摘要
目的 探讨在日间病房的终末期癌症患者护理中实施以“安宁疗护”为护理基础的延伸护理模式对患者的影响。方法 选取本院日间病房2023年10月—2024年10月收治的54例终末期癌症患者，根据奇偶数法进行分组，对照组（实施常规护理，27例），观察组（以安宁疗护为护理基础实施延伸护理模式，27例）。比较两组患者对死亡的接受态度（死亡态度量表/DAP-R）、睡眠情况（匹兹堡睡眠指数量表/PSQI量表）、生活质量（生活质量测定表/EORTC QLQ-C30），并对比患者的护理满意度。结果 两组护理前的DAP-R、PSQI与EORTC QLQ-C30评分比较差异无统计学意义（P＞0.05）；护理后观察组的DAP-R（趋近接受态度及自然接受态度）评分与EORTC QLQ-C30评分均比对照组高，而PSQI评分则比对照组低，且患者的护理满意度高于对照组（P＜0.05）。结论 对日间病房内的终末期癌症患者在安宁疗护的护理基础上对其开展延伸护理服务能改善其心理状态和睡眠质量，对其生活质量和满意度均有显著提升效果，值得推广。
关键词： 日间病房；终末期癌症；安宁疗护；延伸护理；生活质量
Abstract
Objective To explore the effect of the extended care model based on "hospice care" on patients with end-stage cancer in the day ward. Methods Fifty-four patients with end-stage cancer admitted to the day ward of our hospital from October 2023 to October 2024 were divided into two groups according to odd-even method: control group (routine care, 27 cases) and observation group (extended care mode based on hospice, 27 cases). The acceptance attitude towards death (Attitude towards Death Scale /DAP-R), sleep status (Pittsburgh Sleep Index Scale /PSQI scale), quality of life (quality of life measurement scale /EORTC QLQ-C30) of the two groups were compared, and the nursing satisfaction of patients was compared. Results There was no significant difference in DAP-R, PSQI and EORTC QLQ-C30 scores between the two groups before nursing (P > 0.05). After nursing, the DAP-R (approach acceptance attitude and natural acceptance attitude) scores and EORTC QLQ-C30 scores in the observation group were higher than those in the control group, while the PSQI scores were lower than those in the control group, and the nursing satisfaction of patients was higher than that in the control group (P < 0.05). Conclusion The extended nursing service for end-stage cancer patients in day ward on the basis of hospice care can improve their psychological state and sleep quality, and has a significant effect on their quality of life and satisfaction, which is worth promoting.
Key words： Day ward; End-stage cancer; Hospice care; Extended care; Quality of life
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