Study on the hospital-home-nursing trinity model for patients with malignant tumor of digestive system in the advanced stage
10.3760/cma.j.issn.1674-2907.2017.21.003
- VernacularTitle:消化系统恶性肿瘤患者临终期医院-家庭-护理三位一体模式的研究
- Author:
Xuerong LIU
1
;
Ping ZHANG
;
Yan WANG
;
Caibin ZHANG
;
Xiaolin ZHAO
;
Junjuan ZHANG
Author Information
1. 哈尔滨医科大学附属第一医院肿瘤一病房
- Keywords:
Neoplasms;
Quality of life;
Hospital-home-nursing model;
Survival time
- From:
Chinese Journal of Modern Nursing
2017;23(21):2709-2713
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effects of hospital-home-nursing(HHN) trinity model in the patients with malignant tumor of digestive system in the advanced stage.Methods Totally 110 patients with advanced tumor were selected and equally divided into an observation group (from October 2015 to June 2016) and a control group (from January 2015 to September 2015) based on the admission date. The patients in the control group received conventional terminal nursing and psychological nursing, while the patients in the observation group received nursing with the HHN trinity model on this basis. Then the psychological distress and meaning of life were compared between the patients in the two groups.Results One month after they were discharged from hospital, the patients in the observation group were scored (5.94±2.13) for psychological distress, lower than (7.03±2.27) of the patients in the control group (t=-2.296,P=0.020). The family members of the patients in the observation group were scored (5.22±1.83) for psychological distress, lower than (6.48±1.54) of the patients in the control group (t=-2.247,P=0.023). And the patients in the observation group were scored higher in the dimensions of meaning of life, misery bearing and death acceptance than the patients in the control group (t=2.095, 2.806, 2.260;P<0.05).Conclusions The HHN trinity model which integrates the forces of the hospital, nurses and family members for treatment, home and psychological nursing, can solve the real problems of patients, improve their quality of life, and better achieve the nursing objectives for patients with advanced tumor.
