家属参与的临终关怀小组干预模式对肺癌晚期患者生活质量的影响

Effect of family involvement in the hospice group intervention model on quality of life of patients with advanced lung cancer

目的探讨家属参与的临终关怀小组干预模式对肺癌晚期患者生活质量的影响。方法 2013年至2016年在我院治疗的84例肺癌晚期患者,按家属及患者意愿,48例纳入观察组(家属参与的临终关怀),36例纳入对照组(常规护理),比较两组患者生活质量、心理状态、疼痛程度、护理满意度上差异。结果观察组与对照组在生活质量得分(64.2±6.5 vs 59.1±6.7)、疼痛程度(U=4.431,P=0.041)、汉密尔顿焦虑量表(33.1±4.3 vs 34.5±4.1)、汉密尔顿抑郁量表(46.3±5.2 vs 47.6±5.7)及护理满意度(48.1±1.2 vs33.8±0.9)差异均具有统计学意义。结论对肺癌晚期患者实行家属参与的临终关怀小组干预模式,有利于提高患者生存质量、缓解疼痛、改善心理问题及提高护理满意度。

Objective To explore the effect of family involvement in the hospice group intervention model on the quality of life of patients with advanced lung cancer. Methods According to family members and patients’ wishes,among the 84 patients with advanced lung cancer who were treated in our hospital from 2013 to 2016,48 patients were included in the observation group( hospice care of family members),36 patients were included in the control group( routine nursing),and the quality of life,mental state,pain degree and nursing satisfaction were compared between the two groups. Results There was significant difference in the quality of life score( 64. 2 ± 6. 5 vs59. 1 ± 6. 7),pain degree( U = 4. 431,P = 0. 041),Hamilton anxiety scale( 33. 1 ± 4. 3 vs 34. 5 ± 4),Hamilton depression scale( 46. 3 ± 5. 2 vs 47. 6 ± 5. 7) and nursing satisfaction( 48. 1 ± 1. 2 vs 33. 8 ± 0. 9) between the observation group and the control group. Conclusion Intervention patterns of hospice groups with family members involvement in patients with advanced lung cancer are helpful in improving their quality of life,relieving pain,improving psychological problems and improving nursing satisfaction.