
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[8]李梦媛,修英菊,彭歆,等.终末期患者死亡质量测量工具的研究进展[J].护理学杂志,2017,32(9):101-104.
[2]Kinoshita H,Maeda I,Morita T,et al.Place of death and the differences in patient quality of death and dying and caregiver burden[J].J Clin Oncol,2015,33(4):357-363.
[3]Cagle JG,Pek J,Clifford M,et al.Correlates of a good death and the impact of hospice involvement:findings from the national survey of households affected by cancer[J].Support Care Cancer,2015,23(3):809-818.
[4]孟宪武.临终关怀[M].天津:天津科学技术出版社,2002:28-30.
[5]王福平,古利明.尊严死教育在ICU临终患者疗护中的应用[J].中国医学伦理学,2014,27(1):118-120.
[6]睢素利.对生前预嘱相关问题的探讨[J].中国卫生法制,2014,22(2):7-11.
[7]Miyashita M,Morita T,Sato K,et al.Good death inventory:a measure for evaluating good death from the bereaved family member's perspective[J].J Pain Symptom Manage,2008,35(5):486-498.
[8]李梦媛,修英菊,彭歆,等.终末期患者死亡质量测量工具的研究进展[J].护理学杂志,2017,32(9):101-104.