Influence of need-based nursing hierarchy mode and palliative care hierarchy nursing intervention on patients′ quality of life and attitude

Abstract

Objective To build an ideal palliative nursing care mode and apply into the clinical practice, in order to improve the tumor patients′ quality of life and attitudes during their terminal stages. Methods The study investigated 197 advanced tumor patients and divided them into observation group (n=96) and control group (n=101). The patients of observation group received developed hierarchy nursing mode and the patients of control group received normal nursing care. The results before and after the intervention were compared according to the assessment scale of quality of life (QLQ-C30), the assessment scale of attitude towards death (DAP-R), and the assessment scale of patients′ anxiety and depression (HAD), and nursing needs investigation. Results Before the intervention, the scores of QLQ-C30 and HAD were no statistical difference; however, after the intervention, the scores in the observation group were obviously better than that in the control group, except for painful symptoms (P<0.05). In the observation group, fewer patients were afraid of death and more of them showed their acceptance compared with the control group (P<0.01). Moreover, the patients of observation group performed less escape from death than that of the control group (P<0.05). Conclusions Need-based nursing hierarchy mode is a great palliative care mode in order to improve the terminal patients′ quality of life, and reduce the fear and psychological escape of death. Key words: Tumor; Terminal care; Quality of life; Need; Hierarchy; Attitude towards life