肺癌晚期患者临终关怀的护理伦理应用价值
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陕西省科学技术研究发展计划项目


The application value of nursing ethics in hospice care of patients with advanced lung cancer
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    摘要:

    【摘要】 目的 探讨肺癌晚期患者临终关怀的护理伦理应用价值。方法 选取2017年1月~2017年12月我院呼吸内科收治的68例肺癌癌症晚期患者为研究对象,随机分为对照组和研究组,每组各34例。其中,对照组采用常规晚期癌症的护理方法,研究组在常规护理的基础上对患者进行临终关怀,对两组患者护理前后的焦虑自评量(SAS)评分和抑郁自评量(SDS)评分进行记录比较,同时应用PSQI评分评估两组患者的睡眠质量并对患者及家属的护理满意度进行调查。结果 进行护理干预前两组患者的SAS评分以及SDS评分差异无统计学意义(P>0.05),护理干预后均得到一定的改善,研究组显著优于对照组(P<0.05);研究组的PSQI评分明显低于对照组,表明该组患者的睡眠质量明显优于对照组(P<0.05);研究组的患者及家属的满意度明显高于对照组,差异均有统计学意义(P<0.05)。结论 对肺癌癌症晚期患者进行临终关怀护理能有效改善患者的SAS评分及SDS评分,并且能有效提升患者的睡眠质量及提高患者及其家属的护理满意度,可在临床推广应用。

    Abstract:

    【Abstract】 Objective To explore the application value of nursing ethics in hospice care of patients with advanced lung cancer. Methods 68 patients with advanced lung cancer treated in Respiratory Medicine Dept. of our hospital from January 2017 to December 2017 were selected as study subjects, and randomly divided into control group and research group, with 34 patients in each group. Among them, the control group using conventional nursing methods of patients with advanced cancer, research on the basis of conventional nursing care of patients with hospice care, nursing in patients with two groups before and after the anxiety of the self assessment score (SAS) and depression assessment (SDS) score record comparison, at the same time, application of PSQI score evaluation of two groups of patients sleep quality and care of the patient and family satisfaction survey. Results Before nursing intervention, there was no significant difference in SAS and SDS scores between the two groups (P>0.05). After nursing care, both groups were improved to a certain extent, and the study group was significantly superior to the control group (P<0.05). The PSQI score of the study group was significantly lower than that of the control group, indicating that the sleep quality of the patients in this group was significantly better than that of the control group (P<0.05). Patients and their families in the study group were significantly more satisfied than those in the control group, with statistically significant differences (P<0.05). Conclusion Endoflife care for patients with advanced lung cancer can effectively improve the patient's SAS score and SDS score, and can effectively improve the patient's sleep quality, and can also effectively improve the patient's and their family's satisfaction with care.

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  • 在线发布日期: 2019-09-10
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