Effect of hospice care on quality of life and negative emotion of core family members of patients with advanced liver cancer.

OBJECTIVE To explore the effect of hospice care on the quality of life of patients with advanced liver cancer and the negative emotion of core family members. METHODS Altogether 166 patients with advanced liver cancer were randomly divided into the study group (n=83, treated with hospice care) and the control group (n=83, treated with routine care). The quality of life, pain degree, subjective well being, anxiety, depression and other negative emotions of core family members before and after intervention and their satisfaction with nursing were compared between the two groups. RESULTS After intervention, the five-dimensional health scale for cancer patients (EQ-5D) scores of patients in both groups were significantly higher than those before intervention, and the scores in the study group was higher than that in the control group (P<0.05). After the intervention, the scores of hamilton anxiety scale (HAMA) and hamilton depression scale (HAMD) of the core family members of the two groups were significantly lower than those before the intervention, and those of the study group were lower than those of the control group (P<0.05). VAS scores of patients in both groups decreased after intervention, those in the study group were lower than in the control group (P<0.05). The memorial university of newfoundland scale of happiness (MUNSH) scores of patients in both groups increased, and those in the study group were higher than those in the control group (all P<0.05). The core family members in the study group were more satisfied with nursing than those in the control group (P<0.05). CONCLUSION The hospice nursing can obviously relieve the pain degree of patients with advanced liver cancer, improve their subjective well-being and quality of life before they died, and can also improve the negative emotions such as anxiety and depression of core family members.