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局部中晚期鼻咽癌患者人文关怀、生活质量状况及其相互关系 被引量:4

Humanistic care,quality of life and the relationship in patients with local middle and advanced nasopharyngeal carcinoma
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摘要 目的调查护士对鼻咽癌患者人文关怀和患者的生活质量的现状,探讨护士人文关怀和患者生活质量的相关性。方法选取2018年7—10月医院收治的接受同时期放化疗的局部晚期鼻咽癌患者100例,分别于治疗前、治疗中采用慢性病患者人文关怀体验量表(NHCES-NCDP)和生活质量量表QLQ-C30(V3.0)问卷进行调查。分析治疗前与治疗中患者人文关怀与生活质量评分变化情况及其相互关系。结果单因素分析结果显示,治疗中人文关怀总分低于治疗前,治疗中生活质量功能评分低于治疗前,差异具有统计学意义(P<0.05)。相关分析结果显示,治疗前人文关怀和生活质量无相关性(P>0.05),治疗中人文关怀与生活质量呈正相关(P<0.05)。多因素线性回归分析结果显示,治疗前及治疗中的人文关怀与患者生活质量均无关系(P>0.05)。结论鼻咽癌患者的人文关怀体验感和生活质量在治疗中均较治疗前降低,护士的人文关怀对患者的生活质量无影响。 Objective To investigate the status quo of nurses'humanistic care for patients with nasopharyngeal carcinoma and the quality of life of patients,and to discuss the humanistic care of nurses and the life of patients The correlation of quality.Methods 100 patients with locally advanced nasopharyngeal carcinoma who received radiotherapy and chemotherapy during the same period were selected from the hospital from July to October 2018.Questionnaires including the Human Care Experience Scale for Chronic Disease Patients(NHCS-NCDP)and the Quality of Life scale QLQ-C30(V3.0)were used for investigating before and during treatment.The change of humanistic care and quality of life score of patients before and during treatment and their relationship were analyzed.Results Univariate analysis showed that the total score of humanistic care during treatment was lower than that before treatment,and the quality of life function score during treatment was lower than that before treatment,the difference was statistically significant(P<0.05).The results showed that there was no correlation between humanistic care and life quality before treatment(P>0.05),while there was a positive correlation between humanistic care and life quality during treatment(P<0.05).Multivariate linear regression analysis showed that humanistic care before and during treatment had no relationship with patients'quality of life(P>0.05).Conclusion The humanistic care experience and quality of life of nasopharyngeal carcinoma patients decreased during treatment,and the humanistic care of nurses had no effect on the quality of life of patients.
作者 王聪 夏乐 李建梅 范育英 郭姗姗 WANG Cong;XIA Le;LI Jianmei;FAN Yuying;GUO Shanshan(Cancer Prevention Center,Sun Yat-sen University,Guangzhou,510060,China)
出处 《护理实践与研究》 2022年第23期3500-3505,共6页 Nursing Practice and Research
基金 中山大学医学人文实践调研基金(编号:201802)。
关键词 鼻咽癌 护理 人文关怀 生活质量 相关性 Nasopharyngeal carcinoma Nursing Humanistic care Quality of life Correlation
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