社区多元群体抗癌模式对康复期癌症患者心理及生活质量的影响  

Effect of Community Multi-group Anticancer Model on the Psychological Status and Quality of Life of Cancer Patients in Rehabilitation Stage

作　　者：王林凤 周小红 金淑芳 Wang Linfeng,Zhou Xiaohong,Jin Shufang(Department of General Surgery, Nanxun People＇s Hospital, Huzhou 313009, Zhejiang Province, Chin)

机构地区：[1]湖州市南浔区人民医院外科,浙江湖州313009

出　　处：《解放军护理杂志》2018年第10期41-44,共4页Nursing Journal of Chinese People's Liberation Army

基　　金：湖州市公益性技术应用研究(2015GYB18)

摘　　要：目的探讨社区多元群体抗癌模式对康复期癌症患者心理及生活质量的影响。方法 2015年10月至2016年9月,便利抽样法选取某区级医院治疗后出院的康复期癌症患者80例为研究对象,按随机数字表法将其分为对照组和观察组,每组40例。对照组患者出院后居家康复,观察组患者出院后参加癌症康复协会,采用医护人员、患者、家属、志愿者共同参与的社区多元群体抗癌方法。采用焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、癌症患者生活质量核心问卷(quality of life questionnaire,QLQ-C30)第3版,分别于出院时、干预6个月后评定患者的心理状况和生活质量。结果出院时,两组患者SAS、SDS、QLQ-C30各项评分差异均无统计学意义(均P>0.05)。经过6个月的家庭康复,对照组心理状况较出院时有一定改善,但改善程度不明显,与出院时比较,SAS、SDS、QLQ-C30各项评分差异均无统计学意义(均P>0.05);观察组患者SAS、SDS、QLQ-C30各项评分均优于出院时,差异均有统计学意义(均P<0.05);观察组上述评分均明显优于对照组,差异有统计学意义(均P<0.05)。结论社区多元群体抗癌模式能改善康复期癌症患者心理状况,提升生活质量。Objective To study the effect of community multi-group anticancer model on the psychological status and quality of life of cancer patients in rehabilitation stage.Methods By convenience sampling method,80 cases of cancer patients in recovery discharged from a district hospital were selected from October2015 to September 2016 and were randomly divided into control group and observation group,with 40 cases in each group.Home-based rehabilitation after discharge was implemented in the control group.While the community multi-group anticancer model was implemented in the observation group with the participation of medical and nursing staff,patients,family members and volunteers together,in which discharged patients joined in the cancer rehabilitation association.The patient＇s psychological status and quality of life were assessed by using self-rating anxiety scale（SAS）,self-rating depression scale（SDS）,and 3 rd edition of the quality of life questionnaire（QLQ-C30）at discharge,and 6 months after intervention.Results No statistical significance of SAS,SDS and QLQ-C30 scroes was found between two groups at the time of discharge（all P〈0.05）.After 6 months of intervention,the psychological status of paitents in control group was improved,but there was no significantly statistical difference of SAS,SDS and QLQ-C30 scroes compared with thetime of discharge（all P〈0.05）.However,The SAS,SDS and QLQ-C30 scroes of patients in the observation group were significantly higher than those at the time of discharge（all P〈0.05）,and which was also better than those of the control group（all P〈0.05）.Conclusion Community multi-group anticancer model can improve the psychological status and quality of life of cancer patients in rehabilitation stage.

关 键 词：康复期癌症患者 社区多元群体抗癌模式 心理 生活质量 

分 类 号：R493[医药卫生—康复医学]