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目的探讨基于死亡教育的姑息性护理模式对晚期胃癌患者负性情绪和生活质量的影响。方法选取2014年3月至2015年3月间哈尔滨医科大学附属肿瘤医院收治的90例确诊晚期胃癌患者,采用随机数字表法分为研究组和对照组,每组45例,研究组患者采用基于死亡教育的姑息性护理模式,对照组患者采用常规护理模式,观察比较两组患者的负性情绪和生活质量。结果两组患者护理后SAS评分和SDS评分均较护理前降低,且研究组上述得分均低于对照组,差异均有统计学意义(均P<0.05),两组比较差异有统计学意义;两组患者护理后生活质量各项功能评分均较护理前升高,差异均有统计学意义(均P<0.05),且研究组较对照组显著升高,差异有统计学意义(P<0.05)。结论基于死亡教育的姑息性护理模式可有效改善晚期胃癌患者负性情绪,提高患者生活质量。
Objective To explore the effects of palliative care based on death education on the negative emotions and quality of life in patients with advanced gastric cancer. Methods Ninety patients with advanced gastric cancer diagnosed from Affiliated Tumor Hospital of Harbin Medical University from March 2014 to March 2015 were selected and randomly divided into study group and control group with 45 cases in each group. The palliative care model of death education, the control group of patients using conventional nursing mode, observed and compared the two groups of patients with negative emotions and quality of life. Results The scores of SAS and SDS in both groups after treatment were lower than those before nursing, and the above scores in the study group were lower than those in the control group (all P <0.05). The differences between the two groups were statistically significant. The scores of quality of life after nursing in both groups were significantly higher than those before nursing (both P <0.05), and the scores in the study group were significantly higher than those in the control group (P <0.05 ). Conclusion The palliative care model based on death education can effectively improve the negative emotions of patients with advanced gastric cancer and improve their quality of life.