安宁疗护照护体系在老年终末期肿瘤患者中的应用研究

Application of hospice care system in elderly patients with end-stage tumors

中文关键词: 老年  终末期肿瘤  安宁疗护  生命态度  生活质量

英文关键词: elderly  end stage tumor  hospice care  life attitude  quality of life

中文摘要:

      目的 探讨安宁疗护体系在老年终末期肿瘤患者中的应用效果.方法 回顾性分析2021年3月—2024年3月华中科技大学同济医院附属梨园医院收治的160例老年终末期肿瘤患者的临床资料,按不同干预方式分为观察组和对照组,每组80例.对照组采用常规护理,观察组在与对照组相同处理基础上加用安宁疗护体系.比较2组患者干预后的生命态度、疼痛干预效果、生活质量评分和不良反应情况.结果 干预后,观察组患者死亡恐惧、死亡逃避、逃离接受评分分别为(24.15±3.06)、(14.51±2.09)、(15.16±2.08)分,低于对照组的(27.62±3.24)、(17.75±2.61)、(18.37±2.14)分,自然接受和趋近接受评分分别为(20.37±2.76)、(38.61±4.35)分,高于对照组的(17.51±2.39)、(33.18±3.72)分(P＜0.05);观察组患者镇痛总有效率为93.75％,高于对照组的72.50％(P＜0.05);观察组患者SF-36量表各维度评分高于对照组(P＜0.05);干预期间2组患者不良反应比较差异无统计学意义(P＞0.05).结论 安宁疗护体系可有效提升老年终末期肿瘤患者的镇痛效果,减轻死亡逃避、恐惧等负性情绪,改善生活质量.

英文摘要:

      Objective To explore the application effects of the palliative care system in elderly patients with end-stage tumors.Methods A retrospective analysis was conducted on the clinical data of 160 elderly patients with end-stage tumors ad-mitted to Liyuan Hospital Affiliated to Tongji Medical College,Huazhong University of Science & Technology from March 2021 to March 2024.They were divided into observation group and control group according to different intervention methods,with 80 cases in each group.The control group received conventional care,while the observation group was treated with an ad-ditional hospice care system on the basis of the same care as the control group.The life attitudes,pain intervention effects,quality of life scores and adverse reactions of the two groups were compared after the intervention.Results After the interven-tion,the scores of fear of death,avoidance of death and acceptance of escape in the observation group were(24.15±3.06),(14.51±2.09)and(15.16±2.08)points,respectively,which were lower than those in the control group[(27.62±3.24),(17.75±2.61)and(18.37±2.14)points].The scores of natural acceptance and approach acceptance were(20.37±2.76)and(38.61±4.35)points,respectively,which were higher than those in the control group[(17.51±2.39)and(33.18±3.72)points(P＜0.05)].The total effective rate of analgesia in the observation group was 93.75％,which was higher than that in the control group(72.50％)(P＜0.05).The scores of each dimension of the SF-36 scale in the observation group were significantly higher than those in the control group(P＜0.05).There was no statistically significant difference in the inci-dence of adverse reactions between the two groups during the intervention period(P＞0.05).Conclusion The palliative care system can effectively enhance the analgesic effect in elderly patients with end-stage tumors,alleviate negative emotions such as death avoidance and fear,and improve the quality of life.