基于死亡教育的姑息性护理对晚期胃癌患者负性情绪和生活质量的影响

Effect of palliative care mode based on death education on negative emotions and quality of life in patients with advanced gastric cancer

目的探讨基于死亡教育的姑息性护理模式对晚期胃癌患者负性情绪和生活质量的影响。方法选取2014年3月至2015年3月间哈尔滨医科大学附属肿瘤医院收治的90例确诊晚期胃癌患者,采用随机数字表法分为研究组和对照组,每组45例,研究组患者采用基于死亡教育的姑息性护理模式,对照组患者采用常规护理模式,观察比较两组患者的负性情绪和生活质量。结果两组患者护理后SAS评分和SDS评分均较护理前降低,且研究组上述得分均低于对照组,差异均有统计学意义(均P<0.05),两组比较差异有统计学意义;两组患者护理后生活质量各项功能评分均较护理前升高,差异均有统计学意义(均P<0.05),且研究组较对照组显著升高,差异有统计学意义(P<0.05)。结论基于死亡教育的姑息性护理模式可有效改善晚期胃癌患者负性情绪,提高患者生活质量。

Objective To observe the effect of palliative care mode based on death education on negative emotions and quality of life in patients with advanced gastric cancer. Methods Ninety patients with advanced gastric cancer treated at Cancer Hospital Affiliated to Harbin Medical University from March2014 to March 2015 were selected and were divided into a study group and a control group according to the random digital table method with 45 cases in each group. The study group were given palliative nursing mode based on death education while the control group were given routine nursing mode. Negative emotions and quality of life were observed in the two groups. Results The SAS scores and SDS scores decreased in both groups after nursing compared with those before nursing（ P 0. 05）,with the study group lower than the control group（ P 0. 05）. The scores of quality of life at each function level increased in both groups after nursing compared with before nursing（ P 0. 05）,with the study group significantly higher than the control group（ P 0. 05）. Conclusion The palliative care mode based on death education can effectively improve the negative emotions and increase the quality of life in patients with advanced gastric cancer.