临终关怀对老年住院临终患者生活质量及心理状态的影响 .pdfVIP

临终关怀对老年住院临终患者生活质量及心理状态的影响

陈燕梅;钟惠;冯晓霞

【摘要】ABSTRACT:ObjectiveToinvestigatetheinfluenceofhospicecare

onqualityoflifeandpsycho-logicalstatusofelderlyinpatients.Methods

Eightyelderlydyinginpatientswererandomlydivid-edintocontrolgroup

andexperimentalgroup,with40patientsineachgroup.Allpatients

receivedconventionalcare(dietnursing,drugcompliancenursing,daily

nursing,etc.).Inaddition,patientsinexperimentalgroupweregivenhospice

care(psychologicalcare,analgesia,supportoffamilymembersof

patients,etc.).Thequalityoflifewasassessedusingtheshortform-36

healthsurvey(SF-36),Self-RatingDepressionScale(SDS)andseif-rating

anxieryscale(SAS)Scale.Patientswerefollowedupfor3months,andthe

anxietyanddepressionwerecomparedbetweenthetwogroups.Results

Comparedwithcontrolgroup,theADL,physicalfunction,psychological

func-tion,socialfunction,subjectivesymptom,emotionalstateanddailylife

scoressignificantlyin-creasedinexperimentalgroup(P0.05or

P0.01).Therewerenosignificantdifferencesinde-pressionandanxiety

scoresbetweenthetwogroupsbeforenursingcare(P0.05).After3

monthsoffollow-up,thedepressionandanxietyscoresinexperimental

groupweresignificantlylowerthanthoseincontrol

group(P0.05).ConclusionTherearemanyfactorsaffecting

thenbsp;qualityoflifeofelderlydyinginpatients.Hospicecarecan

improvethequalityoflifeandpsycho-logicalstatusofelderlydying

inpatients.%目的：探讨临终关怀对老年住院临终患者生活质量和心理状态改善的

影响。方法将80例老年住院临终患者按随机数字表法分为对照组和试验组，每组

40例。对照组采用常规护理（饮食护理、药物依从性护理、日常护理等）方法，

试验组在对照组常规护理方法的基础上给予临终关怀护理（心理护理、镇痛、争取

患者家属的支持等）。采用健康状况调查表（SF-36）、抑郁自评量表（SDS）及

焦虑自评量表（SAS）对患者治疗前后的生活质量进行测定。2组患者均进行3个

月的随访，对患者焦虑、抑郁情况进行比较。结果试验组SF-36（躯体功能、心

理功能、社会功能、自觉症状、心理情绪状态、日常生活）评分均明显高于对照组

（P＜0．05或P＜0．01）。2组护理前抑郁和焦虑评分比较差异均无统计学意

义（均P＞0．05）；随访3个月后试验组抑郁评分及焦虑评分均明显低于对照组

（均P＜0．05）。结论老年住院临终患者晚年生活质量影响因素较多，加强患者

临床关怀能够提高患者生活质量，改善患者心理状态。

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