【摘要】 目的探讨多学科协作安宁疗护模式对肿瘤患者主要照顾者负性情绪和心理应激的影响。方法选取2018年5月至2020年4月间陕西省肿瘤医院收治的肿瘤临终患者的134例主要照顾者,采用随机数表法分为观察组和对照组,每组67例。对照组采用常规护理,观察组采用多学科协作安宁疗护模式护理,比较两组照顾者的负性情绪和心理应激变化。结果护理后,两组照顾者抑郁和焦虑评分均低于护理前,且观察组低于对照组,差异均有统计学意义(均P <0.05)。护理后,两组照顾者应激评分均低于护理前,且观察组低于对照组,差异均有统计学意义(均P <0.05)。观察组照顾者的满意度为98.5%,高于对照组的88.1%,差异有统计学意义(P <0.05)。护理后,观察组照顾者的身体健康、心理应对、担心、生活满意度、生活打扰、积极影响和心理疾患等生活质量评分均高于对照组,差异均有统计学意义(均P <0.05)。结论多学科协作安宁疗护模式应用于肿瘤患者主要照顾者,可缓解气负性情绪和心理应激状态,提高护理满意度,改善生活质量。更多还原

【Abstract】 Objective To explore the impacts of multidisciplinary collaboration-based hospice care on the negative emotions and psychological stress of the main caregivers of cancer patients. Methods A total of 134 main caregivers of cancer patients were selected at Shaanxi Provincial Cancer Hospital between May 2018 and April 2020. They were categorized into an observation group and a control group with 67 caregivers in each group using random table method. Patients in the observation group were given multidisciplinary collaboration-based hospice care and patients the control group were given conventional nursing. Changes in negative emotions and psychological stress were compared between the two groups. Results After nursing,anxiety and depression scores and psychological stress were low in the two groups compared with those before nursing with the observation group lower than the control group( all P < 0. 05). Patient satisfaction was 98. 5% in the observation group after nursing,which was significantly higher than 88. 1% of the control group( P < 0. 05). After nursing,quality of life scores such as physical health,psychological coping,worry,life satisfaction,life interruption,positive influence and mental illness were significantly higher in the observation group than in the control group( all P < 0. 05). Conclusion Multidisciplinary collaboration-based hospice care can relieve negative emotions and psychological stress and improve nursing satisfaction and quality of life of main caregivers of cancer patients.更多还原