摘要
目的 探讨医联体模式联合安心卡引导的尊严照护干预在恶性肿瘤患者安宁疗护中的应用效果.方法 选取2021年1月至2023年12月在苏州市第九人民医院住院治疗的80例恶性肿瘤患者,根据随机数字表法将其分为2组,对照组(n=40)实施常规护理干预,研究组(n=40)实施医联体模式联合安心卡引导的尊严照护干预.比较2组患者的尊严感量表(PDI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、数字评分量表(NRS)和匹兹堡睡眠质量指数量表(PSQI)评分.结果 护理干预前,2组患者PDI、SAS、SDS、NRS和PSQI评分比较,差异无统计学意义(P＞0.05).护理干预后,研究组PDI的症状困扰、心理状况、独立性、精神和平和社会支持评分分别为(7.68±2.16)(28.48±1.48)(11.27±1.69)(1.78±1.15)(9.27±1.67)分,均低于对照组[分别为(14.35±3.56)(33.16±2.03)(17.68±2.78)(4.38±2.35)(13.49±2.47)分],差异有统计学意义(均P＜0.05);研究组SAS、SDS、NRS和PSQI评分分别为(36.18±5.18)(35.67±4.49)(3.45±1.07)(14.19±1.37)分,均低于对照组[分别为(45.16±4.35)(42.08±5.37)(5.74±1.36)(18.45±2.16)分],差异有统计学意义(均P＜0.05).结论 在恶性肿瘤患者安宁疗护中应用医联体模式联合安心卡引导的尊严照护干预,可以改善患者不良心理情绪,减轻患者疼痛感,提高患者睡眠质量的同时提高其尊严水平.
Abstract
Objective To explore the effectiveness of the medical consortium model combined with the"Peace of Mind Card"guided dignity care intervention in palliative care for cancer patients.Methods A total of 80 malignant tumor patients who were hospitalized at Suzhou Ninth People's Hospital from January 2021 to December 2023 were enrolled in this study.The patients were randomly divided into two groups using a random number table method.The control group(n=40)received conventional nursing care,while the study group(n=40)received dignity care intervention guided by the medical consortium model combined with the"Peace of Mind Card."The two groups were compared in terms of dignity level,anxiety,depression scores,sleep quality scores,pain scores,and quality of life scores.Results Before the intervention,there were no statistically significant differences between the two groups in terms of PDI,SAS,SDS,NRS,and PSQI scores(P＞0.05).After the intervention,the study group had significantly lower scores in the following PDI dimensions compared to the control group:symptom distress(7.68±2.16 vs.14.35±3.56),psychological status(28.48±1.48 vs.33.16±2.03),independence(11.27±1.69 vs.17.68±2.78),spiritual well-being(1.78±1.15 vs.4.38±2.35),and social support(9.27±1.67 vs.13.49±2.47)(P＜0.05 for all).Additionally,the study group had lower SAS,SDS,NRS,and PSQI scores:(SAS:36.18±5.18 vs.45.16±4.35),(SDS:35.67±4.49 vs.42.08±5.37),(NRS:3.45±1.07 vs.5.74±1.36),(PSQI:14.19±1.37 vs.18.45±2.16)(all P＜0.05).Conclusions The application of the medical consortium model combined with the"Peace of Mind Card"guided dignity care intervention improves the psychological well-being of malignant tumor patients in palliative care.It reduces anxiety,depression,and pain,enhances sleep quality,and improves dignity levels.
维普
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