摘要
目的探讨康复护理对肝癌终末期患者生活质量的影响。方法将60例我院收治的肝癌终末期患者纳入研究,入选时间自2015年9月至2017年3月,按照随机数字表法将所有患者分成两组,每组30例。对照组给予常规护理,研究组实施康复护理,对比两组的护理干预效果。结果干预前,两组患者的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分、生活质量评分对比,差异无统计学意义(P>0.05)。干预后,两组SAS、SDS评分比较发现观察组较对照组更低,数据有差异(P<0.05)。护理前,两组患者的生理功能(PF)、生理职能(RP)、躯体疼痛(BP)、活力(VT)、情感职能(RE)、总体健康(GH)、社会功能(SF)以及精神健康(MH)评分对比,差异无统计学意义(P>0.05);护理后,两组患者的以上生活质量评分均明显高于护理前(P<0.05),且研究组患者的以上生活质量评分均明显高于对照组,差异有统计学意义(P<0.05)。干预后,研究组1级、2级、3级疼痛患者分为9例、20例、1例,对照组1级、2级、3级疼痛患者分为0例、10例、20例,组间比较差异有统计学意义(P<0.05)。干预后,研究组收缩压、舒张压低于对照组,脉率高于对照组,差异无统计学意义(P>0.05)。结论对肝癌终末期患者实施康复护理有利于缓解患者的不良情绪,减轻其心理压力,缓解机体疼痛,减轻死亡恐惧感,显著提高其生活质量。
Objective To explore the effect of rehabilitation nursing on the quality of life of patients with end-stage liver cancer.Methods A total of 60 patients with end-stage liver cancer admitted to our hospital were included in this study.The enrollment period was from September 2015 to March 2017.According to the random number table,all patients were divided into two groups,30 cases in each group.The control group was given routine nursing,while the study group was given rehabilitation nursing,and the nursing intervention results of the two groups were compared and analyzed.Results Before nursing,there was no significant difference in the Self-rating Anxiety Scale(SAS)and the Self-rating Depression Scale(SDS)scores between the two groups of patients(P>0.05).After nursing,the scores of the SAS and SDS of the two groups of patients were significantly lower than those of the control group(P<0.05),and the SAS and SDS scores of the study group after nursing were significantly lower in the control group,the difference was statistically significant(P<0.05).Physical function(PF),physical function(RP),physical pain(BP),vitality(VT),emotional function(RE),general health(GH),social function(SF)and mental health of the first two groups of patients in rehabilitation care(MH)and other 8 quality of life scores were not significantly different(P>0.05).After rehabilitation nursing,the above quality of life scores of the two groups of patients were significantly higher than before nursing(P<0.05);and the above quality of life scores of the study group after nursing were significantly higher than those of the control group,the difference was statistically significant(P<0.05).After the intervention,patients with grade 1,grade 2,and grade 3 pain in the study group were divided into 9 cases,20 cases,and 1 case,and patients with grade 1,grade 2,and grade 3 pain in the control group were divided into 0 cases,10 cases,and 20 cases.The difference in pain data between the two groups was statistically significant(P<0.05).After the intervention,there was no statistically significant difference in systolic blood pressure,diastolic blood pressure,and pulse rate in the study group compared with the control group(P>0.05).Conclusion Rehabilitation nursing for patients with end-stage liver cancer is beneficial to relieve the patients'negative emotions,reduce their psychological pressure and significantly improve their quality of life.
作者
张寅珠
ZHANG Yinzhu(Dalian Third People's Hospital,Dalian 116000,China)
出处
《中国医药指南》
2021年第31期22-24,共3页
Guide of China Medicine
关键词
肝癌
终末期
康复护理
不良情绪
生活质量
Liver cancer
End-stage
Rehabilitation care
Negative mood
Quality of life
