“小丑医生”模式对青年癌症患者心理状态的影响  

Effect of"Clown Doctor"model on the psychological state of young cancer patients

作　　者：张杰 刘焕 范晓梅 刘月明 ZHANG Jie;LIU Huan;FAN Xiaomei;LIU Yueming(School of Clinical Medical of Chengdu Medical College/the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500;Sichuan Clown Doctor Charity Promotion Association,Chengdu 610000;ShenzhenLonghua District Central Hospital,Shenzhen 518109,China)

机构地区：[1]成都医学院临床医学院/成都医学院第一附属医院,四川成都610500 [2]四川省小丑医生公益慈善促进会,四川成都610000 [3]深圳市龙华区中心医院,广东深圳518109

出　　处：《临床医学研究与实践》2024年第36期54-57,共4页Clinical Research and Practice

基　　金：2021年度广东省临床教学基地教学改革研究项目(No.2021JD215);2020年成都医学院四川应用心理学研究中心面上项目(No.CSXL-202B09)。

摘　　要：目的探讨“小丑医生”模式对青年癌症患者心理状态的影响。方法选取2020年1月至2023年4月于成都医学院第一附属医院肿瘤科治疗的65例青年癌症患者作为研究对象,均接受“小丑医生”模式干预。比较干预前、后的焦虑自评量表(SAS)、抑郁自评量表(SDS)、癌症患者生命质量测定量表(FACT-G)中文版(v4.0)以及匹兹堡睡眠质量指数(PSQI)评分以评估心理状态、生命质量及睡眠质量。结果干预后,患者的SAS评分明显低于干预前(P<0.05);干预前、后,患者的SDS评分无显著差异(P>0.05)。干预后,患者的生理状况、社会/家庭状况评分及FACT-G总分均降低(P<0.05);干预前、后,患者的情感状况、功能状况评分无显著差异(P>0.05)。干预后,患者的睡眠质量、入睡时间、睡眠时间、日间功能障碍及PSQI总分均低于干预前(P<0.05)。结论“小丑医生”模式有助于改善青年癌症患者的焦虑情绪及睡眠质量,对因抗肿瘤治疗导致的抑郁情绪、生命质量中情感状况及功能状况的恶化有一定的缓解作用。Objective To explore the effect of"Clown Doctor"model on the psychological state of young cancer patients.Methods A total of 65 young cancer patients who were treated in the oncology department of the First Affiliated Hospital of Chengdu Medical College from January 2020 to April 2023 were selected as the research objects,and all of them received the intervention of the"Clown Doctor"model.The Self-Rating Anxiety Scale(SAS),Self-Rating Depression Scale(SDS),Functional Assessment of Cancer Therapy-Generic Scale(FACT-G)Chinese version(v4.0)and Pittsburgh Sleep Quality Index(PSQI)scores before and after intervention were compared to evaluate the psychological status,quality of life and sleep quality.Results After intervention,the SAS score of the patients was significantly lower than that before intervention(P<0.05);there was no significant difference in SDS score between before and after intervention(P>0.05).After intervention,the scores of physiological status,social/family status and total score of FACT-G decreased(P<0.05);there were no significant differences in the scores of emotional status and functional status of patients between before and after intervention(P>0.05).After intervention,the sleep quality,fall asleep time,sleep time,daytime dysfunction and PSQI total score of the patients were lower than those before intervention(P<0.05).Conclusion The"Clown Doctor"model helps to improve the anxiety and sleep quality of young cancer patients,and has a certain mitigation effect on the deterioration of depression,emotional status and functional status in quality of life caused by anti-tumor therapy.

关 键 词：小丑医生 青年 癌症患者 心理状态 

分 类 号：R473.7[医药卫生—护理学]