家庭参与性尊严疗法联合人生回顾护理对晚期肝癌患者的影响

Influence of Family Participatory Dignity Therapy Combined with Life Review on Patients with Advanced Liver Cancer

目的:探究家庭参与性尊严疗法联合人生回顾护理对晚期肝癌患者的影响。方法:选取2020年1月—2022年2月贵州中医药大学第一附属医院接受治疗的80例晚期肝癌患者为研究对象。根据随机数表法将其分为观察组及对照组,各40例。对照组给予常规护理,观察组给予家庭参与性尊严疗法联合人生回顾护理。比较两组护理前及护理14 d后尊严状况、心理弹性、生活质量。结果:护理14 d后,两组行为、社会、外表自尊评分及总分均较护理前提高,且观察组行为、社会、外表自尊评分及总分均高于对照组(P<0.05)。护理14 d后,两组乐观、坚韧与控制、力量评分及总分均较护理前提高,且观察组乐观、坚韧与控制、力量评分及总分均高于对照组(P<0.05)。护理14 d后,两组环境、社会、心理及生理评分均较护理前提高,且观察组环境、社会、心理及生理评分均高于对照组(P<0.05)。结论:家庭参与性尊严疗法联合人生回顾护理可明显改善晚期肝癌患者的尊严状况,在提升心理弹性的基础上,促进生活质量的有效提高。

Objective: To explore the influence of family participatory dignity therapy combined with life review nursing on patients with advanced liver cancer. Method: A total of 80 patients with advanced liver cancer received treatment in the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from January 2020 to February 2022 were selected as the research objects.According to the random number table method, they were divided into observation group and control group, 40 cases in each group. The control group was given routine nursing, while the observation group was given family participatory dignity therapy combined with life review nursing. The status of dignity, psychological resilience and quality of life before and after 14 d of nursing were compared between the two groups. Result: After 14 d of nursing, the scores of behavioral, social and appearance self-esteem and the total score of the two groups were higher than those before nursing, and the scores of behavioral, social and appearance self-esteem and the total score of the observation group were higher than those of the control group(P<0.05). After 14 d of nursing, the scores of optimism, perseverance and control, strength and total score of the two groups were higher than those before nursing, and the scores of optimism, perseverance and control, strength and total score of the observation group were higher than those of the control group(P<0.05). After 14 d of nursing,the scores of environment, society, psychology and physiology in the two groups were higher than those before nursing, and the scores of environment, society, psychology and physiology in the observation group were higher than those in the control group(P<0.05).Conclusion: Family participatory dignity therapy combined with life review nursing can significantly improve the dignity status of patients with advanced liver cancer, and promote the effective improvement of quality of life on the basis of improving psychological resilience.