安宁疗护对肿瘤晚期患者临终期生活质量的影响
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摘要
目的探讨安宁疗护对晚期肿瘤患者临终期生活质量的影响。方法选取2016年1月至2016年12月间天津市人民医院收治的103例肿瘤晚期患者,采用随机数表法分为观察组(52例)和对照组(51例),观察组患者采取安宁疗护,对照组患者采用常规疗护。比较两组患者的疼痛缓解情况、生活质量各项指标及主观幸福感。结果干预后,两组患者疼痛评分均较干预前降低,且观察组患者低于对照组,差异均有统计学意义(均P<0.05)。干预后,两组患者生活质量各项指标及主观幸福度评分均优于干预前,且观察组优于对照组,差异均有统计学意义(均P<0.05)。结论安宁疗护助于缓解晚期肿瘤患者临终期负面不良情绪,可缓解患者疼痛,增加主观幸福感,提高生活质量。
Objective To explore the effect of hospice care on quality of life in patients with advanced cancer. Methods A total of 103 patients with advanced cancer treated at Tianjin People's Hospital from January 2016 to December 2016 were selected as the study subjects and randomized according to the random number table method to an observation group(52 patients) and a control group(51 patients). The observation group was given hospice care and the control group was given conventional care. Pain relief,quality of life and subjective well-being were compared. Results The score of pain significantly decreased in both groups after intervention with the observation group lower than the control group(all P < 0. 05). After the intervention,score of quality of life and subjective well-being both groups were significantly higher than before the intervention with the observation group significantly higher than the control group(all P <0. 05). Conclusion Hospice care can help eliminate negative emotions in patients with advanced cancer and is of great significance in alleviating pain,increasing subjective well-being and improving quality of life.
Objective To explore the effect of hospice care on quality of life in patients with advanced cancer. Methods A total of 103 patients with advanced cancer treated at Tianjin People's Hospital from January 2016 to December 2016 were selected as the study subjects and randomized according to the random number table method to an observation group(52 patients) and a control group(51 patients). The observation group was given hospice care and the control group was given conventional care. Pain relief,quality of life and subjective well-being were compared. Results The score of pain significantly decreased in both groups after intervention with the observation group lower than the control group(all P < 0. 05). After the intervention,score of quality of life and subjective well-being both groups were significantly higher than before the intervention with the observation group significantly higher than the control group(all P <0. 05). Conclusion Hospice care can help eliminate negative emotions in patients with advanced cancer and is of great significance in alleviating pain,increasing subjective well-being and improving quality of life.
引文
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[15]沈伟,吴克瑾,钟进才,等.中国大陆宁养肿瘤患者691例生活质量研究报告[J].肿瘤,2012,32:828-832.
[16]李颖,吴玉苗,毛懿雯,等.死亡教育在临终关怀科肿瘤患者中的应用[J].现代肿瘤医学,2017,25:3497-3499.
[17]Movsas B,Moughan J,Sarna L,et al.Quality of life supersedes the classic prognosticators for long-term survival in locally advanced non-small-cell lung cancer:an analysis of RTOG 9801[J].J Clin Oncol,2009,27:5816-5822.
[2]国家卫生和计划生育委员会.安宁疗护中心基本标准和管理规范(试行)[J].中国护理管理,2017,17:289-290.
[3]张雪梅,胡秀英.我国安宁疗护的发展现状、存在的问题及发展前景[J].中华现代护理杂志,2016,22:4885-4888.
[4]To KKW,Chong P,Auyeung SCF.Abstract 4737:new platinum(Pt)-based anticancer agents,bearing a Pt N2SO coordination core,for treating advanced melanoma[J].Cancer Research,2016,76:4737.
[5]龚国梅,骆俊宏,陈瑞娥,等.中国台湾地区安宁疗护发展及启示[J].中华现代护理杂志,2016,22:313-316.
[6]Thanarpan P,Somrit M,Rungarun J,et al.Cosmetic outcomes and quality of life in Thai women post breast conserving therapy for breast cancer[J].Asian Pac J Cancer Prev,2015,16:4685-4690.
[7]王春华,常小娟.临终关怀护理对晚期恶性肿瘤患者及其家属的心理疏导作用[J].中国肿瘤临床与康复,2015,22:1493-1496.
[8]Ozmen F,爦ahin TT,Ozmen MM.Current adjuvant therapeutic approaches for pancreatic cancer[J].Adv Ther,2015,32:42-56.
[9]陈利坚,屠春雨,沈林燕,等.地市级医院医务社会工作实践与体会[J].中国医院,2016,20:12-14.
[10]Chen W,Zheng R,Baade PD,et al.Cancer statistics in China,2015[J].CA Cancer J Clin,2016,66:115-132.
[11]李永娜,范惠,李欢欢,等.临终关怀的整合模型:精神、心理与生理的关怀[J].苏州大学学报(教育科学版),2017,5:61-73.
[12]诸海燕,孙彩萍,张宇平,等.综合性医院安宁疗护模式的实施与效果评价[J].中国护理管理,2016,16:832-835.
[13]Bai M,Lazenby M,Jeon S,et al.Exploring the relationship between spiritual well-being and quality of life among patients newly diagnosed with advanced cancer[J].Palliat Support Care,2015,13:927-935.
[14]刘颖颜.叙事医学视角下社区晚期肿瘤患者临终关怀的伦理挑战[J].中国医学伦理学,2016,29:271-274.
[15]沈伟,吴克瑾,钟进才,等.中国大陆宁养肿瘤患者691例生活质量研究报告[J].肿瘤,2012,32:828-832.
[16]李颖,吴玉苗,毛懿雯,等.死亡教育在临终关怀科肿瘤患者中的应用[J].现代肿瘤医学,2017,25:3497-3499.
[17]Movsas B,Moughan J,Sarna L,et al.Quality of life supersedes the classic prognosticators for long-term survival in locally advanced non-small-cell lung cancer:an analysis of RTOG 9801[J].J Clin Oncol,2009,27:5816-5822.