尊严疗法临终护理对晚期肺癌患者希望水平的影响

Effect of hospice care of dignity therapy on hope level of patients with advanced lung cancer

目的探讨尊严疗法临终护理对晚期肺癌患者希望水平的影响。方法回顾性选取2022年10月至2023年4月无锡市第二人民医院收治的116例晚期肺癌患者为研究对象,利用随机数字表法将其分为观察组和对照组,每组58例。观察组中,男37例、女21例,年龄(64.69±5.63)岁,采用尊严疗法临终护理。对照组中,男36例、女22例,年龄(65.78±5.79)岁,采用常规护理。比较两组患者的希望水平、生活质量及心理状态。采用t检验、χ^(2)检验进行统计比较。结果护理前,两组患者希望水平差异无统计学意义(P>0.05);护理后,观察组患者总希望水平为(39.67±1.47)分,生活质量评分为(84.72±5.18)分,对照组分别为(35.17±3.05)分、(67.96±5.22)分,均高于护理前,且观察组均高于对照组(均P<0.05)。与护理前相比,护理后两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组低于对照组[(43.52±1.36)分比(45.58±1.40)分,(46.83±1.07)分比(47.96±1.10)分,均P<0.05]。观察组护理满意度为91.38%(53/58),高于对照组的68.97%(40/58),差异有统计学意义(P<0.05)。结论尊严疗法临终护理能够有效改善患者的希望水平、生活质量及心理状态,提高护理满意度。

Objective To explore the effect of hospice care of dignity therapy on the hope level of patients with advanced lung cancer.Methods A total of 116 patients with advanced lung cancer admitted to Wuxi Second People's Hospital from October 2022 to April 2023 were selected as the study objects.They were divided into an observation group and a control group by the random number table method,with 58 cases in each group.There were 37 males and 21 females in the observation group;they were(64.69±5.63)years old.There were 36 males and 22 females in the observation group;they were(65.78±5.79)years old.The observation group took hospice care of dignity therapy,and the control group routine nursing.The hope levels,quality of life,and psychological states in the two groups were compared.t andχ^(2) tests were used.Results Before the nursing,there was no statistical difference in the hope level between the 2 groups(P>0.05).After the nursing,the total hope level and life quality score were lower than those before the nursing in both groups(all P<0.05);the scores in the observation group were higher than those in the control group[(39.67±1.47)vs.(35.17±3.05)and(84.72±5.18)vs.(67.96±5.22);both P<0.05].The scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were lower after than before the nursing in both groups;the scores in the observation group were lower than those in the control group after the nursing[(43.52±1.36)vs.(45.58±1.40)and(46.83±1.07)vs.(47.96±1.10);both P<0.05].The nursing satisfaction of the observation group was higher than that of the control group[91.38%(53/58)vs.68.97%(40/58)],with a statistical difference(P<0.05).Conclusion Hospice care of dignity therapy for patients with advanced lung cancer can effectively improve their hope level,quality of life,psychological state,and nursing satisfaction.