护理干预对改善晚期癌症患者生存质量影响研究.docVIP

护理干预对改善晚期癌症患者生存质量影响研究 　　[摘要] 目的 探讨护理干预对改善晚期癌症患者临终期生存质量的影响,为护理干预在晚期癌症患者临终护理方面的广泛应运提供科学依据。方法 参照我国于1990年制定的肿瘤病人的生活质量评分(QOL)标准,将62例入住我院经确诊为癌症晚期的患者,随机分为试验组和对照组,试验组除常规临终护理外,给予积极的护理干预措施,对照组只给予常规临终护理。结果 试验组与对照组按(QOL)评分,结果经统计学处理有统计学意义(P0.05)。结论 护理干预对晚期癌症患者生存质量的改善有积极意义,值得在临床推广应用。 　　[关键词]护理干预;晚期癌症患者;生存质量;影响 　　[中图分类号] R73;R473.5 [文献标识码] A [文章编号] 1673-9701(2010)06-60-02 　　 　　Effect of Nursing Intervention on Quality of Life of Patients with Advanced Cancer 　　ZHOU ShuliDONG Chongyang 　　Department of Traditional Chinese Medicine, Affiated Hospital of Inner Mongolia Medical College,Hohhot 010050,China 　　 　　[Abstract] Objective To investigate the effect of nursing intervention on quality of life(QOL)of the patients with advanced cancer and provide evidence for wide use of nursing intervention in improving the quality of life of patients with the disease. Methods Referring to the QOL standard for cancer patients established in China in 1990,we divided 62 cases diagnosed as advanced cancer in our hospital randomly into experimental group and control group. Both groups received the routine hospital care in terminal stage and the positive nursing intervention was added to the experimental group. Results There was asignificant difference in the QOL score between the two groups(P0.05). Conclusion Nursing intervention is of great significance in improving the quality of life of the patients with advanced cancer,worthy of clinical popularization. 　　[Key words] Nursing intervention;Advanced cancer;Quality of life;Influence 　　癌症作为威胁人类生命健康的顽症之一,已经成为死亡的代名词。对癌症患者而言,生理上是受病痛的折磨,心理上是对死亡的恐惧。虽然我们现在的医疗水平已经达到了一个前所未有的高度,但是在治疗这种疾病的时候还是显得力不从心。因此癌症的死亡率仍旧居高不下,因此对于晚期癌症患者,要求我们临床要改变以往以药物为主的治疗[1],转为对晚期癌症患者采取以护理干预[2]为主、药物治疗为辅的治疗方针,增加患者战胜疾病的信心,降低其对死亡的恐惧感,改善晚期癌症患者的生存质量[3,4],维护其尊严,使其顺利走完人生最后的日子。因此笔者对护理干预对改善晚期癌症患者临终期生存质量的影响进行了如下研究[5]。 　　1资料与方法 　　1.1一般资料 　　选择2006年5月～2009年5月入住我院中医科经确诊为癌症晚期的患者62例,其中男性36例,女性26例,男女比例为1.38∶1;肺癌16例,肝癌17例,胃癌14例,乳腺癌6例,食道癌4例,胰腺癌3例,鼻咽癌2例;年龄45～78岁,平均年龄(55.87±1.22)岁;受教育程度;小学及初中40例