摘要
目的探讨安宁疗护对恶性肿瘤晚期患者的主要照顾者负性情绪及心理应激的影响。方法选择2017年1月至2018年3月南方医科大学深圳医院肿瘤科收治的98例恶性肿瘤主要照顾者为研究对象,根据随机数字表法分为观察组与对照组,每组49例,对照组照顾的患者予常规护理,观察组照顾的患者给予安宁疗护,干预时间为4周。比较两组主要照顾者干预前后Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)及家属应激量表(RSS)评分的变化。结果干预后,观察组主要照顾者的SAS、SDS评分分别为(35.25±6.38)分、(36.34±3.57)分,明显低于对照组的(44.4±5.2)分、(41.43±5.72)分,差异均有统计学意义(P<0.05);观察组主要照顾者RSS评分为(10.19±2.28)分,明显低于对照组的(13.05±4.29)分,差异有统计学意义(P<0.05)。结论安宁疗护对恶性肿瘤晚期患者主要照顾者负性情绪及心理应激有显著的改善作用。
Objective To explore the effects of hospice care on negative emotions and psychological stress of primary caregivers of patients with advanced cancer. Methods A total of 98 primary caregivers of malignant tumor treated in January 2017 to March 2018 in Department of Oncology Shenzhen Hospital of Southern Medical University were selected as the research subjects. According to the random digital table method, they were divided into observation group and the control group, with 49 cases in each group. The control group was given the routine nursing, and the observation group received the hospice nursing, with the intervention time for 4 weeks. The changes of the Zung self rating Anxiety Scale(SAS), self rating Depression Scale(SDS) and family stress scale(RSS) were compared between the two groups before and after intervention. Results After intervention, the score of SAS and SDS in the observation group was(35.25±6.38) and(36.34±3.57), which was significantly lower than(44.4±5.2) and(41.43±5.72) of the control group(P<0.05). The RSS score of the observation group was(10.19±2.28), which was significantly lower than(13.05±4.29) of the control group(P<0.05). Conclusion Hospice care can significantly improve the negative emotions and psychological stress of caregivers of advanced cancer patients.
作者
罗丹谷
江泽莹
王姣丽
LUO Dan-gu;JIANG Ze-ying;WANG Jiao-li(Department of Oncology,Shenzhen Hospital of Southern Medical University,Shenzhen 510280,Guangdong,CHINA)
出处
《海南医学》
CAS
2019年第1期129-131,共3页
Hainan Medical Journal
关键词
恶性肿瘤
照顾者
安宁疗护
焦虑
抑郁
心理应激
Malignant tumor
Caregiver
Hospice care
Anxiety
Depression
Psychological stress
