关键词: 癌, 志愿者, 安宁疗护, 优质死亡, 护理管理研究, 随机对照试验

Abstract:

Objective To improve quality of death outcomes of patients with terminal tumors in palliative care demonstration ward. Methods Totally 69 patients with terminal tumor admitted to the Anxin ward were randomly divided into two groups（the control group and the experimental group） by random number table method. Both groups were evaluated,planned,and provided with symptom management of Chinese medicine and caring time,and evaluated for spiritual care by a hospice care team including medical workers. The experimental group had cancer volunteers participating in the“Reading the Classics of Sinology”,“Meeting a Wish”,“Voice of the Mind Theme Event” and “Festival Culture” activities. The patients’ quality of life,spiritual well-being and anxiety and depression were evaluated by FACT-G,FACT-Sp-12 and HAD. Results Patients in the experimental group had significant better scores in social/family status dimensions of quality of life,spiritual comfort,anxiety and depression than patients in the control group（P<0.05）. There were no differences in three dimensions of quality of life （physical condition,emotional condition,and functional condition） and total score for quality of life between two groups（P>0.05）. Compared with those before intervention,quality of life,spiritual comfort,anxiety and depression in two groups were significantly different（P<0.05）. Conclusion Compared with the group composed entirely of medical workers,the activities of palliative care with participation of cancer volunteers can better improve high quality death of patients with terminal tumors.

Key words: Carcinoma, Volunteer, Hospice Care, High Quality Death, Nursing Administration Research, Randomized Controlled Trial