新疆医科大学学报

目的探讨多学科全人照护模式在安宁疗护病房的实施及效果评价。方法选取某三级甲等肿瘤专科医院安宁病房2018年1-12月住院的50例晚期癌症患者为研究对象,运用多学科全人照护模式,对患者入院第1天和第14天生存质量、症状控制和患者需求满意程度进行效果评价。结果 45例患者完成了本次研究,5人在入院14 d内死亡。与干预前比较,干预后,患者MQOL得分在生理维度和心理维度明显降低;在存在维度、社会支持维度和整体生存质量得分均显著提高,差异有统计学意义(P<0.05);干预后患者症状控制平均满意度为90.28%;患者需求平均总满足度为87.33%。结论运用多学科全人照护模式能够提高癌症患者的临终生存质量,有效控制患者症状、提高患者需求满意程度、减轻患者痛苦,同时提高患者及家属对医疗服务的满意度。

Objective To explore the implementation and effect evaluation of multi-disciplinary whole-person care mode in hospice care ward in the cancer hospital. Methods A total of 50 inpatients with terminal cancer from the Hospice Care Ward of the cancer hospital were enrolled from January to December 2018. Through the model of multi-disciplinary holistic care, the quality of life, symptom control and satisfaction degree of patients′ needs were compared between the first day and the 14 th day of admission. Results There were 45 patients who completed the study and 5 died within 14 days after admission. Compared with before and after the intervention, patients′ MQOL scores in physiological and psychological dimensions were significantly lower; in presence dimension, social support dimension and overall quality of life scores were significantly higher, and the difference was statistically significant(P<0.05); after the intervention, patients′ average satisfaction of symptom control was 90.28%; patients′ average total satisfaction of demand was 87.33%. Conclusion The model of multi-disciplinary care in the cancer hospital can improve the quality of dying life effectively, the symptoms of terminal cancer can be better controlled, and the needs of patients can be better satisfied and the pain of patients can be relieved. It also can improve the satisfaction with medical services of patients and family members.