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晚期胃癌疼痛护理和临终关怀对患者生活质量的影响研讨 被引量:1

Effect of Pain Care and Hospice Care on Quality of Life of Patients with Advanced Gastric Cancer
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摘要 目的探究疼痛护理+临终关怀对晚期胃癌患者的影响。方法方便选取2022年9月—2023年9月巨野县人民医院肿瘤科的86例晚期胃癌患者为研究对象,根据奇偶数分为参考组、关怀组,各43例,参考组为普通护理,关怀组为疼痛护理+临终关怀。比较两组疼痛程度、癌因性疲乏,希望水平以及生活质量。结果关怀组轻度疼痛率为18.60%,重度疼痛率为11.63%,优于参考组的4.65%、32.56%,差异有统计学意义(χ^(2)=4.074、5.472,P均<0.05)。施护前,两组癌因性疲乏程度比较,差异无统计学意义(P>0.05);施护后,关怀组癌因性疲乏程度低于参考组,差异有统计学意义(P<0.05)。施护前,两组希望水平比较,差异无统计学意义(P>0.05)。施护后,关怀组希望水平高于参考组,差异有统计学意义(P<0.05)。关怀组生活质量评分高于参考组,差异有统计学意义(P<0.05)。结论疼痛护理+临终关怀能有效减轻癌因性疲乏问题,可以降低疼痛感,提高各晚期胃癌患者希望水平,对于生活质量的改善效果好。 Objective To explore the effect of pain care+hospice care on patients with advanced gastric cancer.Methods 96 patients with advanced gastric cancer in Department of Oncology of Juye County People's Hospital from September 2022 to September 2023 were conveniently selected as the research objects.They were divided into reference group and care group according to odd-even number,43 cases in each group.The reference group was general care,and the care group was pain care+hospice care.The study was conducted to assess pain levels,compare cancer-related fatigue,and observe hope levels and quality of life.Results In the care group,the rate of mild pain was 18.60%,and the rate of severe pain was 11.63%,which were better than 4.65%and 32.56%in the reference group,the differences were statistically significant(χ^(2)=4.074,5.472,both P<0.05).Before care,there was no statistically significant difference in the degree of cancer fatigue between the two groups(P>0.05).After care,the degree of cancer fatigue in the care group was lower than that in the reference group,and the difference was statistically significant(P<0.05).Before care,there was no statistically significant difference in the hope level between the two groups(P>0.05).After care,the hope level in the care group was higher than that in the reference group,and the difference was statistically significant(P<0.05).The quality of life in the care group was higher than the reference group,and the difference was statistically significant(P<0.05).Conclusion Pain care+hospice care can effectively reduce the problem of cancer-related fatigue,reduce the sense of pain,improve the hope level of advanced gastric cancer patients,and improve the quality of life.
作者 王爱民 WANG Aimin(Department of Oncology,Juye County People's Hospital,Heze,Shandong Province,274900 China)
出处 《中外医疗》 2024年第2期171-174,共4页 China & Foreign Medical Treatment
关键词 临终关怀 疼痛程度 晚期胃癌 生活质量 疼痛护理 Hospice care Degree of pain Advanced gastric cancer Quality of life Pain care
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