目的 探讨安心卡引导的照护需求干预在晚期癌症患者安宁疗护中的干预效果。方法 采用便利抽样法选取某肿瘤医院2023年5-7月收治的64例晚期癌症患者为对照组，实施常规护理方法；2023年8-10月收治的63例患者为观察组，在对照组基础上实施安心卡引导的照护需求干预。比较两组患者参与治疗决策及临终护理质量的得分情况。结果 干预后，观察组患者参与治疗决策、临终护理质量的总分及各维度得分均高于对照组，差异均有统计学意义（均P＜0.05）。结论 安心卡引导的照护需求干预，能提高晚期癌症患者参与治疗决策的程度，改善患者临终护理质量。

Objective To explore the effectiveness of the care need intervention guided by heart to heart cards in hospice care for advanced cancer patients.Methods The convenience sampling method was used to select 64 advanced cancer patients admitted to a certain tumor hospital from May to July 2023 as the control group，which received routine nursing method；63 patients admitted from August to October 2023 were selected as the intervention group，which received care need intervention guided by heart to heart cards on the basis of the control group.The scores of the involvement in treatment decision-making and hospice care quality were compared between the two groups.Results After the intervention，the total score and scores in all dimensions of involvement in treatment decision-making and hospice care quality in the intervention group were higher than those in the control group.The differences were statistically significance (all P＜0.05).Conclusions The care need interevention guided by heart to heart cards can improve the involvement in treatment decision-making and enhance the hospice care quality for advanced cancer patients.

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黑龙江省教育科学规划重点课题 (GJB1423218)