The impact of evidence-based palliative care on negative emotions, pain, and quality of life in patients with advanced hepatocellular carcinoma
基于循证护理的安宁疗护对晚期肝癌患者不良情绪、疼痛情况及生活质量的影响

摘要

目的 讨论及研究基于循证护理的安宁疗护对晚期肝癌患者不良情绪、疼痛情况及生活质量的影响。方法 本次研究选择于2025年1月份至2025年12月份于我院接受治疗的80例患者进行研究，随机数字表法分成对照组和实验组，每组40例患者，对照组常规护理，实验组基于循证护理的安宁疗护，对比两组患者的不良情绪[SAS（Self-Rating Anxiety Scale）、SDS（Self-Rating Depression Scale）]、疼痛程度（Visual Analogue Scale,VAS）、生活质量（Short Form 36 Health Survey,SF-36）。结果 两组患者提供不同的干预措施后，实验组不良情绪评分低于对照组，p<0.05，实验组患者疼痛程度低于对照组，p<0.05，实验组患者生活质量评分高于对照组，p<0.05。结论 对晚期肝癌患者提供基于循证护理的安宁疗护，可以稳定患者的不良情绪，减轻患者的疼痛程度，提升患者的生活质量。

Abstract

Objective To discuss and study the impact of evidence-based palliative care on negative emotions, pain, and quality of life in patients with advanced hepatocellular carcinoma.
Methods Eighty patients treated at our hospital from January to December 2025 were selected for this study and randomly divided into a control group and an experimental group, with 40 patients in each group. The control group received routine nursing care, while the experimental group received evidence-based palliative care. Negative emotions (SAS, SDS), pain intensity (VAS), and quality of life (SF-36) were compared between the two groups.
Results After different interventions were provided, the negative emotion score in the experimental group was lower than that in the control group (p<0.05), the pain intensity in the experimental group was lower than that in the control group (p<0.05), and the quality of life score in the experimental group was higher than that in the control group (p<0.05).
Conclusion   Providing evidence-based palliative care to patients with advanced liver cancer can stabilize their negative emotions, reduce pain levels, and improve their quality of life.