家属哀伤疗护对患者生活质量的影响

2016-01-21蒋中陶孙伟郑家萍上海徐汇区华泾镇社区卫生服务中心上海200231

上海医药 2015年2期

蒋中陶孙伟郑家萍（上海徐汇区华泾镇社区卫生服务中心上海 200231）

家属哀伤疗护对患者生活质量的影响

蒋中陶孙伟郑家萍
（上海徐汇区华泾镇社区卫生服务中心上海 200231）

摘要目的：探讨对恶性肿瘤家属实施哀伤疗护对患者生活质量的影响。方法：选择2012年9月-2013年12月中心肿瘤患者及家属106对，分为研究组和对照组各53对，在对患者实施常规护理外，对研究组家属实施哀伤疗护，用健康状况调查表(SF-36)评估两组患者的生活质量。结果：研究组患者在家属实施哀伤疗护前后的生活质量比较，除身体疼痛维度外，其余维度评分差异有统计学意义（P<0.05)。对照组患者相同时间生活质量比较，除生理功能和生理职能2个维度外，其余维度差异无统计学意义（P>0.05)。结论：实施家属哀伤疗护可提高肿瘤患者的生活质量。

关键词哀伤疗护生活质量家属

The impact of implementation of the grief care for the family members on the life quality of patients

JIANG Zhongtao, SUN Wei, ZHENG Jiaping
(Huajing Community Health Service Center of Xuhui District, Shanghai 200231, China)

ABSTRACTObjective: To explore the impact of the grief care for the family members on the life quality of the patients. Methods: One hundred and six pairs of the patients with cancer and their family members were selected from September, 2012 - December 2013 in the centre, and were randomly divided into a study group and a control one with 53 cases each. In the study group, the grief care was given to their family members besides the conventional nursing for the patients. The health questionnaire (SF-36) was used to assess the life quality of the patients in two groups during the intervention. Results: As compared with the life quality in the patients of the study group before and after implementation of the grief care for the family members, in addition to the physical pain dimension, the difference of the rest dimensions had the statistical significance (P>0.05). At the same time, compared with the life quality of the patients in the control group, in addition to the two dimensions of physiological functions, the remaining dimensions had no statistically significant difference (P>0.05). Conclusion: Implementation of the grief care for the family members on the patients with cancer can improve their quality of life.

KEY WORDSgrief care; quality of life; family member

随着健康观念和医学模式的转变，生活质量成为评价肿瘤患者治疗效果的研究热点[1]。肿瘤患者由于躯体功能下降和社交能力变化，不仅给患者自身带来严重的身心问题，对于整个家庭都是严重的应急因素[2]，肿瘤患者家属的心理疾病发生率大于肿瘤患者[3]。我国的研究主要集中在患者而忽视了家属在患者治疗中的作用，这不利于患者的治疗[4]。本文对53例肿瘤患者家属进行哀伤疗护，取得了较好效果，现报道如下。