晚期卵巢癌伴恶性腹水患者的临终关怀与护理

Hospice and nursing of advanced ovarian cancer patients combined with malignant ascites

  • 摘要: 目的:观察临终关怀和护理对晚期卵巢癌伴恶性腹水患者的影响。方法本研究共纳入晚期卵巢癌伴恶性腹水患者248例,均经腹腔穿刺灌注化疗和射频热疗治疗,并给予临终关怀和护理。采用生活质量评定表(QLQ-C 30)评定患者治疗前后的社会功能、情绪功能、角色功能,同时采用焦虑自评量表(SAS)和抑郁自评量表(SDS)评价治疗前后患者的心理状况。结果临终关怀和护理后患者社会功能、情绪功能和角色功能评分均高于护理前,SAS 和 SDS 评分均优于护理前(P<0.05)。结论临终关怀和护理能提高晚期卵巢癌伴恶性腹水患者的生活质量,减轻患者的焦虑、抑郁情绪,值得临床推广。

     

    Abstract: Objective To observe the impact of hospice and nursing on advanced ovarian cancer patients combined with malignant ascites.Methods 248 patients with advanced ovarian cancer combined with malignant ascites,who were treated by abdominal puncture infusion chemotherapy and radiofrequency hyperthermia therapy,were given hospice and nursing.Social function,emotional function and role function were evaluated by Quality of Life Assessment form (QLQ-C 30)before and after treatment and the psychological status of patients was evaluated be-fore and after treatment by Self-rating Anxiety Scale (SAS)and Self-rating Depression Scale (SDS).Results After hospice and nursing,socity function,emotional function and role function scores of patients were higher than that before the treatment.SAS and SDS scores were better than that before treatment(P <0.05).Conclusion Hospice and nursing can improve quality of life of patients with advanced ovarian cancer combined with malignant ascites and reduce anxiety and de-pression,so it is worthy of promotion.

     

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