生活希望计划干预对肝癌患者家庭照顾者心理负担、希望水平及生活质量的影响

Effects of living with hope program intervention on the psychological burden,hope level and quality of life of the family caregivers of patients with liver cancer

目的:对肝癌患者家庭照顾者实施生活希望计划干预,观察其对照顾者心理负担、希望水平及生活质量的影响。方法:选择我院2014年4月至2017年3月晚期肝癌患者家庭照顾者96例,按照随机数字表法分为对照组(n=48)和观察组(n=48),对照组给予常规照护知识宣教,观察组在对照组宣教基础上实施生活希望计划干预,比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)、Herth希望指数量表(HHI)、简明生活质量量表(SF-36)评分。结果:观察组干预后SAS(t=-5.588,P<0.05)和SDS(t=-6.304,P<0.05)评分均显著低于对照组;观察组干预后T(t=8.371,P<0.05)、P(t=8.089,P<0.05)、I(t=5.718,P<0.05)评分均显著高于对照组;观察组干预后总体健康(t=7.172,P<0.05)、生理职能(t=6.578,P<0.05)、生理功能(t=5.842,P<0.05)、躯体疼痛(t=6.140,P<0.05)、活力(t=7.989,P<0.05)、社会功能(t=6.390,P<0.05)、情感职能(t=7.648,P<0.05)、精神健康(t=7.818,P<0.05)均显著高于对照组。结论:对肝癌患者家庭照顾者实施生活希望计划干预,可以减轻照顾者心理负担,提高其希望水平和生活质量。

Objective:To give living with hope program intervention to family caregivers of patients with liver cancer and observe its effects on the psychological burden,hope level and quality of life of caregivers.Methods:A total of 96 cases of family caregivers of patients with advanced liver cancer in our hospital from April 2014 to March 2017 were selected and divided into the control group(n=48)and the observation group(n=48)according to the random number table method.The control group was given the routine nursing knowledge education,and the observation group was given the Living with Hope Program intervention on the basis of education in the control group.The scores of self-rating anxiety scale(SAS),self-rating depression scale(SDS),Herth hope index scale(HHI)and short-form quality of life scale(SF-36)were compared between the two groups before and after intervention.Results:After intervention,the scores of SAS and SDS in the observation group were significantly lower than those in the control group(t=-5.588,-6.304;P<0.05).The scores of T,P and I after intervention in the observation group were significantly higher than those in the control group(t=8.371,8.089,5.718;P<0.05).After intervention,the scores of overall health,physiological role,physiological function,somatic pain,vitality,social function,emotional function and mental health in the observation group were significantly higher than those in the control group(t=7.172,6.578,5.842,6.140,7.989,6.390,7.648,7.818;P<0.05).Conclusion:Living with Hope Program intervention for family caregivers of patients with liver cancer can reduce the psychological burden of caregivers and enhance their hope level and quality of life.