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

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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

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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

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