缓和照护方案在结直肠癌化疗病人中的应用

李娟; 吕玲; 刘艺颍; 李少杰; 杜鑫; 王薇; 吴海倩; 田添

doi:10.13898/j.cnki.issn.2097-5252.2025.07.024

缓和照护方案在结直肠癌化疗病人中的应用

The application of palliative care programs in patients with colorectal cancer undergoing chemotherapy

摘要

摘要:
目的探讨缓和照护方案在结直肠癌化疗病人中的应用效果。
方法以阜阳市人民医院2024年1—12月住院结直肠癌化疗病人80例为研究对象，随机分成2组，缓和组(n=40例)实施缓和照护干预，对照组(n=40例)实施常规护理干预，干预前后比较病人症状得分、照顾者照顾准备度和病人生活质量。
结果干预后，缓和组5个症状群得分、影响程度得分、照顾准备度和生活质量各维度得分均低于对照组(P < 0.05)，且2组均较干预前降低，缓和组降低程度更高(P < 0.05)。
结论缓和照护方案能全面改善病人的症状，降低症状对生活的影响程度; 提高照顾者照顾准备度和病人的生活质量。

Abstract:
Objective To explore the application effect of palliative care programs in patients with colorectal cancer undergoing chemotherapy.
Methods A total of 80 inpatients with colorectal cancer undergoing chemotherapy in Fuyang People′s Hospital from January to December 2024 were selected as the research subjects and randomly divided into 2 groups.The palliative care group(n=40 cases) received palliative care intervention, while the control group(n=40 cases) received conventional nursing intervention.The symptom scores of the patients, the care readiness of the caregivers, and the quality of life of the patients were compared before and after the intervention.
Results After the intervention, the scores of the five symptom clusters, the score of the degree of impact, the score of each dimension of care readiness and quality of life in the palliative group were all lower than those in the control group (P < 0.05), and both groups were lower than those before the intervention, with a higher degree of reduction in the palliative group (P < 0.05).
Conclusions The nurse-patient collaborative nursing program based on palliative care can comprehensively improve the symptoms of patients and reduce the degree of impact of symptoms on life.Improve the care readiness of caregivers and the quality of life of patients.

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