Study On The Effects Of Palliative Care On Patients With Advanced Breast Cancer And Caregivers

Objective: To investigate the effect of palliative care in improving the quality of life,anxiety and depression,caregiver health status,care burden,and social support in patients with advanced breast cancer.Methods: 1.Select August 2016-August of August in one of the three major cancer specialist hospitals in Nanning City,diagnosed by pathology,and 100 breast cancer patients meeting the inclusion criteria.Randomized grouping method was used.According to the order of admission of patients,the coin throwing method was used.The patients were included in the control group and the patients were admitted to the left ward of the nurse station.The patients were included in the intervention group and the nurses were assigned to the right ward..Patients in the control group were given conventional standard tumor care such as symptomatic care,psychological counseling,and imparting knowledge about health.The intervention group adopted conventional standard tumor care combined with palliative care and established an palliative care team.According to related procedures,in addition to providing specialized care,it also provided more humanistic and informational services and required patients to participate in decision-making.2.Prior to nursing,general information on patients and caregivers was collected through effective means.Patients were assessed using the Breast Cancer Quality of Life Inventory,the Edmonton Symptom Assessment Scale,the Self-rating Anxiety Scale,and the Self-rating Depression Scale.Quality of life,symptom improvement,and anxiety and depression relief;using concise health questionnaires,Zarit caregiver burden scales,and social support rating scales to assess caregivers' burden of care and social support.Data were collected before intervention,after 4 weeks of intervention,and after 12 weeks of intervention.Import the data into SPSS22.0 software to analyze.General data analysis,count data for chi-square test,rank data for rank sum test;two independent sample t-tests for measurement data;by repeated measures analysis of variance,starting from the quality of life,anxiety,and comparing the differences between the two groups of patients Through the generalized estimation method,the patient's symptoms were evaluated to understand the differences in the efficacy of the two groups of patients in improving the symptoms.3.Before nursing,collect general information of the caregiver through effective means,and use a concise health questionnaire,Zarit caregiver burden scale,and social support rating scale to assess caregiver care burden and social support.Data were collected before intervention,after4 weeks of intervention,and after 12 weeks of intervention.Import the data into SPSS22.0 software to analyze.General data analysis,count data for chi-square test,rank data for rank sum test,two independent sample t-tests for measurement data,and comparison of differences in health status,care burden,and social support through repeated measures analysis of variance Caregiver differences in health conditions,care burden and social support.Results: 1.In terms of general data,there was no significant difference in the data between patients and caregivers before intervention(P>0.05).2.Starting from the state of survival,symptoms improvement,anxiety and depression,and understanding the patient's performance in these areas at different time periods,the results show that over time,the patient's performance in the above four aspects has significantly changed,while the differences between the groups Statistically significant();at the4 th and 12 th week after the intervention,the difference in the scores of the quality of life was statistically significant();from the symptom improvement score,the intervention group was symptomatic.Scores of pain,fatigue,anxiety,depression,appetite,drowsiness,and health status were statistically significant(P<0.05).There was no significant difference in nausea and shortness of breath symptoms between the two groups (P>0.05).The scores of depression and depression began.After 4 weeks of intervention and 12 weeks of intervention,there was a statistically significant difference in anxiety and depression scores between the two groups(P<0.05).3.Analysis and comparison of caretaker concise health questionnaires between two groups of patients with advanced breast cancer.The results showed that over time,compared with the control group,caregivers in the intervention group were in terms of health level,vitality,social function,and emotional function.The scores in such areas were significantly higher than those in the control group(P<0.05).From the point of care burden scale analysis,the care burden of the caregivers in the intervention group after 4 weeks and 12 weeks of intervention was smaller than that of the control group.There was statistical significance(P<0.05).From the social support rating scale analysis,the social support of caregivers in the intervention group was significantly higher than the control group after 4weeks and 12 weeks of intervention(P<0.05).Conclusion: In this study,the palliative care team was established to adopt a multidisciplinary model and adopt this new model: 1.The palliative care model can effectively improve the quality of life of patients with advanced breast cancer;it can reduce the risk of advanced breast cancer patients.Pain,fatigue,lethargy and other unpleasant symptoms during treatment;relieve anxiety and depression in patients with advanced breast cancer.2.The palliative care model can improve the physical health of the caregiver;it can reduce the caregiving burden on the caregiver;increase the caregivers' social support in the care process and provide a reference for the clinical practice of managing chronic diseases such as cancer.