缓和医疗对慢性阻塞性肺疾病患者灵性需求及生命意义的影响

Impact of palliative care on the spiritual needs and meaning of life in patients with chronic obstructive pulmonary disease

目的探讨缓和医疗对慢性阻塞性肺疾病患者灵性需求及生命意义的影响。方法回顾性选取2020年1月至2022年12月上饶市人民医院收治的120例慢性阻塞性肺疾病患者作为研究对象,按照护理方法不同分为对照组(68例)与观察组(52例),对照组采用常规医疗干预,观察组采用缓和医疗干预,比较两组患者入院时及出院时生存质量[圣-乔治呼吸问卷(SGRQ)]、生命意义[生命意义量表(MiLS)]、健康行为[健康促进生活方式量表-Ⅱ(HPLP-Ⅱ)]及灵性需求[灵性照护的需求量表(NSTS)]。结果入院时,两组患者症状、活动能力、疾病影响比较,差异无统计学意义(P>0.05);出院时,两组患者症状、活动能力、疾病影响低于本组入院时,观察组症状、活动能力、疾病影响低于对照组,差异有统计学意义(P<0.05)。入院时,两组患者MiLS、HPLP-Ⅱ比较,差异无统计学意义(P>0.05);出院时,两组患者MiLS、HPLR-Ⅱ评分高于本组入院时,观察组MiLS、HPLP-Ⅱ高于对照组,差异有统计学意义(P<0.05)。入院时,两组患者灵性需求比较,差异无统计学意义(P>0.05);出院时,两组患者灵性需求低于本组入院时,观察组灵性需求低于对照组,差异有统计学意义(P<0.05)。结论慢性阻塞性肺疾病患者采取缓和医疗后,灵性照护需求明显改善,生命意义、生存质量及健康行为得到提高。

Objective To explore the influence of palliative care on the spiritual needs and meaning of life in patients with chronic obstructive pulmonary disease.Methods A retrospective study was conducted on 120 patients with chronic obstructive pulmonary disease admitted to ShangRao People's Hospital from January 2020 to December 2022.They were divided into control group(68 cases)and observation group(52 cases)according to different nursing methods.The control group received routine care intervention,while the observation group received palliative care intervention.The quality of life(St George's respiratory questionnaire[SGRQ]),meaning of life(meaning in life scale for advanced cancer patients[MiLS]),health behavior(health promoting lifestyle profile-Ⅱ[HPLP-Ⅱ]),and spiritual needs(nurse spiritual therapeutics scale[NSTS])of the two groups of patients at admission and discharge were compared.Results At the time of admission,there were no statistically significant differences in symptoms,activity and disease impact between the two groups(P>0.05).At discharge,the symptoms,activity and disease impact of the two groups were lower than those at the time of admission,the symptoms,activity and disease impact of the observation group were lower than those of the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in MiLS and HPLP-Ⅱbetween the two groups at admission(P>0.05).At discharge,the scores of MiLS and HPLP-Ⅱin the two groups were higher than those at admission,the scores of MiLS and HPLP-Ⅱin the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in spiritual needs of two groups at admission(P>0.05).At discharge,the spiritual needs of two groups of patients was lower than that at admission,while the spiritual needs of the observation group was lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion After adopting palliative care for patients with chronic obstructive pulmonary disease,the demand for spiritual care has significantly improved,and the meaning of life,quality of life,and healthy behavior have been improved.