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疼痛护理联合临终关怀对晚期肺癌患者生活质量的影响研究。

Impact research of pain nursing combined with hospice care on quality of life for patients with advanced lung cancer.

机构信息

Department of Thoracic Oncology, Shanxi Bethune Hospital, The Third Clinical Medical School of Shanxi Medical University, Taiyuan, Shanxi, China.

出版信息

Medicine (Baltimore). 2024 May 31;103(22):e37687. doi: 10.1097/MD.0000000000037687.

Abstract

This study aims to evaluate the impact of integrating pain nursing with hospice care on the quality of life among patients with advanced lung cancer. This study involving 60 advanced lung cancer patients admitted from January 2022 to January 2023. Participants were randomly assigned to 2 groups: the observation group received a combination of pain nursing and hospice care, while the control group received standard nursing care. The study assessed changes in the numeric rating scale for pain, self-rating anxiety scale (SAS), self-rating depression scale (SDS), cancer fatigue scale (CFS), death attitude, and various quality of life dimensions as measured by the Quality of Life Questionnaire-Core 30. Post-intervention, both groups exhibited reductions in numeric rating scale, SAS, SDS, and CFS scores compared to baseline, with more significant improvements observed in the observation group (P < .05). Additionally, post-intervention scores for death attitude and Quality of Life Questionnaire-Core 30 domains (physical, cognitive, social, role, and emotional functioning, as well as overall health) increased in both groups, with the observation group showing greater improvements than the control group (P < .05). The combination of pain nursing and hospice care significantly reduces pain, anxiety, and depression, decreases cancer-related fatigue, and improves the quality of life and death attitudes in patients with advanced lung cancer, highlighting the benefits of this integrative approach in palliative care settings.

摘要

本研究旨在评估将疼痛护理与临终关怀相结合对晚期肺癌患者生活质量的影响。本研究纳入了 2022 年 1 月至 2023 年 1 月期间收治的 60 例晚期肺癌患者。参与者被随机分为两组:观察组接受疼痛护理与临终关怀相结合的护理,对照组接受常规护理。研究评估了数字疼痛评分量表、焦虑自评量表(SAS)、抑郁自评量表(SDS)、癌症疲劳量表(CFS)、死亡态度以及生活质量问卷核心 30 维度的变化。干预后,两组的数字疼痛评分量表、SAS、SDS 和 CFS 评分均较基线降低,观察组的改善更为显著(P<0.05)。此外,两组的死亡态度和生活质量问卷核心 30 维度(身体、认知、社会、角色和情感功能以及整体健康)的评分均在干预后增加,观察组的改善程度大于对照组(P<0.05)。疼痛护理与临终关怀的结合可显著减轻晚期肺癌患者的疼痛、焦虑和抑郁,降低癌症相关疲劳,改善生活质量和死亡态度,突出了这种综合方法在姑息治疗环境中的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cfff/11142809/0d48ab8622a7/medi-103-e37687-g001.jpg

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