晚期肿瘤患者居家安宁疗护巡视护理实操规范研究

A study on the practice norms of home hospice care patrol nursing in patients with advanced tumor

  • 摘要:
    目的 建立和临床验证晚期肿瘤患者居家安宁疗护巡视护理的实操规范。
    方法 本研究共纳入符合条件的晚期肿瘤患者15例, 对其实施居家安宁疗护护理巡视服务实操规范,并验证护理模式、服务规范、服务流程、照护规范,比较收费标准的接受认可率和护理前后患者90项症状量表评分、睡眠质量评分和心理痛苦指数评分。
    结果 15例患者服务周期为38~113 d, 平均(72.13±22.78) d; 巡视总次数14~25次,平均(18.33±3.60)次,每周巡视次数1~4次,平均(1.86±0.74)次。巡视护理2次后, 90项症状量表评分、睡眠质量评分、心理痛苦指数均较护理前改善,差异有统计学意义(P < 0.01)。护理过程中无不良事件发生。各项护理和照护服务的收费价格接受率为100%, 患者和家属的满意率和基本满意率为100%。
    结论 建立居家安宁疗护护理巡视实操规范有较强的实用性和操作性,能够确保服务质量,提高工作效率、患者生命质量、护理及照护收费接受率和患者及家属的满意率,对居家安宁疗护巡视护理服务向规范化、制度化发展起到重要促进作用。

     

    Abstract:
    Objective To establish and clinical verify the practice norms of home hospice care patrol nursing in patients with advanced tumor.
    Methods A total of 15 eligible patients with advanced cancer were included in the study, and the practice standard of home hospice nursing patrol service was implemented. Service standard, service process and nursing standard were verified. The acceptance rate of charge standards and 90-item Symptom Scale score, sleep quality score and psychological distress score before and after care were compared.
    Results The average service cycle of patients was 38 to 113 days, with an average of (72.13±22.78) days, the number of total patrol nursing was 14 to 25 times, with an average of (18.33±3.60) days; the number of patrol nursing per week was 1 time to 4 times, with an average of (1.86±0.74) times. After two rounds of nursing, the scores of 90 symptom list, sleep quality and psychological distress were significantly improved (P < 0.05). The acceptance rate of all kinds of nursing and care services reached 100%, and the satisfaction rate and basic satisfaction rate of patients and their families were 100%.
    Conclusion The establishment of practice norms of home hospice care patrol nursing has strong practicability and operability, which can ensure service quality, improve work efficiency, patients' life quality, fee acceptance rate of nursing and care and satisfaction rate of patients and their families. Therefore, it plays an important role in promoting the standardization and normalization of home hospice nursing service.

     

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