洪瑛

【摘要】 目的：探讨卵巢癌晚期患者提高生活质量方案。方法：选取笔者所在医院晚期卵巢癌预死亡阶段患者66例，依照入院时间分为研究组（n=33）、对照组（n=33）。对照组采用常规护理，研究组在对照组基础上采用人性照护理论联合死亡教育，统计比较两组干预前、1个月后患者生活质量综合评定问卷（GQOLI-74）评分及家属心理状态（SCL-90）评分。结果：干预1个月后研究组心理功能、社会功能、物质生活状态评分高于对照组，差异有统计学意义（P<0.05）;干预1个月后研究组家属SCL-90评分低于对照组，差异有统计学意义（P<0.05）。结论：人性照护联合死亡教育可提高卵巢癌预死亡阶段患者生活质量，同时改善患者家属心理状态。

【关键词】 晚期卵巢癌 人性照护 死亡教育 生活质量

doi：10.14033/j.cnki.cfmr.2020.20.039 文献标识码 B 文章编号 1674-6805（2020）20-00-03

Study on Improving Quality of Life in Advanced Ovarian Cancer Patients/HONG Ying. //Chinese and Foreign Medical Research， 2020， 18（20）： -100

[Abstract] Objective： To study the improvement of quality of life for advanced ovarian cancer patients. Method： A total of 66 patients with advanced ovarian cancer in our hospital were selected and divided into the study group （n=33） and the control group （n=33） according to the admission time. Conventional nursing was used in the control group， and the study group used the theory of humanity care combined with death education on the basis of the control group. The scores of comprehensive quality of life questionnaire （GQOLI-74） and psychological status of patients families （SCL-90） were statistically compared between the two groups before and 1 month after intervention. Result： After 1 month of intervention， the scores of psychological function， social function and material life status of the study group were higher than those of the control group， the differences were statistically significant （P<0.05）. And the SCL-90 score of patients families in the study group was lower than that of the control group， the difference was statistically significant （P<0.05）. Conclusion： The humanity care theory combined with death education is applied in the pre-death stage of advanced ovarian cancer， which can improve patients quality of life， and improve the psychological status of the patients families.

[Key words] Advanced ovarian cancer Theory of humanity care Death education Quality of life

First-authors address： Ezhou Hospital of Traditional Chinese Medicine， Ezhou 436000， China

卵巢癌为妇科常见恶性肿瘤，60%～70%患者确诊时已为卵巢癌晚期，5年生存率仅25%左右，经临床各种治疗均无显著疗效时，患者进入预死亡阶段[1-2]。晚期卵巢癌患者常伴有癌痛、全身乏力、食欲不振等恶病质临床表现，经长期放化疗，患者机体免疫功能、体质严重受损，加之癌痛折磨，患者在预死亡阶段常发生抑郁、恐惧、悲观等负性情绪，严重影响生活质量[3]。为改善晚期卵巢癌预死亡阶段患者消极情绪，提高生活质量，本研究对其实施人性照护理论联合死亡教育，具体结果报道如下。

1 资料与方法

1.1 一般资料

选取2016年7月-2019年6月笔者所在医院收治的晚期卵巢癌预死亡阶段患者66例，直系亲属（配偶、父母、子女）66位，年龄40～70岁，高中学历（含）以下55人，大学学历（含）以上11人。纳入标准：经超声、血清CA125等检查确诊;1个月≤预生存期≤3个月;排除标准：合并其他严重原发性疾病;语言、肢体沟通障碍;认知功能不全;治疗依从性差;合并严重感染;合并其他恶性肿瘤;存在焦虑、抑郁病史。……