老年慢阻肺晚期患者的临终关怀服务模式的讨论

Discussion on Hospice Care Model of Elderly Patients with Advanced Chronic Obstructive Pulmonary Disease

目的探讨老年慢阻肺晚期患者的临终关怀服务模式的效果。方法选取2014年—2015年收治的老年慢阻肺晚期患者62例,将患者按照自愿原则分成临终关怀观察组和普通治疗对照组,对比两组的生活质量评分以及家属满意度评分。结果观察组在临终关怀后躯体、情绪、认知、整体生活质量方面的得分高于对照组(P<0.05),具有统计学意义。观察组的满意度评分明显高于对照组,(P<0.05),具有统计学意义。结论临终关怀在临床的开展还有着很大的困难,主要是专业人员少,机构少等问题。临希望随着我国医疗事业的发展,会有更多的患者接受临终关怀。

Objective To explore the effect of hospice care in elderly patients with advanced chronic obstructive pulmonary disease.Methods 62 Cases of elderly patients with advanced chronic obstructive pulmonary disease who were treated from 2014 to 2015 were selected,The patients were divided into two groups according to the principle of voluntary hospice care,the observation group and the control group,Scores of quality of life of the two groups were compared with their families.Results In the observation group, the scores of physical, emotional, cognitive, and overall quality of life after hospice care were higher than those in the control group（P〈0.05）, which had statistical significance.The satisfaction score of observation group was significantly higher than that of control group（P〈0.05）, with statistical significance. Conclusion Hospice care in the clinical development has a lot of difficulties, mainly professional personnel, institutions and other issues. Hope that with the development of China＇s medical industry, there will be more patients to receive hospice care.