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目的探讨临终综合护理对肿瘤晚期患者生活质量的影响。方法选取2014年1月至2015年1月间中国医科大学附属盛京医院收治的87例晚期胃癌、肝癌和肺癌患者,采用随机数字表法分为观察组与对照组。观察组44例,在常规护理的基础上采用临终综合护理干预,对照组43例,采用常规护理。对两组患者负面情绪、疼痛程度和生活质量评分状况进行对比研究。结果护理干预4周后,观察组患者的负面情绪(抑郁自评量表和焦虑自评量表)评分分别为(40.71±4.92)分和(38.46±3.27)分,均低于对照组患者的(51.73±3.67)分和(55.21±4.62)分,两组比较,差异均有统计学意义(均P<0.05)。观察组患者疼痛程度明显低于对照组患者,两组比较,差异有统计学意义(P<0.05)。观察组患者的生活质量评分为(487.53±44.71)分,高于对照组患者的(417.93±34.24)分,两组比较,差异有统计学意义(P<0.05)。结论临终综合护理干预明显缓解肿瘤晚期患者的负面情绪和疼痛,能够显著提高生活质量。
Objective To explore the impact of comprehensive nursing care on the quality of life of advanced cancer patients. Methods A total of 87 patients with advanced gastric cancer, liver cancer and lung cancer admitted to Shengjing Hospital affiliated to China Medical University from January 2014 to January 2015 were randomly divided into observation group and control group. The observation group of 44 cases, based on routine care using comprehensive psychological care intervention, control group of 43 cases, the use of routine care. The two groups of patients with negative emotions, pain and quality of life scores were compared. Results After 4 weeks of nursing intervention, negative emotions (Self-rating Depression Scale and Anxiety Scale) in the observation group were (40.71 ± 4.92) and (38.46 ± 3.27) points lower than those in the control group (51.73 ± 3.67) points and (55.21 ± 4.62) points respectively. The differences between the two groups were statistically significant (all P <0.05). The degree of pain in the observation group was significantly lower than that in the control group, the difference was statistically significant (P <0.05). The quality of life score of the observation group was (487.53 ± 44.71) points higher than that of the control group (417.93 ± 34.24) points, the difference was statistically significant (P <0.05). Conclusions Comprehensive nursing intervention can significantly relieve the negative emotions and pain in advanced cancer patients, and can significantly improve the quality of life.