安寧療護(hù)在結(jié)腸癌晚期患者中的應(yīng)用效果分析

蔣嘉萍

[摘要] 目的 分析安寧療護(hù)在結(jié)腸癌晚期患者中的應(yīng)用效果分析。方法 方便選取2017年10月—2019年10月該院結(jié)腸癌晚期患者48例為研究對(duì)象，隨機(jī)單雙數(shù)法將其劃分為對(duì)照組24例常規(guī)護(hù)理，觀察組24例進(jìn)行安寧療護(hù)，對(duì)比患者生活質(zhì)量、滿(mǎn)意度。結(jié)果 護(hù)理前患者生活質(zhì)量評(píng)分差異無(wú)統(tǒng)計(jì)學(xué)意義（P>0.05）;護(hù)理后觀察組患者功能性評(píng)分（31.08±2.96）分、癥狀評(píng)分（32.57±1.52）分、單項(xiàng)評(píng)分（38.24±1.57）分高于對(duì)照組（25.38±3.50）分、（27.94±1.68）分、（34.21±1.57）分，差異有統(tǒng)計(jì)學(xué)意義（t=6.092、10.012、8.892，P<0.05）;觀察組患者癥狀管理效果評(píng)分（29.67±1.49）分、護(hù)理態(tài)度評(píng)分（28.67±2.78）分、護(hù)理專(zhuān)業(yè)度評(píng)分（26.62±3.20）分高于對(duì)照組，差異有統(tǒng)計(jì)學(xué)意義（t=8.257、5.303、5.466，P<0.05）。結(jié)論 結(jié)腸癌晚期患者安寧療護(hù)后生活質(zhì)量、家屬滿(mǎn)意度更高，有臨床應(yīng)用價(jià)值。

[關(guān)鍵詞] 安寧療護(hù);結(jié)腸癌晚期;生活質(zhì)量;護(hù)理態(tài)度;單項(xiàng)評(píng)分;癥狀評(píng)分

[中圖分類(lèi)號(hào)] R473.73? ? ? ? ? [文獻(xiàn)標(biāo)識(shí)碼] A? ? ? ? ? [文章編號(hào)] 1674-0742（2020）08（a）-0128-03

Analysis of the Effect of Anning Therapy on Patients with Advanced Colon Cancer

JIANG Jia-ping

Department of Oncology， Yixing People's Hospital， Yixing， Jiangsu Province， 214200 China

[Abstract] Objective To analyze the effect of hospice in the treatment of advanced colon cancer. Methods From October 2017 to October 2019， 48 patients with advanced colorectal cancer in the hospital were conveniently selected as the research objects. They were randomly divided into control group 24 cases for routine nursing， observation group 24 cases for hospice therapy， to compare the quality of life and satisfaction of patients. Results There was no statistically significant difference in the quality of life scores of patients before Nursing（P>0.05）; the functional score （31.08±2.96）points， symptom score （32.57±1.52）points and single item score （38.24±1.57）points of observation group patients after nursing were higher than between the control group （25.38±3.50）points， （27.94±1.68）points and （34.21±1.57） points，The difference was statistically significant（t=6.092， 10.012， 8.892， P<0.05）; the score of the symptom management effect of the observation group （29.67±1.49） points， nursing attitude score （28.67±2.78） points， nursing professional degree score （26.62±3.20）points were higher than the control group， the difference was statistically significant （t=8.257， 5.303， 5.466， P<0.05） . Conclusion The quality of life and family satisfaction of patients with advanced colon cancer after hospice treatment are higher， which has clinical application value.

[Key words] Hospice therapy; Advanced colon cancer; Quality of life; Nursing attitude; Individual score; Symptom score

結(jié)腸癌為消化道腫瘤常見(jiàn)消化系統(tǒng)惡性腫瘤疾病，主要治療方式為手術(shù)，但晚期患者治療效果較差，生存期較短。且多數(shù)患者常會(huì)出現(xiàn)：胃潴留、高位腸瘺以及腸梗阻等各種并發(fā)癥，同時(shí)也會(huì)因癌癥擴(kuò)散引發(fā)疼痛加劇，嚴(yán)重影響患者生存期質(zhì)量。為提升患者生存質(zhì)量便需選取有效護(hù)理方式，降低患者應(yīng)激反應(yīng)和并發(fā)癥，但各種護(hù)理方式效果有限。常規(guī)性護(hù)理多為止痛干預(yù)，幫助患者降低痛苦，但多數(shù)患者無(wú)法接受現(xiàn)實(shí)，為護(hù)理工作增加較高難度，且患者家屬對(duì)護(hù)理滿(mǎn)意度也較低。有學(xué)者[1]提出安寧療護(hù)可為患者提供生理、心理、精神和社會(huì)層面支持，協(xié)助患者渡過(guò)術(shù)后時(shí)光。為提升患者家屬滿(mǎn)意度和患者生活質(zhì)量，現(xiàn)方便選取2017年10月—2019年10月該院48例結(jié)腸癌患者，分析不同干預(yù)方式效果，現(xiàn)報(bào)道如下。