缓和医疗护理模式在晚期癌症患者中的应用

Application of palliative medical care model in advanced cancer patients

目的分析缓和医疗护理模式对晚期癌症患者心理状态和生活信念的改善效果。方法以中日友好医院在2021年5月至2023年3月收治的晚期癌症患者(82例)为研究对象,按照抽签法将其分为观察组和对照组,各41例。对照组实施3个月的常规护理,观察组采取3个月的缓和医疗护理模式。对比2组的心理状态、生活信念、护理质量和意外伤害事件发生率。结果与护理前的症状自评表(SCL-90)评分相比,2组在护理1个月和3个月后的评分均降低(P均<0.05);与护理前的Herth希望量表(HHI)评分相比,2组在护理1个月和3个月后的评分均提高(P均<0.05);护理1个月和3个月后,观察组的SCL-90评分和HHI评分均优于同期对照组(P均<0.05)。护理3个月后,观察组的护理态度、护理能力和基础指导等各项护理质量评分均高于对照组,且差异均有统计意义(P均<0.05)。观察组患者的意外伤害事件总发生率较对照组更低,数据比对有统计学意义(P<0.05)。结论在晚期癌症患者中实施缓和医疗护理模式取得了良好的应用优势,可有效改善患者的心理状态,提高其生活信念,且有助于减少意外伤害事件的发生。

Objective To analyze the effect of palliative medical care model on the improvement of psychological state and life beliefs of advanced cancer patients.Methods Eighty-two advanced cancer patients admitted to China-Japan Friendship Hospital from May 2021 to March 2023 were recruited.They were assigned into the observation group and the control group via drawing lots,each with 41 cases.The control group received routine care for 3 months,while the observation group received palliative medical care for 3 months.The psychological state,life beliefs,nursing quality,and incidence of accidental injuries were compared between the two groups.Results Compared with the Symptom Checklist-90(SCL-90)scores before nursing,the scores of both groups decreased after 1 and 3 months of nursing(all P<0.05).Compared with the Herth Hope Index(HHI)scores before nursing,the scores of both groups improved after 1 and 3 months of nursing(all P<0.05).After 1 and 3 months of nursing,the observation group was superior to the control group in terms of the SCL-90 and HHI scores(all P<0.05).After 3 months of nursing,the nursing quality scores such as nursing attitude,nursing ability,and basic guidance scores of the observation group were higher than those of the control group,and the differences were statistically significant(all P<0.05).The total incidence of accidental injuries in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusions The implementation of palliative medical care model has achieved good application advantages in advanced cancer patients,which can effectively improve their psychological state,enhance their life beliefs,and help reduce the probability of accidental injuries.