家庭照护结合的尊严疗法在晚期肺癌患者临终关怀护理中的应用

Application of dignity therapy combined with family care in hospice nursing for patients with advanced lung cancer

目的探讨家庭照护相结合的尊严疗法在晚期肺癌患者临终关怀护理中的应用价值。方法选取2016年12月至2017年12月由铜陵市立医院肿瘤科收治的晚期肺癌患者共60例,将患者及家属愿意参与家庭照护的30例设为观察组,另30例设为对照组。观察组患者接受尊严疗法,并组建家属参与临终关怀小组进行家庭照护,对照组患者采取常规护理。护理前后分别采用汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评估心理状况,自尊量表(SSES)评估自尊状态并进行统计学比较。结果护理干预后两组患者HAMD评分、HAMA评分与SSES评分均优于护理干预前,护理干预后观察组患者HAMD评分、HAMA评分均低于对照组,观察组患者SSES各项评分均高于对照组(均P<0.05)。结论采取家庭照护相结合的尊严疗法对晚期肺癌患者进行临终关怀护理干预,可改善患者自尊水平与心理状态,具有一定的应用价值。

Objective To investigate the efficacy of dignity therapy combined with family care in hospicenursing for patients with advanced lung cancer. Methods A total of 60 patients with advanced lung cancer wereselected from Oncology Department of Tongling Municipal Hospital from December 2016 to December 2017.Patients were divided into observation group and control group respectively by random number table with 30patients in each group. All the patients in observation group who were willing to participate in family care receiveddignity therapy, and a family hospice team were formed to participate in family care. The patients in control groupreceived routine nursing. Hamilton depression scale （HAMD）, Hamilton anxiety scale （HAMA） and Status self？esteem scale （SSES） were used to evaluate the psychologic status of the patients before and after nursing. Results After nursing, scores of HAMD, HAMA and SSES increased significantly in both groups （ P 〈 0.05）. Thescores of HAMD and HAMA were lower in observation group than those in control group, and score of SSES washigher in observation group than that in control group （P〈0.05）. Conclusions Dignity therapy combined withfamily care shows significant efficacy in hospice nursing for patients with advanced lung cancer, which canimprove patients＇ psychologic status.