家属参与的临终关怀小组对晚期肝癌患者负性情绪及护理工作满意度的影响

Influence of Family-related Hospice Care Group on Negative Emotion and Satisfaction of Nursing Work in Patients with Advanced Liver Cancer

目的探究家属参与的临终关怀小组对晚期肝癌患者负性情绪及护理工作满意度的影响。方法选取本院2015年4月～2017年11月晚期肝癌患者187例,按照入院顺序分组,对照组93例采取常规干预,研究组94例于对照组基础上采取家属参与的临终关怀小组干预,分析比较两组护理工作满意度及干预前后抑郁、焦虑、生活质量(SDS、SAS、WHOQOL-100)评分。结果研究组护理工作满意度较对照组高(P <0.05);干预前两组SDS、SAS评分差异不明显(P> 0.05),干预后研究组SDS、SAS评分较对照组低(P <0.05);干预后研究组WHOQOL-100评分较对照组高(P <0.05)。结论对晚期肝癌患者采取家属参与的临终关怀小组干预,能明显减轻其负性情绪,提升护理工作满意度及生活质量。

Objective To investigate the impact of family-related hospice care group on negative emotions and nursing job satisfaction in patients with advanced liver cancer. Methods 187 patients with advanced liver cancer from April 2015 to November 2017 were enrolled in this study. According to the order of admission, 93 patients in the control group underwent routine intervention. 94 patients in the study group were treated with family-related hospice care on the basis of the control group. The scores of nursing job satisfaction and depression, anxiety and quality of life(SDS, SAS, WHOQOL-100) before and after intervention were compared. Results The satisfaction of nursing work in the study group was higher than that in the control group(P < 0.05). There was no significant difference in SDS and SAS scores between the two groups before intervention(P >0.05). The SDS and SAS scores of the study group were lower than those of the control group after intervention(P < 0.05). And the WHOQOL-100 score of the study group was higher than that of the control group after intervention(P < 0.05). Conclusion The family members involved hospice care intervention in advanced liver cancer patients can significantly reduce negative emotions and improve the satisfaction of nursing work and quality of life.