詹玉卿

摘要目的：探析人文关怀护理对晚期肝癌患者疼痛、情绪以及睡眠质量的影响。方法：选取2016年8月至2018年7月厦门市中医院收治的肝癌患者82例作为研究对象，随机分为对照组和观察组，每组41例。对照组采用常规护理，观察组采用人文关怀护理。比较2组的护理效果。结果：护理前，2组患者的VAS、SDS、SAS等评分比较，差异均无统计学意义（P>005）;护理后，2组患者的VAS、SDS、SAS等评分均有改善，观察组明显低于对照组，2组比较差异均有统计学意义（P<005）;且观察组的入睡时间、睡眠时间、睡眠障碍、日间功能等睡眠质量评分也低于对照组，差异有统计学意义（P<005）。结论：将人文关怀护理应用于晚期肝癌患者中，可明显降低患者的疼痛等级，改善其抑郁、焦虑情绪，提高患者的睡眠质量，临床应用效果良好，具有推广价值。

关键词人文关怀护理;晚期肝癌;疼痛等级;睡眠质量

Effect of Humanistic Care on Pain，Mood and Sleep Quality of Patients with Advanced Liver Cancer

ZHAN Yuqing

（Xiamen Hospital of traditional Chinese medicine，Xiamen 361000，China）

AbstractObjective：To explore the effect of humanistic care on pain，mood and sleep quality of patients with advanced liver cancerMethods：A total of 82 cases of liver cancer admitted to Xiamen Hospital of traditional Chinese Medicine from August 2016 to July 2018 were selected for comparative studyResults：There was no significant difference in the scores of vas，SDS and SAS between the two groups before nursing（P>005）; after nursing，the scores of vas，SDS and SAS in the observation group were significantly lower than those in the control group（P<005）; and the scores of sleep time，sleep time，sleep disorder and daytime function in the observation group were also significantly lower than those in the control group（P<005）Conclusion：The application of humanistic care in patients with advanced liver cancer can significantly reduce the level of pain，improve their depression and anxiety，and improve the quality of sleepThe clinical application of humanistic care has a good impact，and has the value of promotion.

KeywordsHumanistic care; Advanced liver cancer; Pain level; Sleep quality

中图分类号：R7357;R47373文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.044

晚期肝癌患者在病痛和心理压力的双重折磨下，多会出现抑郁、焦虑、无法入睡等情况，生命质量较差。针对晚期肝癌患者的情况，人文关怀护理显得尤为重要[1]。本研究结合人文关怀护理理念及晚期肝癌患者的生命质量，对晚期肝癌患者采用人文关怀护理，改善患者的疼痛、不良情绪以及提高患者的睡眠质量取得较好的效果。现报道如下。

1资料与方法

11一般资料选取2016年8月至2018年7月厦门市中医院收治的肝癌患者82例作为研究对象，随机分为观察组和对照组，每组41例。对照组中男22例，女20例，年龄42～71岁，平均年龄（625±38）岁;观察组中男23例，女19例，年龄42～70岁，平均年龄（621±32）岁。一般资料经统计学分析，差异无统计学意义（P>005），具有可比性。本研究经患者及其家属知情同意。

12纳入标准1）经影像学检查和病理学检验，确诊为肝癌晚期者;2）意识清楚，无精神类障碍者;3）预计生存期在3个月以上者;4）对本研究知情同意者。