人文关怀在恶性肿瘤护理中的应用

Application of Humanistic Care in Malignant Tumor Nursing

目的研究分析恶性肿瘤患者采用人文关怀护理模式的临床效果。方法该次研究方便选取该院2016年1月—2017年12月间治疗的100例恶性肿瘤患者,根据随机分组原则,观察组和对照组每组50例患者,对照组患者遵循常规护理流程,护理人员为患者提供常规护理服务。观察组患者在常规护理基础上引入人文关怀护理理念,患者心理状态评价采用抑郁自评量表(SDS)和焦虑自评量表(SAS)进行评分,应用自制护理工作满意度调查问卷让患者对临床护理满意度进行评分。结果观察组和对照组患者在治疗前比较SDS得分和SAS得分差异无统计学意义(P>0.05),在治疗后观察组SDS得分(46.5±6.2)分和SAS得分(39.6±4.1)分明显低于对照组(65.4±5.9)分、(59.8±3.6)分,两组比较差异有统计学意义(t=10.628、12.124,P<0.05);观察组患者护理总满意度为92.0%对照组患者护理总满意度为72.0%,观察组患者护理总满意度高于对照组,组间差异有统计学意义(χ2=6.775,P<0.05)。结论在恶性肿瘤患者临床护理中引入人文关怀理念,可减少癌症给患者带来的痛苦,改善患者抑郁情绪,提高患者对护理工作的满意度,值得推广。

Objective To study the clinical effects of humanistic care models in patients with malignant tumors. Methods In this study, 100 patients with malignant tumors who were treated between January 2016 and December 2017 were convenient selected and enrolled. According to the randomized principle, 50 patients in the observatiou group and the control group each. The patients in the control group followed the routine nursing process. Personnel provide routine care to patients in the control group. The observation group patients introduced the concept of humanistic care on the basis of routine nursing. The patients＂ psychological state evaluation was scored by the Self-rating Depression Scale （SDS） and the Self-rating Anxiety Scale（SAS）. The self-care nursing job satisfaction questionnaire was used to allow patients to rate clinical nursing satisfaction. Results There were no differences in SDS scores and SAS scores between the observation group and the control group before treatment （P〉0.05）. After treatment, the SDS scores （46.5±6.2）points and SAS scores （39.6±4.1）points were significantly lower than the control group of （65.4±5.9） points, （59.8±3.6） points, the difference between the two groups was statistically significant （t=10.628,12.124 P〈0.05）; the total satisfaction of patients in the observation group was 92.0%. The total satisfaction of patients in the control group was 72.0%. The total satisfaction of the patients in the observation group was higher than that in the control group. The difference between the groups was statistically significant （X^2=6.775, P〈0.05）. Conclusion Introducing the concept of humanistic care in the clinical nursing of patients with malignant tumors can reduce the pain caused by cancer, improve the depression of patients, and improve the satisfaction of patients with nursing work. It is worth promotion.