摘要
目的:探讨人性化护理干预应用于恶性肿瘤患者临终生活质量改善的临床效果。方法:收治恶性肿瘤患者160例,采用随机数字表法分成对照组和人性化护理干预组,每组各80例,分别给予常规护理干预措施和人性化护理干预措施;比较两组护理前后生活质量核心量表(QLQ-C30)各项指标评分。结果:对照组和人性化护理干预组护理前认知功能、躯体功能、角色功能、情绪功能、社会功能、恶心呕吐、疼痛、疲倦及总体状况等生活质量核心量表指标评分组间比较无显著差异(P>0.05);护理后人性化护理干预组护理前认知功能、躯体功能、角色功能、情绪功能、社会功能、恶心呕吐、疼痛及疲倦等生活质量核心量表指标评分较对照组改善更为明显,组间比较差异显著(P<0.05);但两组总体状况评分护理前后均无明显差异(P>0.05)。结论:人性化护理干预应用于恶性肿瘤患者能够有效改善临终生活质量,缓解痛苦。
Objective:To investigate the clinical improving effect of humane care on dying life quality of patients with cancer. Methods : 160 patients with cancer were chose in the period from May 2010 to May 2012 in our hospital and randomly divided into two groups including control group (80 patients ) with routine care intervention and humane care group ( 80patients ) with humane care intervention;and the QLQ- C30 scores of both groups were compared before and after nursing. Results: There was no significant difference in QLQ - C30 scores including cognitive function, physical function, role function, emotional function, social function, nausea and vomiting, pain, fatigue and overall condition between both groups before nursing( P 〉 0.05 ). The QLQ - C30 scores including cognitive function, physical fuuction,role function, emotional function, social function, nausea and vomiting, pain and fatigue of humane care group were significantly better than control group after nursing (P〈 0. 05 ). But There was no significant difference in overall condition QLQ - C30 scores between both groups after nursing (P 〉 0.05 ). Conclusion : Humane care on patients with cancer can efficiently improve dying life quality, relieve the pain, and is worthy of clinical application.