家庭式参与尊严疗法对妇科晚期恶性肿瘤患者干预效果

Effect of the family participatory dignity therapy for intervening patients with advanced gynecological malignant tumor

目的:探讨家庭式参与尊严疗法对妇科晚期恶性肿瘤患者的干预效果。方法 将2021年1月-2023年1月本院妇科晚期恶性肿瘤患者102例,随机数字表法分为观察组与对照组各51例,对照组常规护理干预,观察组常规护理同时实施家庭式参与尊严疗法干预,干预过程中观察组脱落3例、对照组脱落1例。通过调查问卷评估干预前后患者尊严量表(PDI)评分、心理痛苦管理筛查工具(DMSM)评分、汉密尔顿焦虑(HAMA)及汉密尔顿抑郁量表(HAMD)评分、癌痛评分(NRS)、生命质量测定量表(QLQ-C30)评分及干预满意率情况。结果:两组干预后PDI评分、DMSM评分、HAMA及HAMD评分、NRS评分与QLQ-C30评分均得到改善,且观察组干预后PDI评分(49.76±5.05分)、DMSM评分(4.59±0.49分)、HAMA(18.34±3.11分)及HAMD评分(20.69±2.16分)、NRS评分(3.95±0.58分)与QLQ-C30评分(66.83±3.74分)均优于对照组(59.73±4.21分、5.72±0.56分、22.15±3.26分、25.34±2.85分、4.95±0.76分、57.23±4.92分),患者干预满意率(95.8%)高于对照组(82.0%)(均P<0.05)。结论:家庭式参与尊严疗法对妇科晚期恶性肿瘤患者干预具有积极效果,可较好提升患者尊严感水平,缓解患者心理痛苦及焦虑、抑郁心理,减轻癌痛程度,提高生活质量,干预满意度较高。

Objective: To explore the effect of the family participatory dignity therapy for intervening patients with advanced gynecological malignant tumor. Methods: From January 2021 to January 2023, a total of 102 patients with advanced gynecological malignancies were included and were divided into observation group(51 cases) and control group(51 cases) by random number table method. The routine nursing intervention was given to the patients in the two groups, and the family participatory dignity therapy was given to the patients in the observation group additionally. During the intervention, there were 3 patients with fell off in the observation group and 1 patient with fell off in the control group. The scores of the patient dignity scale(PDI), psychological pain management screening tool(DMSM), Hamilton anxiety scale(HAMA), Hamilton depression scale(HAMD), cancer pain score(NRS) and quality of life scale(QLQ-C30), and the satisfaction of the patients in the two groups before and after intervention were evaluated by questionnaire. Results: After the intervention, the sores of PDI, DMSM, HAMA, HAMD, NRS and QLQ-C30 of the patients in the two groups had improved significantly, and which(49.76±5.05 points, 4.59±0.49 points, 18.34±3.11 points, 20.69±2.16 points, 3.95±0.58 points and 66.83±3.74 points) of the patients in the observation group were significantly better than those(59.73±4.21 points, 5.72±0.56 points, 22.15±3.26 points, 25.34±2.85 points, 4.95±0.76 points and 57.23±4.92 points) of the patients in the control group. The satisfaction rate(95.8%) of the patients in the observation group was significantly higher than that(82.0%) of the patients in the control group(all P<0.05). Conclusion: The family participatory dignity therapy for intervening the patients with advanced gynecological malignant tumor has positive effect, which can better improve their dignity level, relieve their psychological pain, anxiety and depression, reduce their degree of cancer pain, improve their quality of life, and with higher intervention satisfaction.