摘要
目的分析多学科安宁疗护团队在肿瘤终末期患者中的应用价值。方法选取2021年1月至2023年1月厦门市海沧医院收治60例肿瘤终末期患者,按照随机数表法分为两组:对照组和研究组,每组30例患者。对照组采取常规护理干预,研究组进行多学科安宁疗护团队干预。对比两组心理情况及自我效能评分、干预前后癌症治疗功能评价量表(FACT-G)评分和生命态度评分。结果护理前,研究组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分以及自我效能感量表(GSES)得分均优于对照组(P<0.05)。研究组干预后FACT-G评分在功能状况、情感状态、躯体状况以及社会/家庭关系方面均优于对照组(P<0.05)。研究组干预后死亡恐惧、死亡逃避、逃离接受、趋近接受、自然接受评分均优于对照组(P<0.05)。结论在肿瘤终末期患者中,多学科安宁疗护团队的应用相较于常规护理在缓解焦虑、抑郁情绪,提高自我效能,改善生命态度以及提升生活质量方面均表现出显著优势。
Objective Analyze the application value of multidisciplinary hospice nursing teams in end-stage cancer patients.Methods A total of 60 patients with end-stage cancer admitted to Xiamen Haicang Hospital from January 2021 to January 2023 were selected and divided into two groups according to random number table methods control group and study group,with 30 patients in each group.The control group received routine nursing intervention,and the study group received multidisciplinary hospice team intervention.The psychological condition,self-efficacy score and FACT-G score before and after intervention were compared between the two groups.Results Before care,the study group had better scores on the Self-Assessment Scale for Anxiety(SAS),Self-Depression Scale(SDS),and the Self-Efficacy Scale(GSES)than the control group(P<0.05).The FACT-G scores of the study group were better than those of the control group in terms of functional status,emotional status,somatic status and social/family relationships after the intervention(P<0.05).Fear of death,death avoidance,escape acceptance,convergence acceptance,and natural acceptance scores were better in the study group than in the control group after the intervention(P<0.05).Conclusions For end-stage cancer patients,the application of multidisciplinary hospice nursing teams has shown significant advantages over conventional nursing in alleviating anxiety and depression,improving self-efficacy,improving life attitudes,and enhancing quality of life.
作者
郭艺芳
蔡燕萍
苏金叶
曾春香
谢琳珊
黄严金
GUO Yifang;CAI Yanping;SU Jinye;ZENG Chunxiang;XIE Linshan;HUANG Yanjin(Department of Oncology and Hematology,Haicang Hospital,Xiamen 361026,China;Department of Nursing,Haicang Hospital,Xiamen 361026,China)
出处
《中国医药指南》
2024年第29期55-58,共4页
Guide of China Medicine
基金
厦门市卫生指导性项目课题(3502Z20214ZD1296)。
关键词
肿瘤终末期
多学科安宁疗护
自我效能
生活质量
End-stage of tumors
Multidisciplinary hospice nursing team
Self-efficacy
Quality of life
