医院到家庭连续护理对肝癌患者化疗依从性和生活质量的影响

Effects of HtoH transitional nursing on the compliance of chemotherapy and quality of life among patients with liver cancer

目的 探讨医院到家庭（HtoH）连续护理对肝癌患者化疗依从性和生活质量的影响.方法 选取2012年4月—2014年4月枣庄市市立医院肿瘤中心84例肝癌患者作为研究对象,采用随机数字表法分为研究组和对照组,各42例,研究组实施由医院、社区医护人员协作的HtoH连续护理6个月,对照组实施临床常规护理,对比两组患者的生活质量指数（QOL）得分、抑郁自评量表（SDS）评分和化疗配合程度及依从性.结果 研究组SDS评分低于对照组,除躯体性障碍外,各项差异均有统计学意义（P〈0.05）.研究组QOL评分高于对照组,差异均有统计学意义（P〈0.05）;与对照组相比,研究组肝癌患者化疗的配合程度及依从性更好（P〈0.05）.结论 HtoH连续护理可以降低患者的负性情绪,提高患者生活质量,增加患者化疗的配合程度及依从性.

Objective To explore the impacts of Hospital-to-Home（ HtoH） transitional nursing on the compliance of chemotherapy and quality of lives among patients with liver cancer. Methods A total of 84 cases of liver cancer （ during the period between April 2012 and April 2014 ） were selected from multiple hospital of Zaozhuang and randomly divided into research group and control group, with each group 42 cases. The patients of control group was given the routine nursing care, while the patients of research group received 6 months continuous transitional nursing care that operated by medical staff members. The living quality of life score （QOL）, self-rating depression scale （SDS） score, and level of compliance to chemotherapy were compared between two groups. Results The score of SDS in the research group was lower than score in the control group （ P〈0. 05） except for the somatization disorder. The score of QOL in the research group was higher than that in the control group （P〈0. 05）. The level of compliance of chemotherapy in the research group was significantly better than than that in the control group （P〈0. 05）. Conclusions The HtoH transitional nursing can decrease patients′negative emotion, improve quality of life, and increase the compliance of chemotherapy.