摘要
目的 探究文化敏感性安宁疗护框架结合任务清单在晚期肿瘤患者中的应用价值。方法 将2023年1月至2025年1月我院收治的68例晚期肿瘤患者,随机分为观察组、对照组,各34例。对照组、观察组分别实施常规安宁疗护、文化敏感性安宁疗护框架结合任务清单干预。结果 在护理满意度方面,观察组为97.06%,对照组为79.41%,观察组明显高于对照组,有统计学意义(P<0.05);在不良反应发生率方面,观察组为5.88%,对照组为23.53%,观察组明显低于对照组,有统计学意义(P<0.05);结论 实施文化敏感性安宁疗护框架结合任务清单干预在晚期肿瘤患者中,能够避免因照护滞后导致的疼痛加剧、营养不良等不良反应恶化,减轻终末期不良反应,维持身体机能的相对稳定,提升患者对护理干预工作的满意度,值得参考。
关键词: 文化敏感性;安宁疗护框架;任务清单;晚期肿瘤
Abstract
Objective To explore the application value of the cultural sensitivity palliative care framework combined with task list in patients with advanced tumors. Methods From January 2023 to January 2025, 68 patients with advanced tumors admitted to our hospital were randomly divided into an observation group and a control group, with 34 cases in each group. The control group received conventional palliative care, while the observation group received the cultural sensitivity palliative care framework combined with task list intervention. Results In terms of nursing satisfaction, the observation group was 97.06%, and the control group was 79.41%. The observation group was significantly higher than the control group, with statistical significance (P < 0.05). In terms of the incidence of adverse reactions, the observation group was 5.88%, and the control group was 23.53%. The observation group was significantly lower than the control group, with statistical significance (P < 0.05). Conclusion The implementation of the cultural sensitivity palliative care framework combined with task list intervention in patients with advanced tumors can avoid the deterioration of adverse reactions such as pain and malnutrition caused by delayed care, alleviate adverse reactions in the terminal stage, maintain the relative stability of physical functions, and improve patients' satisfaction with nursing intervention, which is worthy of reference.
Key words: Cultural sensitivity; Palliative care framework; Task list; Advanced tumors
参考文献 References
[1] 王宏艳,杨晓亮,陶星宇. 医院-社区-家庭三级联动安宁疗护在晚期肿瘤患者中的应用效果分析 [J]. 中国社区医师, 2025, 41 (13): 130-132.
[2] 王文,曹秀莉,刘丽娟. 叙事护理与安宁疗护对晚期恶性肿瘤患者生活质量的影响 [J]. 心理月刊, 2025, 20 (07): 191-193+229.
[3] 颜小红,莫俐君,孙永梅. 安宁疗护全程全人照护模式在晚期肿瘤病人中的应用 [J]. 护理研究, 2025, 39 (05): 814-819.
[4] 于欢,周爱英. 基于叙事医学的安宁缓和疗护方案在晚期恶性肿瘤病人中的应用 [J]. 全科护理, 2025, 23 (02): 318-322.
[5] 雷珍,王丽红,杨雪坚,等. 一核多元模式下的安宁疗护应用于消化道晚期肿瘤患者的临床效果 [J]. 临床医药实践, 2025, 34 (02): 152-155.
[6] 张丽,杨杰,宋昭银,等. 安宁疗护对晚期肿瘤患者疼痛程度、生活质量及主观幸福度的影响 [J]. 婚育与健康, 2024, 30 (21): 187-189.
[7] 赵欣,高建松. 安宁疗护模式对晚期疑难肿瘤患者的死亡认知态度和主观幸福感的影响 [J]. 医学临床研究, 2024, 41 (10): 1621-1624.
[8] 杨艳,王晶晶,徐艺琳. 基于i-PARIHS模式的晚期肿瘤患者安宁疗护护理规范的构建与应用 [J]. 实用临床医药杂志, 2024, 28 (20): 18-22.