全人/整体护理对晚期癌症患者生活质量的影响

Impact of Whole-person/Holistic Care on the Quality in Life in Patients with Advanced Cancer

目的探讨全人/整体护理对晚期癌症患者生活质量的影响。方法将2007年11月-2008年7月60例确诊为晚期癌症的患者随机分为试验组和对照组,均规范接受阿片类药物镇痛和针对其他痛苦症状的药物控制治疗。在此基础上,试验组再增加躯体照护、心理疏导、灵性关怀等全人/整体护理,并就两组在疼痛缓解、活动能力和生活质量改善等方面的效果进行比较。结果观察期内,试验组在疼痛缓解、活动能力及生活质量改善方面明显优于对照组,两组比较差异均有统计学意义(P<0.05)。结论在药物治疗基础上,运用全人/整体护理能够明显提高晚期癌症患者及其家属的生活质量。

Objective To explore the association between whole-person/holistic care and quality of life of patients with advanced cancer. Methods Sixty patients with advanced cancer diagnosed between November 2007 and July 2008 were randomly divided into experimental group and control group. Opium analgesia medicines and some other medicines were used in both groups to control pain and other symptoms. In the experimental group, additional whole-person/holistic care including physical care, psychological supports, and spiritual care was used. Comparison between the two groups in terms of pain relief, movement function improvement, as well as quality of life improvement was done. Results Statistical differences were detected between the experimental group and the control group in terms of pain relief, movement function improvement, and quality of life improvement （P 〈 0.05）. Conclusion Whole-person/holistic care can improve quality of life of patients with advanced cancer.