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临终反向关怀在宁养疗护中的应用研究

发布时间:2019-03-26 14:34
【摘要】:为观察临终反向关怀干预对患者及照顾者改变的影响,选取南昌大学第一附属医院宁养院2014年10月~2015年8月服务的患者及其家属65例,分为试验组30例,对照组35例。对试验组进行1.0个月~1.5个月临终反向关怀干预。结果试验组患者付诸临终反向关怀行为的人次增长47.7%,高于对照组的18.1%;试验组照顾者获得患者赞赏的人次增长了15%,高于对照组的11.5%;试验组患者的简明心境量表和癌症应对方式量表评分下降、HERTH希望量表评分提升,两组患者评估结果差异具有统计学意义(P0.05);试验组照顾者焦虑、抑郁、压力及疲劳评分下降,两组照顾者评估结果差异具有统计学意义(P0.05)。在宁养服务中运用临终反向关怀模式,可以较为有效地支持患者及其照顾者。
[Abstract]:In order to observe the influence of end-of-life reverse care intervention on the changes of patients and caregivers, 65 patients and their families were selected from the first affiliated Hospital of Nanchang University from October 2014 to August 2015. They were divided into test group (n = 30) and control group (n = 35). Patients in the test group were treated with end-of-life care intervention from 1.0 months to 1.5 months. Results the number of attendants in the trial group increased by 47.7%, which was higher than that in the control group (18.1%), and that in the experimental group was increased by 15%, which was higher than that in the control group (11.5%). The scores of the concise mood scale and the cancer coping style scale in the trial group were decreased, and the HERTH hope scale score was improved. The difference between the two groups was statistically significant (P0.05). The scores of anxiety, depression, stress and fatigue of the caregivers in the experimental group were decreased, and there was a significant difference between the two groups (P0.05). The end-of-life reverse care model can effectively support the patients and their caregivers.
【作者单位】: 南昌大学第一附属医院宁养院;
【基金】:2014年江西省教育厅科学技术研究项目,项目编号:GJJ14036
【分类号】:R48

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