安宁疗护对肿瘤病房临终癌症患者护理观察(1)
[摘要] 目的 观察安宁疗护对肿瘤病房临终癌症患者护理效果。 方法 选取2017年5月～2019年8月本院肿瘤病房中的64例临终癌症患者为研究对象，根据收治时间顺序将患者分为对照组(2017年5月～2018年6月收治)与观察组(2018年7月～2019年7月收治)，每组32例。对照组采用常规护理，而观察组在对照组的基础上采用安宁疗护，比较护理前、护理后两组患者的焦虑、抑郁状况、疼痛情况以及护理满意度。 结果 护理后，观察组的焦虑(SAS)、抑郁(SDS)评分明显低于对照组;同时观察组的疼痛(VAS)评分也低于对照组;且观察组的护理满意度(93.75%)高于对照组(75.00%)，差异有统计学意义(P<0.05)。 结论 在肿瘤病房临终癌症患者的护理中应用安宁疗护，能有效改善患者的焦虑、抑郁心理，并缓解患者的疼痛，且患者护理满意度高。
[關键词] 肿瘤病房;临终癌症患者;安宁疗护;焦虑;抑郁;疼痛
[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701(2020)24-0180-03
[Abstract] Objective To observe the nursing efficacy of hospice care for terminal cancer patients in tumor wards. Methods 64 terminal cancer patients in our hospital’s tumor wards from May 2017 to August 2019 were selected as research objectsand were divided into the control group(treated from May 2017 to June 2018， n=32) and the observation group(treated from July 2018 to July 2019， n=32) according to the admission and treatment time sequence. The control group was given routine nursing， while the observation group was given hospice care based on what was given to the control group. The anxiety， depression， pain and nursing satisfaction of the two groups before and after nursing were compared. Results After nursing， the anxiety score(SAS) and depressionscore(SDS) of the observation group were significantly lower than those of the control group. At the same time， the pain score(VAS) of the observation group was lower than that of the control group. And the nursing satisfaction of the observation group(93.75%) was higher than that of the control group(75.00%)， and the difference was statistically significant(P<0.05). Conclusion The application of hospice care in the nursing of terminal cancer patients in tumor wards can effectively reduce the anxiety and depression of patients and relieve their pain， and the nursing satisfaction of the patients is high.
[Key words] Tumor wards; Terminal cancer patients; Hospice care; Anxiety; Depression; Pain
癌症是临床中较为常见的疾病，一部分患者在确诊时病情已发展至晚期。癌症晚期患者的生存期大约在3～6个月，且随着疾病的发展，患者会面临临终期，期间患者的生理、心理均承受巨大的痛苦[1-2]。针对这一情况，临床多予以患者护理干预，以捍卫其生命最后的尊严，而随着人们对医疗服务的认知水平不断提高，常规护理干预已无法满足患者的护理需求。安宁疗护是针对癌症临终期患者开展人性化护理的一种模式，该模式能让患者在最后的人生阶段获得良好的生活品质[3-4]。因此，本研究主要观察安宁疗护对肿瘤病房临终癌症患者护理效果，故对2017年5月～2019年8月本院肿瘤病房中的64例临终癌症患者进行临床分析，现报道如下。
1 资料与方法
1.1 一般资料
选取2017年5月～2019年8月本院肿瘤病房中的64例临终癌症患者为研究对象，根据收治时间顺序将患者分为对照组(2017年5月～2018年6月收治)与观察组(2018年7月～2019年7月收治)，每组32例。其中，对照组：男女比例为18：14;年龄42～85岁，平均(62.11±11.39)岁;癌症类型：肺癌4例，胃癌7例，食管癌6例，肝癌6例，乳腺癌4例，胆管癌5例。观察组：男女比例为17：15;年龄44～83岁，平均(62.37±11.20)岁;癌症类型：肺癌4例，胃癌8例，食管癌6例，肝癌5例，乳腺癌3例，胆管癌6例。两组患者的一般资料比较差异不显著(P>0.05)，具有可比性。纳入标准[5]：①经影像学、病理学等相关临床检查证实肿瘤发生转移，且为癌症晚期者;②预期生存期≤3个月者;③患者及其家属已签署研究知情同意书。排除标准[6]：①认知功能减退且无法完成自我测评者;②存在精神疾病者。本院伦理委员会已对本次研究进行严格审批。, http://www.100md.com(熊萍 金小琴 胡艺)
