姑息治疗患者的焦虑、呼吸困难管理和生活质量:随机对照试验

Pub Date : 2023-04-01 DOI:10.5152/FNJN.2023.23016
Ahmet Seven, Havva Sert
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引用次数: 0

摘要

目的:本研究旨在确定基于沃森人文关怀模式的护理对姑息治疗患者的焦虑、呼吸困难控制和生活质量的影响:设计了一项随机对照研究。研究对象为土耳其一家培训研究医院和两家国立医院姑息治疗服务机构的 64 名住院患者。研究采用患者信息表、贝克焦虑量表、医院焦虑和抑郁量表、医学研究委员会呼吸困难量表和短表-36生活质量量表,面对面收集数据:结果发现,两组患者在前测贝克焦虑量表、医院焦虑抑郁量表、医学研究委员会呼吸困难量表和短表-36领域的中位数得分在统计学上没有显著差异。然而,干预组的后测中位数明显降低,而短表-36 量表的后测中位数有意义地升高(P < 0.05):结论:基于人文关怀模式的护理降低了患者的焦虑和呼吸困难程度,提高了他们的生活质量。
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Anxiety, Dyspnea Management, and Quality of Life in Palliative Care Patients: A Randomized Controlled Trial.

Aim: This study aimed to determine the influence of nursing care grounded on Watson's Human Care Model on anxiety, dyspnea control, and life quality in palliative care patients.

Method: A randomized controlled study was designed. It was conducted on 64 participants hospitalized in a training and research hospital and 2 state hospital palliative care services in Turkey. The data were collected face to face using the patient information form, the Beck Anxiety Scale, the Hospital Anxiety and Depression Scale, the Medical Research Council Dyspnea Scale, and the Short Form-36 Quality of Life Scale.

Results: It was detected that there was no statistically considerable difference in the median points of the Beck Anxiety Scale, Hospital Anxiety and Depression Scale, Medical Research Council Dyspnea Scale, and Short Form-36 domains between the two groups in the pretest. However, the posttest median points were remarkably lower and the posttest median points of the Short Form-36 scale were meaningfully higher in the intervention group (p < 0.05).

Conclusion: Nursing care grounded on Human Care Model reduced the grade of anxiety and dyspnea in patients and raised their life quality.

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