[1]王培培.患者和家庭为中心的护理模式对优化肺癌患者临终关怀期的效果观察[J].西部中医药,2020,33(06):132-134.[doi:10.12174/j.issn.1004-6852.2020.06.36]
　WANG Peipei.Effects of Patient and Family Centered Nursing Mode on Optimized Terminal Care for Lung Cancer Patients[J].Western Journal of Traditional Chinese Medicine,2020,33(06):132-134.[doi:10.12174/j.issn.1004-6852.2020.06.36]
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患者和家庭为中心的护理模式对优化肺癌患者临终关怀期的效果观察
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
33
期数:
2020年06期
页码:
132-134
栏目:
出版日期:
2020-06-15

文章信息/Info

Title:
Effects of Patient and Family Centered Nursing Mode on Optimized Terminal Care for Lung Cancer Patients
文章编号:
1004-6852(2020)06-0132-03
作者:
王培培
北京大学肿瘤医院，北京 100142
Author(s):
WANG Peipei
Beijing Cancer Hospital, Beijing 100142, China
关键词:
肺癌; 临终关怀期; 护理; 家庭; 护理模式
Keywords:
lung cancer;  terminal care;  nursing;  family;  nursing mode
分类号:
R473.73
DOI:
10.12174/j.issn.1004-6852.2020.06.36
文献标志码:
B
摘要:
目的：探讨以患者和家庭为中心的护理模式对优化肺癌患者临终关怀期的护理效果。方法：将156例患者随机分为对照组与观察组，每组78例。对照组应用常规护理模式，观察组应用以患者和家庭为中心的护理模式。比较两组心理情绪、身体状况、家庭支持评分、医疗依从性、护理满意度。结果：依从率观察组为89.74%(70/78)，对照组为67.95%(53/78)，两组比较差异有统计学意义(P＜0.05)。满意度观察组为92.31%(72/78)，对照组为78.21%(61/78)，两组比较差异有统计学意义(P＜0.05)。抑郁、焦虑评分护理前后组内比较，差异有统计学意义(P＜0.05)；护理后组间比较差异也有统计学意义(P＜0.05)。家庭支持评分护理后组间比较，差异有统计学意义(P＜0.05)。肺功能、移动度、智力、营养状态评分护理前后组内比较，差异有统计学意义(P＜0.05)；护理后组间比较差异也有统计学意义(P＜0.05)。结论：患者和家庭为中心的护理模式能缓解患者焦虑、抑郁症状，改善身体状况，提高家庭支持力度，增加医疗依从率，同时提高护理满意度。
Abstract:
Objective: To discuss the effects of patient and family centered nursing model on optimized terminal care for the patients with lung cancer. Methods: All 156 patients were randomized into the control group and the observation group, 78 cases each group. The control group accepted conventional nursing model, while the observation group patient and family centered nursing model. To compare psychological emotions, physical conditions, family support scores, medical compliance and nursing satisfaction degrees between both groups. Results: Compliance rate of the observation group was 89.74%(70/78), higher than 67.95%(53/78) of the control group, and there was a significant difference between both groups(P＜0.05). Satisfaction degree of the observation gorup was 92.31% (72/78), higher than 78.21% (61/78) of the control group, and the difference showed statistical meaning(P＜0.05). The difference had statistical meaning in SDS and SAS within the groups before and after the intervention (P＜0.05), the difference showed statistical meaning between both groups after the intervention (P＜0.05). The difference was statistically significant in family support scores between both groups after the intervention(P＜0.05). The difference presented statistical meaning in the scores of pulmonary function, mobility, intelligence and nutritional status within the groups before and after the intervention (P＜0.05); the difference had statistical meaning between both groups after the intervention (P＜0.05). Conclusion: Patient and family centered nursing model could relieve anxiety and depression, physical conditions, lift family support, and increase medical compliance, simultaneously lift nursing satisfaction degree.

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备注/Memo

备注/Memo:
收稿日期：2019-12-20作者简介：王培培(1986—)，女，护师。研究方向：呼吸系统疾病的临床诊治。
更新日期/Last Update: 2020-06-15