“互联网+”志愿者服务模式对乳腺癌术后患者情绪及生活质量的影响  

Influence of“Internet+”volunteer service model on postoperative mood and quality of life of breast cancer patients

作　　者：杨艳[1] 孙萌[1] 李艳京[1] 刘庚[1] 朱雪丹 苑著[1] YANG Yan;SUN Meng;LI Yanjing;LIU Geng;ZHU Xuedan;YUAN Zhu(Department of General Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing100050,China)

机构地区：[1]首都医科大学附属北京友谊医院普外科,北京100050

出　　处：《中国医药导报》2022年第19期194-196,F0003,共4页China Medical Herald

基　　金：北京市属医院科研培育计划项目(PX20190102);北京友谊医院科研启动基金项目(yyqdkt2019-55)。

摘　　要：目的探讨“互联网+”志愿者服务模式对乳腺癌术后患者情绪及生活质量影响。方法选取2019年6月至12月首都医科大学附属北京友谊医院(以下简称“我院”)行根治性乳癌手术的住院患者80例作为对照组,接受面对面志愿者服务方案;选取2020年1月至10月在我院行根治性乳癌手术的住院患者80例作为试验组,接受“互联网+”志愿者服务方案。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)及中文版癌症患者生活质量测定量表(QLQ-C30),比较两组术前及术后4个月焦虑及抑郁水平,评估患者生活质量。结果术后4个月后,两组SAS、SDS评分均低于术前,且实验组SDS评分低于对照组(P<0.05);术后4个月,除了对照组认知功能评分与术前比较,差异无统计学意义(P>0.05),两组躯体功能评分均低于术前,情绪功能、认知功能、社会功能、角色功能及总体生活质量评分高于术前,且试验组躯体功能、认知功能、角色功能及总体生活质量评分高于对照组(P<0.05)。结论“互联网+”乳腺癌术后志愿者服务模式在现阶段优于面对面志愿者服务模式,对于患者抑郁状态及生活质量的改善有显著作用,能让更多乳腺癌患者获益。Objective To explore the influence of“Internet+”volunteer service model on postoperative mood and quality of life of breast cancer patients.Methods A total of 80 inpatients undergoing radical breast cancer surgery in Beijing Friendship Hospital Affiliated to Capital Medical University(hereinafter referred to as“our hospital”)from June to December 2019 were selected as the control group,accepted face-to-face volunteer programs;a total of 80 inpatients undergoing radical breast cancer surgery in our hospital from January to October 2020 were selected as the experimental group,accepted the“Internet+”volunteer service program.Self-rated anxiety scale(SAS),self-rated depression scale(SDS)and Chinese version of cancer patients’quality of life core questionnaire(QLQ-C30)were used to compare the levels of anxiety and depression between the two groups before and four months after operation,and the quality of life of patients were evaluated.Results Four months after operation SAS and SDS in the two groups were lower than those before the operation,and SDS in the experimental group was lower than that in the control group(P<0.05);four months after operation,there was no significant difference except for the cognitive function score of the control group compared with that preoperative(P>0.05).The physical function score of the two groups was lower than that preoperative,while the emotional function,cognitive function,social function,role function and overall quality of life score were higher than that preoperative,the scores of physical function,cognitive function,role function,and overall quality of life in the experimental group were higher than those in the control group(P<0.05).Conclusion“Internet+”volunteer service is better than the face-to-face volunteer service at this stage,which has a significant effect on the improvement of depression and quality of life of patients,and it can benefit more breast cancer patients.

关 键 词：“互联网+” 志愿者服务 乳腺癌 情绪 生活质量 

分 类 号：R473[医药卫生—护理学]