死亡教育对老年晚期癌症患者情绪状态与生活质量的影响

Impact of death education on emotional state and quality of life in elderly terminally ill cancer patients

摘要:

目的 探讨死亡教育能否改善老年晚期癌症患者的情绪状态及生活质量。方法 入选北京老年医院肿瘤内科97例老年晚期癌症患者,给予个体化死亡教育,年龄(68.32±8.78)岁,每周1～2次,持续4周,教育前后均接受简明心境量表(POMS)和生活质量测定表(EORTC QLQ-C30)评估。结果 死亡教育后患者的紧张-焦虑、抑郁-沮丧、愤怒-敌意、慌乱-迷惑等情绪因子分值有显著降低,差异有统计学意义(P＜0.001)；死亡教育后患者情绪功能、认知功能、社会功能及总体生存质量均有显著提高(P＜0.001)。结论 死亡教育解除了患者对死亡的恐惧、担忧和悲观情绪,提高其生活质量。

Abstract:

Objective To investigate whether death education can improve the emotional state and the quality of life in the elderly terminally ill cancer patients. Methods A total of 97 terminally ill patients (68.32±8.78 years old) with cancer admitted in our department from November 2010 to December 2012 were enrolled in this study. They all received individualized death education, once or twice per week, for 4 consecutive weeks. Profile of mood states POMS) and European Organization for Research and Treatment of cancer quality of life (EORTC QLQ-C30) were conducted on the patients before and after the education. Results After the death education, their scores of tension-anxiety, depression-dejection, anger-hostility, and confusion-bewilderment, and the scores of other emotional factors were all significantly reduced (P<0.001). Death education resulted in obvious improvements in the emotional function, cognitive function, social function and the total scores of EORTC QLQ-C30 in the participants (P<0.001). ConclusionDeath education mitigates the fear, worry and pessimism of death, and improves the quality of life in the elderly terminally ill cancer patients.