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多学科团队安宁疗护应用于晚期肿瘤患者中的效果分析
虞吕,陈淼,汤勤,管斌,陈伟明
0
(无锡市第五人民医院)
摘要:
目的 探究多学科团队安宁疗护应用于晚期肿瘤患者中的效果。方法 选取2017年11月至2018年11月无锡市第五人民医院肿瘤科收治的晚期肿瘤患者150例,按随机数表随机分为两组,各75例。对照组给予常规安宁疗护,观察组给予多学科团队安宁疗护。对比两组患者的负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、疼痛程度[疼痛数字评价量表(NRS)]及生活质量(SF-36量表)。结果 干预3个月后测评显示,观察组的SAS评分(55.42±3.43)、SDS评分(56.57±4.32)低于对照组(59.84±4.07、60.43±3.78),疼痛程度轻于对照组,差异均有统计学意义(P<0.05);观察组SF-36量表中生理功能评分(65.43±4.22)、社会功能评分(64.45±3.26)、情感职能评分(65.65±5.65)、精神健康评分(60.09±4.54)均高于对照组(60.09±3.46、58.78±4.31、60.09±3.47、56.33±5.48),躯体疼痛评分(74.35±4.54)低于对照组(85.56±6.54)(P<0.05)。结论 多学科团队安宁疗护模式应用于晚期肿瘤患者中,可显著缓解患者的负性情绪,减轻其疼痛感,并有效提高其生活质量。
关键词:  多学科团队  安宁疗护  晚期肿瘤  负性情绪  疼痛程度
DOI:
基金项目:
Analysis of the effect of multi-scientific team tranquilizing therapy and nursing in patients with advanced cancer
虞吕,陈淼,汤勤,管斌,陈伟明
()
Abstract:
Objective To explore the effect of palliative care by multidisciplinary team on patients with advanced cancer. Methods One hundred and fifty patients with advanced cancer admitted to the Oncology Department of Wuxi Fifth People""s Hospital from November 2017 to November 2018 were randomly divided into two groups with 75 cases in each group. The patients in control group were treated with routine palliative care who were compared to the patients in observation group receiving palliative care by multidisciplinary team on negative emotion (SAS), self-rating depression scale (SDS), pain degree (NRS) and quality of life (SF-36). Results After 3 months of intervention, the scores of SAS and SDS in the observation group were (55.42±3.43) and (56.57±4.32) which were lower than those of control group ([59.84±4.07] and [60.43±3.78]) respectively. And there was significant difference in the NRS score (both P<0.05). The scores of physiological function, social function, emotional function, and mental health were higher than those of the control group, and the somatic pain score was lower than that of the control group ([74.35±4.54] vs [85.56±6.54], P<0.05).Conclusions Palliative care by multidisciplinary team can significantly alleviate negative emotions and pain of patients with advanced cancer which improves the quality of life effectively.
Key words:  multidisciplinary team  tranquil care  advanced cancer  negative emotions  pain level

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