人本理念的姑息护理对晚期肺癌患者的影响
Effect of Palliative Care Based on Humanistic Concept in Patients with Advanced Lung Cancer
龚旦媛 1李琪 1顾佳1
作者信息
- 1. 常熟市第一人民医院 江苏常熟 215500
- 折叠
摘要
目的:探讨人本理念的姑息护理对晚期肺癌患者的影响.方法:选取 2020 年 1 月 1 日～2022 年 1 月 31 日接受治疗的88 例晚期肺癌患者为研究对象,随机分为对照组和观察组各 44 例,对照组实施常规护理,观察组实施人本理念的姑息护理;比较两组入院当日、出院前 1 天心理弹性[采用心理弹性量表(CD-RISC)]、生活质量[采用癌症生活质量量表(QLQ-C30)]、疲乏程度[采用癌因性疲乏量表(CRF)]及睡眠质量[采用匹兹堡睡眠质量指数(PSQI)].结果:出院前 1 天,两组CD-RISC、QLQ-C30、PSQI各维度评分均高于入院当日(P<0.01,P<0.05),且观察组高于对照组(P<0.05,P<0.01);出院前 1 天,两组CRF各维度评分均低于对照组入院当日(P<0.01),且观察组低于对照组(P<0.01).结论:实施人本理念的姑息护理能够最大程度上改善晚期肺癌患者的心理状态,提升其睡眠质量和生活质量.
Abstract
Objective:To explore the effect of the palliative care based on humanistic concept in patients with advanced lung cancer.Methods:A total of 88 patients with advanced lung cancer admitted from January 1,2018 to January 31,2022 were selected as the study subjects,and were eandomly divided into the control group and the observation group,with 44 cases in each group.The control group car-ried out routine nursing intervention,and the observation group carried out humanistic concept of palliative care.Psychological resilience by Connor-davidson ResiLience Scale(CD-RISC),quality of life by Quality of Life Questionnaire(QLQ-C30),fatigue degree by cancer-related Fatigue(CRF)and quality of sleep by Pittsburgh Sleep Quality Index(PSQI),The psychological resilience,quality of life,cancer-related fatigue and sleep quality of the two groups were compared on the day of admission and 1 day before discharge.Results:One day before dis-charge,the CD-RISC,QLQ-C30 and PSQI were higher in both groups than those on the day of admission(P<0.01,P<0.05),and higher in the observation group than those in the control group(P<0.01,P<0.05).One day before discharge,the CRF scores were lower in both groups than those in the control group on the day of admission(P<0.01),and lower in in the observation group than those in the control group(P<0.01).Conclusion:Palliative nursing with humanistic concept can improve the psychological state in patients with advanced lung cancer to the greatest extent,improve their sleep quality,and quality of life,which is worthy of clinical promotion.
关键词
晚期肺癌/人本理念/姑息护理/心理状态/睡眠质量Key words
Advanced lung cancer/Humanistic concept/Palliative care/Psychological state/Sleep quality引用本文复制引用
出版年
2024
NETL
NSTL
维普
万方数据