人文关怀护理对肝癌患者生活质量和负性情绪的影响研究

Effect of Humanistic Care on Quality of Life and Negative Emotion of Patients with Liver Cancer

目的探讨人文关怀护理对肝癌患者生活质量和负性情绪的影响。方法选取我院(2014年1月至2016年1月)收治80例的肝癌患者为研究对象,随机分组,观察组患者给予人文关怀护理,对照组患者给予常规护理。对比两组患者护理前后焦虑程度、抑郁程度、生活质量以及睡眠质量。结果两组患者护理前SAS、SDS评分对比无显著差异,不具有统计学意义(P>0.05);护理后两组患者SAS、SDS评分均有所降低,但观察组患者下降更为显著,差异具有统计学意义(P<0.05)。护理后观察组患者总体健康、角色功能、情绪功能、社会功能、认知功能、躯体功能评分明显高于对照组,经济困难、便秘、食欲丧失、腹泻、失眠、恶心呕吐、疲倦、疼痛评分明显低于对照组,差异具有统计学意义(P<0.05)。两组患者护理前PSQ评分对比无显著差异,不具有统计学意义(P>0.05);护理后观察组PSQ评分明显低于对照组,差异具有统计学意义(P<0.05)。结论人文关怀护理可有效缓解肝癌患者负性情绪,提高患者生活质量,值得临床推广。

Objective To explore the influence of humanistic care on the quality of life and negative emotions of patients with liver cancer. Methods Our Hospital（January 2014-January 2016） treated 80 cases of liver cancer patients as the research object, randomly divided into two groups, the observation group was given humanistic care, the control group received routine care. The anxiety, depression, quality of life and sleep quality were compared between the two groups before and after nursing. Results There was no significant difference in SAS and SDS scores between the two groups before nursing, and there was no statistical significance（P〈0.05）; after nursing, the scores of SAS and SDS were decreased in the two groups, but the decrease in the observation group was more significant, the difference was statistically significant（P〈0.05）. Nursing care of patients in the observation group after the general health, role function, emotional function, social function, cognitive function, physical function scores were significantly higher than the control group, the economic difficulties, constipation, loss of appetite, diarrhea, insomnia, nausea and vomiting, fatigue, pain scores were significantly lower than the control group, the difference was statistically significant（P〈0.05）. There was no significant difference in PSQ score between the two groups before nursing（P〈0.05）. After nursing, the PSQ score of the observation group was significantly lower than that of the control group, and the difference was statistically significant（P〈0.05）. Conclusion Humanistic care can effectively alleviate the negative emotions of patients with liver cancer, improve the quality of life of patients, it is worthy of clinical promotion.