摘要
目的 探讨终末期癌症患者实施姑息护理中应用人文关怀的效果。方法 选取时间段2022年5月~2023年5月内收治的终末期癌症患者88例，按照随机对照方式分为对照组（姑息护理）和观察组（加用人文关怀）各44例，对比两组护理效果。结果 干预前两组自尊评分和心理状态评分差异均无统计学意义（P＞0.05）。干预后观察组自尊评分均显著高于对照组，心理状态评分均显著低于对照组，差异均有统计学意义（P＜0.05）结论 对终末期癌症患者姑息护理中使用人文关怀能够帮助患者改善心理状态，提升其自尊感，帮助患者更好度过生命终端，具有应用价值。
关键词： 人文关怀；终末期癌症；姑息护理
Abstract
Objective To explore the effectiveness of applying humanistic care in palliative care for end-stage cancer patients. Methods 88 end-stage cancer patients admitted between May 2022 and May 2023 were randomly divided into a control group (palliative care) and an observation group (with added humanistic care), with 44 cases in each group. The nursing effects of the two groups were compared. Results There was no statistically significant difference in self-esteem score and psychological state score between the two groups before intervention (P>0.05). After intervention, the self-esteem scores of the observation group were significantly higher than those of the control group, and the psychological state scores were significantly lower than those of the control group, with statistical significance (P<0.05). Conclusion The use of humanistic care in palliative care for end-stage cancer patients can help improve their psychological state, enhance their self-esteem, and help them better get through the end of life, which has practical value.
Key words： Humanistic care; End stage cancer; Palliative care
参考文献 References
[1] 李莉. 人文关怀在终末期癌症患者姑息护理中的应用研究[J]. 世界最新医学信息文摘（连续型电子期刊）,2020, 20(95): 327-328.
[2] 徐艳,柏如静,袁玲,等. ICU患者安宁疗护筛查工具的范围综述[J]. 护理学杂志,2022,37(17):102-106.
[3] 袁华君,段功香,何枚美,等. 癌症终末期病人救护意愿的质性研究[J]. 全科护理,2022,20(2):244-248.
[4] 王琪,席婷婷. 医务社会工作介入癌症末期患者临终关怀的实践与经验研究——以某宁养社会工作志愿服务队为例[J]. 中国社会工作,2020(18):44-48.
[5] 王钰,吴欣娟,王馨怡,等. 终末期癌症患者照顾者自杀行为及其相关因素[J]. 中国心理卫生杂志,2024,38(4):312-317.
[6] 叶雅芳. 基于Watson关怀理论的安宁疗护干预在终末期胃肠道肿瘤患者中的应用效果研究[J]. 黑龙江医学,2023, 47(23): 2918-2920,2924.
[7] 李兵,李莉,孙东晗,等. 癌症终末期病人主要家庭照顾者安宁疗护需求及影响因素[J]. 护理研究,2023,37(21): 3953-3959.
[8] 龚有文,成琴琴,谌永毅,等. 终末期癌症患者自我报告安宁疗护照护质量问卷的编制及信效度检验[J]. 护理学杂志, 2023, 38(20):93-96.