[關键词] 肿瘤病房;临终癌症患者;安宁疗护;焦虑;抑郁;疼痛
[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701(2020)24-0180-03
[Abstract] Objective To observe the nursing efficacy of hospice care for terminal cancer patients in tumor wards. Methods 64 terminal cancer patients in our hospital’s tumor wards from May 2017 to August 2019 were selected as research objectsand were divided into the control group(treated from May 2017 to June 2018， n=32) and the observation group(treated from July 2018 to July 2019， n=32) according to the admission and treatment time sequence. The control group was given routine nursing， while the observation group was given hospice care based on what was given to the control group. The anxiety， depression， pain and nursing satisfaction of the two groups before and after nursing were compared. Results After nursing， the anxiety score(SAS) and depressionscore(SDS) of the observation group were significantly lower than those of the control group. At the same time， the pain score(VAS) of the observation group was lower than that of the control group. And the nursing satisfaction of the observation group(93.75%) was higher than that of the control group(75.00%)， and the difference was statistically significant(P<0.05). Conclusion The application of hospice care in the nursing of terminal cancer patients in tumor wards can effectively reduce the anxiety and depression of patients and relieve their pain， and the nursing satisfaction of the patients is high.
[Key words] Tumor wards; Terminal cancer patients; Hospice care; Anxiety; Depression; Pain
癌症是临床中较为常见的疾病，一部分患者在确诊时病情已发展至晚期。癌症晚期患者的生存期大约在3～6个月，且随着疾病的发展，患者会面临临终期，期间患者的生理、心理均承受巨大的痛苦[1-2]。针对这一情况，临床多予以患者护理干预，以捍卫其生命最后的尊严，而随着人们对医疗服务的认知水平不断提高，常规护理干预已无法满足患者的护理需求。安宁疗护是针对癌症临终期患者开展人性化护理的一种模式，该模式能让患者在最后的人生阶段获得良好的生活品质[3-4]。因此，本研究主要观察安宁疗护对肿瘤病房临终癌症患者护理效果，故对2017年5月～2019年8月本院肿瘤病房中的64例临终癌症患者进行临床分析，现报道如下。
1 资料与方法
1.1 一般资料
选取2017年5月～2019年8月本院肿瘤病房中的64例临终癌症患者为研究对象，根据收治时间顺序将患者分为对照组(2017年5月～2018年6月收治)与观察组(2018年7月～2019年7月收治)，每组32例。其中，对照组：男女比例为18：14;年龄42～85岁，平均(62.11±11.39)岁;癌症类型：肺癌4例，胃癌7例，食管癌6例，肝癌6例，乳腺癌4例，胆管癌5例。观察组：男女比例为17：15;年龄44～83岁，平均(62.37±11.20)岁;癌症类型：肺癌4例，胃癌8例，食管癌6例，肝癌5例，乳腺癌3例，胆管癌6例。两组患者的一般资料比较差异不显著(P>0.05)，具有可比性。纳入标准[5]：①经影像学、病理学等相关临床检查证实肿瘤发生转移，且为癌症晚期者;②预期生存期≤3个月者;③患者及其家属已签署研究知情同意书。排除标准[6]：①认知功能减退且无法完成自我测评者;②存在精神疾病者。本院伦理委员会已对本次研究进行严格审批。, http://www.100md.com(熊萍 金小琴 胡艺)