综合叙事护理评估在安宁疗护病房癌症患者照护中的应用

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中图分类号：R47 文献标志码：A 文章编号：1674-490X（2025）04-0046-10

Application of a comprehensive narrative nursing evaluation model in the care of cancer patients in hospice care units

YE Rui1， YUE Peng²，GAO Shuang'，GAO Li1 （1. Department of Palliative Care， Beijing Luhe Hospital， Capital Medical University， Beijing 101149， China；2.School of Nursing，Capital Medical University，Beijing 1OOO69，China）

Abstract ： Objective To evaluate cancer patients in the palliative care ward by applying the comprehensive narrative nursing assessment method and the Omaha Problem Clasification System，the main care problems of the patients were identified，providing practical basis for the palliative care team to offer subsequent palliative care services to patients and their families，in order to improve the quality of life of patients at the end of their lives and enhance the care capabilities of the paliative care team.Methods In this study， 3OO cancer patients from the palliative care ward of Beijing Luhe Hospital Attached to Capital Medical University were selected by convenience sampling. The comprehensive narrative nursing assessment method was used for evaluation， and the modified Omaha Problem Classification system was adopted to colect the care problems of the patients. Results The main nursing problems of the 30O cases were mental health，digestion and hydration，spirituality，pain，sleep and rest patterns， role change，etc. Conclusion Comprehensive narrative nursing assessment combined with the Omaha Problem Classfication System helps hospice care teams to identify care issues for cancer patients comprehensively and eectively，thereby providing better hospice care services for patients and their families.

Key words ： comprehensive narrative nursing evaluation； Omaha Problem Clasification System; palliative care；cancer

安宁疗护是多学科团队为提高患者生命末期生存质量，以患者及家属为中心，全程提供症状控制、人文关怀、舒适照护的整合照护服务。（剩余10170字）