蔣嘉萍

[摘要] 目的 分析安寧療護在結(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例為研究對象，隨機單雙數(shù)法將其劃分為對照組24例常規(guī)護理，觀察組24例進行安寧療護，對比患者生活質(zhì)量、滿意度。結(jié)果 護理前患者生活質(zhì)量評分差異無統(tǒng)計學意義（P>0.05）;護理后觀察組患者功能性評分（31.08±2.96）分、癥狀評分（32.57±1.52）分、單項評分（38.24±1.57）分高于對照組（25.38±3.50）分、（27.94±1.68）分、（34.21±1.57）分，差異有統(tǒng)計學意義（t=6.092、10.012、8.892，P<0.05）;觀察組患者癥狀管理效果評分（29.67±1.49）分、護理態(tài)度評分（28.67±2.78）分、護理專業(yè)度評分（26.62±3.20）分高于對照組，差異有統(tǒng)計學意義（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后生活質(zhì)量、家屬滿意度更高，有臨床應(yīng)用價值。

[關(guān)鍵詞] 安寧療護;結(jié)腸癌晚期;生活質(zhì)量;護理態(tài)度;單項評分;癥狀評分

[中圖分類號] R473.73? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 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)患者常會出現(xiàn)：胃潴留、高位腸瘺以及腸梗阻等各種并發(fā)癥，同時也會因癌癥擴散引發(fā)疼痛加劇，嚴重影響患者生存期質(zhì)量。為提升患者生存質(zhì)量便需選取有效護理方式，降低患者應(yīng)激反應(yīng)和并發(fā)癥，但各種護理方式效果有限。常規(guī)性護理多為止痛干預，幫助患者降低痛苦，但多數(shù)患者無法接受現(xiàn)實，為護理工作增加較高難度，且患者家屬對護理滿意度也較低。有學者[1]提出安寧療護可為患者提供生理、心理、精神和社會層面支持，協(xié)助患者渡過術(shù)后時光。為提升患者家屬滿意度和患者生活質(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，分析不同干預方式效果，現(xiàn)報道如下。