医学生义工服务对晚期癌症患者情绪及生活质量的影响研究  

Impact of Volunteer Service Provided by Medical Students on Emotions and Quality of Life of Patients with Advanced Cancer

作　　者：陈国荣[1] 段嘉[2] 李君艳[1] 张晓利[1] 郭康[1] 张永喜[1] 闫春萍[3] 

机构地区：[1]新乡医学院第三附属医院肿瘤科,河南省新乡市453003 [2]新乡医学院 [3]新乡医学院心理学系

出　　处：《中国全科医学》2013年第13期1540-1542,共3页Chinese General Practice

基　　金：河南省教育科学"十二五"规划项目(2011-JKGHAD-0328);新乡医学院大学生科研创新课题(DXSKYKT 2010-007)

摘　　要：目的探讨医学生义工在晚期癌症患者服务中对患者情绪及生活质量的影响。方法 62例晚期癌症患者采用抽信封法随机分为试验组(n=32)和对照组(n=30),试验组接受常规护理和义工家居服务,对照组仅接受常规护理。在研究的前、后采用癌症患者生活质量评估量表(QOL)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评定分析两组患者生活质量、焦虑情绪、抑郁情绪的变化。结果干预前,两组患者生活质量、焦虑情绪、抑郁情绪得分间差异无统计学意义(P>0.05);干预后,试验组患者生活质量得分高于对照组患者,QOL评分〔(35±6)分比(32±7)分〕差异有统计学意义(P<0.05),焦虑得分〔(16±5)分比(20±4)分〕、抑郁得分〔(22±5)分比(29±9)分〕低于对照组,差异有统计学意义(P<0.05)。结论医学生义工的居家服务对提高晚期癌症患者的生活质量、缓解或减轻患者焦虑和抑郁情绪有一定帮助,在晚期癌症患者的临终关怀中有重要价值。Objective To investigate the impact of volunteer service provided by medical students on emotions and quality of life （QOL） of patients with advanced cancer. Methods Sixty - two patients with advanced cancer were randomly di- vided into the treatment group （n = 32） and the control group （n = 30） using envelope -picking method. Patients in the treat- ment group received conventional care and volunteer household service, and patients in the control group only received conven- tional care. QOL scale, Hamilton anxiety （HAMA） scale, and Hamilton depression （HAMD） scale were used to assess the QOL, anxiety, and depression of the patients in the two groups before and after the study. Results Before the intervention, QOL, anxiety, and depression was not significantly different between the two groups （ P 〉 0. 05 ）. After the intervention, pa- tients in the treatment group had higher QOL （35 ±6） vs. （32 ±7）, and lower scores of anxiety （16 ±5） vs. （20 ±4） and depression （22±5） vs. （29 ±9） than those in the control group （P 〈0. 05）. Conclusion The volunteer service provided by medical students can improve QOL and relieve or mitigate depression and anxiety of patients with advanced cancer.

关 键 词：义工 生活质量 肿瘤 抑郁 焦虑 

分 类 号：R473.73[医药卫生—护理学]