早期姑息关护住院方案在食管癌放疗患者中的应用效果

Application effect of early palliative care program in hospitalized patients with esophageal cancer undergoing radiotherapy

目的探讨早期姑息关护住院方案在食管癌放疗患者中的应用价值。方法选取2015年11月-2016年8月在河南省肿瘤医院接受治疗的食管癌放疗住院患者86例，按照随机数表法分为试验组和对照组，两组各43例，其中对照组按照食管癌常规护理方法进行护理，试验组在对照组基础上行早期姑息关护住院方案，比较两组患者护理后2个月在治疗依从性、汉密尔顿抑郁量表（HAMD）砰分、汉密尔顿焦虑量表（HAMA）评分、生活质量评分之间的差异，同时对两组患者的住院费用进行比较。结果试验组患者治疗过程中积极配合、勉强配合、消极配合比例分别为62．8％、27．9％和9．3％，对照组分别为25．6％、46．5％和27．9％，两组患者依从性比较差异均具有统计学意义（t=4．123，P〈O．05）。试验组患者治疗后HAMA和HAMD评分分别为（11．63±4．28）、（16．33±3．03）分，对照组患者分别为（15．99±3．02）、（25．93±2．94）分，两组患者HAMA和HAMD评分比较差异均具有统计学意义“值分别为2．374、2．374；P〈0．05）；试验组患者治疗后生活质量评分和住院费用分别为（102．37±5．93）分、（98264．47±3274．33）元，对照组分别为（84．34±7．44）分、（121637．01±3927．03）元，两组比较差异均具有统计学意义（t值分别为2．448、2．592；P〈0．05）。结论早期姑息关护住院方案可以降低食管癌放疗患者的焦虑、忧郁程度以及住院费用，提高患者的生活质量。

Objective To explore the application effect of early palliative care program in patients with esophageal cancer undergoing radiotherapy. Methods Eighty-six hospitalized patients with esophageal cancer undergoing radiotherapy treated in He＇nan Cancer Hospital from November 2015 to August 2016 were divided according to random number table into experimental group and control group, each with 43 cases. Patiems in the control group were nursed according to conventional nursing method for esophageal cancer, while on this basis, palliative care was conducted to patients in the experimental group. After 2 months of nursing, treatment compliance, scores of Hamilton depression scale （HAMD）, Hamilton anxiety scale （HAMA）, and quality of life were compared between the two groups, as well as their hospitalization expenses. Results During the treatment, percentage of patients who cooperated positively, reluctantly and negatively in the experimental group was 62.8%, 27.9% and 9.3%, while in the control group 25.6%, 46.5% and 27.9% （t=4.123, P 〈 0.05）. After treatment, I-lAMA scores and HAMD scores in the experimental group were （11.63 ± 4.28）points and （16.33±3.03）, while in the control group （15.99 ± 3.02） and （25.93 ± 2.94） （t=2.374, 2.374; P 〈 0.05） ; scores of life quality and hospitalization expenses in the experimental group were （102.37 ± 5.93） points and （98 264.47 ±3 274.33） Yuan, while in the control group （84.34± 7.44） and （121 637.01± 3 927.03） （t=2.448, 2.592; P 〈 0.05）. Conclusions For patients with esophageal cancer undergoing radiotherapy, early palliative eare progrmn can reduce degree of anxiety, depression and hospital costs, and improve their quality of life.