家属参与的临终关怀小组对晚期肝癌患者负性情绪及护理工作满意度的影响
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摘要
目的探究家属参与的临终关怀小组对晚期肝癌患者负性情绪及护理工作满意度的影响。方法选取本院2015年4月～2017年11月晚期肝癌患者187例,按照入院顺序分组,对照组93例采取常规干预,研究组94例于对照组基础上采取家属参与的临终关怀小组干预,分析比较两组护理工作满意度及干预前后抑郁、焦虑、生活质量(SDS、SAS、WHOQOL-100)评分。结果研究组护理工作满意度较对照组高(P <0.05);干预前两组SDS、SAS评分差异不明显(P> 0.05),干预后研究组SDS、SAS评分较对照组低(P <0.05);干预后研究组WHOQOL-100评分较对照组高(P <0.05)。结论对晚期肝癌患者采取家属参与的临终关怀小组干预,能明显减轻其负性情绪,提升护理工作满意度及生活质量。
Objective To investigate the impact of family-related hospice care group on negative emotions and nursing job satisfaction in patients with advanced liver cancer. Methods 187 patients with advanced liver cancer from April 2015 to November 2017 were enrolled in this study. According to the order of admission, 93 patients in the control group underwent routine intervention. 94 patients in the study group were treated with family-related hospice care on the basis of the control group. The scores of nursing job satisfaction and depression, anxiety and quality of life(SDS, SAS, WHOQOL-100) before and after intervention were compared. Results The satisfaction of nursing work in the study group was higher than that in the control group(P < 0.05). There was no significant difference in SDS and SAS scores between the two groups before intervention(P >0.05). The SDS and SAS scores of the study group were lower than those of the control group after intervention(P < 0.05). And the WHOQOL-100 score of the study group was higher than that of the control group after intervention(P < 0.05). Conclusion The family members involved hospice care intervention in advanced liver cancer patients can significantly reduce negative emotions and improve the satisfaction of nursing work and quality of life.
Objective To investigate the impact of family-related hospice care group on negative emotions and nursing job satisfaction in patients with advanced liver cancer. Methods 187 patients with advanced liver cancer from April 2015 to November 2017 were enrolled in this study. According to the order of admission, 93 patients in the control group underwent routine intervention. 94 patients in the study group were treated with family-related hospice care on the basis of the control group. The scores of nursing job satisfaction and depression, anxiety and quality of life(SDS, SAS, WHOQOL-100) before and after intervention were compared. Results The satisfaction of nursing work in the study group was higher than that in the control group(P < 0.05). There was no significant difference in SDS and SAS scores between the two groups before intervention(P >0.05). The SDS and SAS scores of the study group were lower than those of the control group after intervention(P < 0.05). And the WHOQOL-100 score of the study group was higher than that of the control group after intervention(P < 0.05). Conclusion The family members involved hospice care intervention in advanced liver cancer patients can significantly reduce negative emotions and improve the satisfaction of nursing work and quality of life.
引文
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[10]陈紫莲.对肝癌晚期患者进行人文关怀护理的效果探析[J].当代医药论丛,2016,14(3):74-76.
[2]黄宝辉.加强肝癌患者人文关怀护理对生存质量的影响分析[J].中国医药指南,2015,13(29):277.
[3]赵燕,孙菊,杜娟.晚期肝癌患者人文关怀需求及护理措施[J].哈尔滨医药,2014,34(1):60-61.
[4]孙亚利,肖奇贵,任洋,等.人文关怀护理对肝癌手术患者生活质量和负性情绪的影响研究[J].中国医学伦理学,2016,29(4):704-706.
[5]张晶晶,李懿,熊正香.人文关怀在原发性肝癌患者护理中的应用与效果[J].解放军护理杂志,2017,34(6):70-72.
[6]徐东妮.原发性肝癌晚期疼痛评估及人文关怀护理在疼痛治疗中的应用效果[J].中国煤炭工业医学杂志,2014,17(7):1167-1169.
[7]矫非桐,林芹兰.浅析人文关怀在老年癌症患者临终护理中的应用价值[J].当代医药论丛,2015,13(5):122-123.
[8]向姊君,崔宁.人文关怀护理对肝癌晚期患者的应用效果观察[J].河北医学,2017,23(2):332-334.
[9]李晔,刘颖.人文关怀结合鼓励性护理模式对肝癌介入患者术后行为方式、社会支持的影响[J].国际护理学杂志,2015,34(21):2969-2971.
[10]陈紫莲.对肝癌晚期患者进行人文关怀护理的效果探析[J].当代医药论丛,2016,14(3):74-76.