目的：探讨人性化照护在膀胱癌合并冠心病患者中的护理效果并分析其伦理意义。方法选择膀胱癌合并冠心病患者78例，分为对照组及观察组，每组39例，对对照组行常规护理，观察组在常规护理基础上再辅以人性化照护，对干预前后的希望水平、焦虑抑郁状态、生活质量进行评估。结果观察组干预后希望指数较干预前均显著升高(P<0.05)，且较对照组显著升高(P<0.05)。对照组及观察组干预后SAS、SDS评分较干预前均有显著下降(P<0.05)，观察组干预后SAS、SDS较对照组均有显著改善(P<0.05)。这提示采用人性化照护后，观察组自觉症状、心理情绪状态、躯体功能、日常生活等项目评分均高于对照组(P<0.05)。结论人性化照护模式可提高膀胱癌合并冠心病患者希望指数、并有助于改善不良情绪、提高生活质量，体现了新的护理精神，具有一定的护理伦理意义。%Objective:To explore the effect of humane nursing for bladder cancer patients complicated with cor-onary artery disease and analyze the ethical significance. Methods:Seventy-eight patients of bladder cancer com-plicated with coronary artery disease were recruited and divided into control group ( n=39 ) and observation group (n=39). Subjects of the observation group accepted routine care and humane care, while those in the control group only accepted routine care. Before and after the intervention, level of hope, anxiety and depression, quality of life were assessed. Results:After the intervention, the subjects′hope level in the observation group was signifi-cantly higher (P<0. 05) than before, and significantly higher than the control group (P <0. 05). Both in the control group and observation group, SAS and SDS scores significantly decreased (P<0. 05) than before, and the observation group compared with the control group were significantly improved ( P<0 . 05 ) . It suggested that symp-toms, psychological and emotional state, physical function, and other items of daily life scores were improved sig-nificantly after the implementation of humane nursing ( P<0 . 05 ) . Conclusion: Humane care mode can signifi-cantly increase the hope level of bladder cancer patients complicated with coronary heart disease, and is conducive to improving bad emotion and quality of life, which embodies the new nursing spirit, consists with the requirements of nursing ethics, and has a certain value to nursing ethics.
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