摘要
目的研究医院-基层-家庭三级中医管理模式对癌症中晚期患者心理弹性以及生活质量的影响。方法选择2017年8月~2018年8月在河北大学附属医院中西医结合科出院的癌症中晚期患者122例作为研究对象,采用随机数字表法将其分为干预组和对照组,由于研究过程中,死亡2例,失访4例,最后纳入116例癌症中晚期患者作为研究对象,其中干预组59例,对照组57例。干预组出院后实施医院-基层-家庭中医管理模式,对照组给予常规出院管理模式。比较两组患者在出院时、出院后9个月的心理弹性和生活质量。结果出院时,两组患者心理弹性总分及各维度得分比较,差异无统计学意义(P>0.05)。出院9个月后,对照组心理弹性总分及各维度得分与出院时比较,差异无统计学意义(P>0.05);干预组心理弹性总分及各维度得分明显高于出院时,且干预组高于对照组,差异均有统计学意义(均P<0.05)。出院时,两组患者生活质量总分及各维度得分比较,差异无统计学意义(P>0.05)。出院9个月后,两组患者生活质量总分及各维度得分与出院时比较,差异无统计学意义(P>0.05)。出院9个月后,干预组生活质量总分及各维度得分明显高于对照组,差异有统计学意义(P<0.05)。结论开展医院-基层-家庭中医管理模式,可使癌症中晚期患者得到延续和完整的医务服务,患者对院内治疗与护理措施保持良好的依从性,可提高其患癌后的心理弹性,提升其生活质量,利于其带癌长期生存。
Objective To study the influence of the hospital-basic-family three-level traditional Chinese medicine management mode on the mental resilience and quality of life of patients with advanced cancer.Methods From August 2017 to August 2018,122 patients with advanced cancer who were discharged from the Department of Integrated Chinese and Western Medicine,Affiliated Hospital of Hebei University were selected as the study objects.They were divided into the intervention group and the control group by the random number table method.During the study,2 cases died and 4 cases were lost to follow-up.Finally,116 patients with advanced cancer were included as the study objects,including 59 in the intervention group and 57 in the control group.After discharge,the intervention group was given the hospital-basic-family traditional Chinese medicine management mode,while the control group was given the conventional discharge management mode.Mental resilience and quality of life of parents at discharge and nine months after discharge were compared between the two groups.Results At the time of discharge,there was no statistically significant difference in the total score of mental resilience and scores of each dimension between the two groups(P>0.05).Nine months after discharge,the total score of mental resilience and scores of each dimension in the control group showed no statistically significant difference compared with those at discharge(P>0.05).The total score of mental resilience and scores of each dimension in the intervention group were significantly higher than those at discharge,and those in the intervention group were higher than those in the control group,with statistically significant differences(all P<0.05).At the time of discharge,there was no statistically significant difference in the total score of quality of life and scores of each dimension between the two groups(P>0.05).Nine months after discharge,there was no significant difference in the total score of quality of life and scores of each dimension between the two groups compared with those at discharge(P>0.05).Nine months after discharge,the total score of quality of life and scores of each dimension in the intervention group were significantly higher than that in the control group,with statistically significant differences(P<0.05).Conclusion Carrying out the hospital-basic-family traditional Chinese medicine management mode can ensure the continuation and complete medical services for patients with cancer in the middle and advanced stages.Patients can maintain good compliance with the treatment and nursing measures in the hospital,improve their mental resilience after cancer,enhance their quality of life,and facilitate their long-term survival with cancer.
作者
张岚
赵永辰
宋磊
李德需
刘亚维
唐敏
ZHANG Lan;ZHAO Yongchen;SONG Lei;LI Dexu;LIU Yawei;TANG Min(Department of Integrated Chinese and Western Medicine,Affiliated Hospital of Hebei University,Hebei Province,Baoding 071000,China;Department of Traditional Chinese Medicine,Baoding Children′s Hospital,Hebei Province,Baoding,071000,China)
出处
《中国医药导报》
CAS
2020年第5期99-103,共5页
China Medical Herald
基金
河北省中医药管理局中医药类科研计划项目（2018149）
关键词
三级管理
中医
癌症
生活质量
Three-level management
Traditional Chinese medicine
Cancer
Quality of life
