医务社会工作者联合同病患者介入干预对青年乳腺癌术后患者的影响  

Effect of Intervention by Medical Social Workers Combined with Patients with the Aame Disease in Young Patients with Breast Cancer

作　　者：李娟[1] 程闯[2] 胡凯[1] 吴风桂 Li Juan;Cheng Chuang;Hu Kai(The Second Hospital of Jingzhou,Jingzhou Hubei 434000,China)

机构地区：[1]荆州市第二人民医院,湖北荆州434000 [2]荆州市精神卫生中心

出　　处：《齐鲁护理杂志》2023年第6期20-23,共4页Journal of Qilu Nursing

摘　　要：目的:探讨医务社会工作者联合同病患者介入干预对青年乳腺癌术后患者的影响。方法:以2018年1月1日~2020年8月31日收治的93例青年乳腺癌患者为研究对象,采用随机数字表法分为对照组47例和观察组46例;对照组给予常规护理干预,观察组在对照组基础上给予医务社会工作者联合同病患者介入干预。比较两组干预前后汉密顿焦虑量表(HAMA)、汉化癌症患者恐惧疾病进展简化量表(FoP-Q-SF)、数字评分法(NRS)、中文版疾病不确定感量表(MUIS)、应对方式问卷(CSQ)及世界卫生组织生活质量测定量表简表(WHOQOL-BREF)评分变化情况,并比较两组术后并发症发生率。结果:干预后,两组HAMA、FoP-Q-SF、NRS、MUIS、CSQ、WHOQOL-BREF评分均优于干预前(P<0.05),且观察组优于对照组(P<0.01,P<0.05);观察组术后并发症总发生率低于对照组(P<0.05)。结论:对青年乳腺癌术后患者给予医务社会工作者联合同病患者介入干预,可缓解患者负性情绪及术后疼痛程度,提高生活质量,降低其疾病不确定感及并发症发生率。Objective:To explore the effect of intervention by medical social workers combined with patients with the same disease in young patients with breast cancer.Methods:A total of 93 young breast cancer patients admitted from January 1,2018 to August 31,2020 were enrolled as the research objects,and were divided into the control group(47 cases)and the observation group(46 cases)by the random number table method.The control group was given routine nursing intervention,while the observation group was given intervention by medical social workers combined with patients with the same disease on the basis of the control group.The changes in scores of Hamilton Anxiety Scale(HAMA),Fear of Progression Questionnaire-Short Form(FoP-Q-SF),numerical rating scale(NRS),Mishel′s Uncertainty in Illness Scale(MUIS),Coping Style Questionnaire(CSQ)and WHO Quality of Life Brief Scale(WHOQOL-BREF)before and after intervention in both groups were observed.The incidence of complications was also compared between the two groups.Results:After intervention,the HAMA,FoP-Q-SF,NRS,MUIS,CSQ,and WHOQOL-BREF scores in both groups were better than those before intervention(P<0.05),and those in the observation group were better than those in the control group(P<0.01,P<0.05).The total incidence of postoperative complications in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of intervention by medical social workers combined with patients with the same disease in young patients with breast cancer can relieve their negative emotions and postoperative pain,improve their quality of life,reduce their disease uncertainty and incidence of postoperative complications.

关 键 词：医务社会工作者 同病患者介入干预 青年患者 乳腺癌 应对方式 心理状态 

分 类 号：R473.73[医药卫生—护理学]