| 李洪娟,汪秀云,李林娟,等.短期医护社工一体化模式心理干预对永久性肠造口病人心理及生活质量的影响[J].安徽医药,2019,23(6):1183-1187. |
| 短期医护社工一体化模式心理干预对永久性肠造口病人心理及生活质量的影响 |
| Effect of short-term physician-nurse-social worker collaborative structural psychological intervention on emotional distress and quality of life in permanent colostomy patients |
| 投稿时间：2018-01-10 |
| DOI： |
| 中文关键词: 永久性肠造口 结构式心理干预 心理痛苦 生活质量 对照研究 |
| 英文关键词: Permanent colostomy Structural psychological intervention Distress Quality of life Controlled studies |
| 基金项目:四川省卫生计划生育委员会科技项目(150131) |
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| 中文摘要: |
| 目的 探讨短期医护社工一体化模式心理干预对永久性肠造口病人心理及生活质量的影响。方法 选择2016年3月至2017年2月四川大学华西医院接受放化疗的永久性肠造口病人105例,按病区分为治疗组及对照组。对照组实施常规护理,治疗组在常规护理的同时增加医护社工一体化模式心理干预。使用心理痛苦筛查工具(DMSM)、医院焦虑抑郁量表(HADS)、生存质量量表(EORTC QLQ-C30)比较两组干预前后心理痛苦、焦虑、抑郁、生活质量的差异。结果 干预后治疗组病人心理痛苦得分、焦虑得分、抑郁等分、生活质量中失眠得分分别为(3.04±1.84)、(6.62±4.03)、(6.18±4.11)、0.00(33.33)分,低于对照组,差异有统计学意义(均P＜0.05),治疗组病人整体生活质量得分、情绪功能得分分别为75.00(16.67)、83.33(25.00)分,高于对照组,差异有统计学意义(均P＜0.05)。结论 医护社工一体化模式心理干预可以降低永久性造口放化疗病人的心理痛苦、焦虑、抑郁水平,缓解病人失眠症状。 |
| 英文摘要: |
| Objective To evaluate the effect of short-term physician-nurse-social worker collaborative structural psychological intervention on emotional distress and quality of life in permanent colostomy patients in West China Hospital of Sichuan University.Methods A total of 105 patients with permanent colostomy undergoing chemoradiotherapy in West China Hospital of Sichuan University from March 2016 to February 2017 were recruited and randomly assigned into the experimental group and the control group according to different wards.The control group was given routine nursing,while the experimental group received physician-nurse-social worker collaborative structural psychological intervention on the basis of routine nursing.The differences of psychological pain,anxiety,depression and quality of life between the two groups were compared by distress management screening measure (DMSM),Hospital Anxiety and Depression Scale (HADS) and quality of life questionnaire-core 30 (EORTC QLQ-C30) before and after intervention.Results After intervention,the scores of DMSM,HADS-A,HADS-D and insomnia in experimental group were (3.04±1.84),(6.62±4.03),(6.18±4.11),and 0.00 (33.33),respectively,which were lower than those in the control group,and the differences were statistically significant (all P <0.05).The scores of quality of life,emotion function in experimental group were 75.00 (16.67),83.33 (25.00),respectively,which were higher than those in the control group,and the differences were statistically significant (all P<0.05).Conclusion Physician-nurse-social worker collaborative structural psychological intervention could reduce distress,anxiety and depression of permanent colostomy patients undergoing chemoradiotherapy,and alleviate the symptoms of insomnia. |
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