终末癌症患者精神疼痛的护理护理:非随机对照试验
Kaori Ichihara1, Chika Nishiyama2, Kosuke Kiyohara3
1Department of Nursing (K.I.), Yodogawa Christian Hospital, Osaka, Japan; Department of Palliative Nursing (K.I., K.T.), Kyoto University Graduate School of Human Health Science, Kyoto, Japan.
这项研究探讨了对末期癌症患者的精神护理. 虽然基于精神疼痛评估表的护士精神护理计划 (SpiPas-SCP-N) 显示出潜力,但在本试验中,它并没有显著改善精神健康.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 瘤学 护理 护理专业
- 精神健康 精神健康
背景情况:
- 对于癌症末期患者来说,精神健康至关重要.
- 在这个人群中治疗精神疼痛的有效干预措施需要进一步发展.
研究的目的:
- 评估护士领导的精神护理计划 (SpiPas-SCP-N) 在缓解精神疼痛方面的有效性.
- 评估SpiPas-SCP-N对终末癌症患者精神健康和生活质量的影响.
主要方法:
- 一项非随机对照试验在日本五个息治疗单位进行.
- 干预组通过SpiPas-SCP-N计划获得了精神护理.
- 结果包括慢性疾病治疗-精神 (FACIT-Sp) 的功能评估,医院焦虑和抑郁量表 (HADS) 和其他,与分析的倾向性得分相匹配.
主要成果:
- 组之间主要结果 (FACIT-Sp总得分) 没有显著差异 (P = 0.347).
- 干预组中观察到焦虑和抑郁分数 (HADS) 的显著增加 (P = 0.035).
- 对FACIT-Sp子尺度的效果大小为意义/和平的0.25,信仰的0.04.
结论:
- 斯皮帕斯-SCP-N计划可能为癌症末期患者的精神疼痛提供好处.
- 建议对更大的随机样本进行进一步的研究,并专注于特定的FACIT-Sp子尺度.
- 持续的培训和监督对于在护理实践中实施精神护理至关重要.
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