家庭访视对恶性肿瘤患者情绪和生活质量的影响

Effects of home visiting on emotion and the quality of life in malignant tumor patients Feng Ying Zhang

目的:探讨应用计划性家庭访视方法对恶性肿瘤患者情绪及生活质量的影响。方法:采用病例对照的研究方法。随机将78例恶性肿瘤患者分为访视组和对照组,两组临床治疗相同,访视组在其基础上增加计划性家庭访视。并应用焦虑自评量表(SAS)、抑郁自评量表(SDS)及“恶性肿瘤患者生活质量问卷”(QLQC30),作为家庭访视前后的测评标准。结果:观察6个月,访视组患者生活质量量表分值在干预前后有显著不同,主要表现为情感功能、认知功能、社会功能、整体健康状况等分值在干预前后有显著性差异犤干预前分别为(71.24±3.76),(73.45±4.14),(40.38±4.48),(66.84±2.61)分,干预后为(58.42±4.94),(62.78±5.41),(31.08±4.52),(59.81±3.23)分,t=2.16～3.32,P<0.05犦;访视组焦虑、抑郁等负性情绪减少,差异有非常显著性意义犤治疗前分别为(54.55±8.13),(58.68±6.07)分,治疗后6个月为(49.12±6.82),(52.46±4.65)分,t=2.97～3.65,P<0.01犦。结论:计划性的家庭访视可以提供对恶性肿瘤患者的社会心理支持,改善其不良情绪,提高患者的生活质量。

AIM:To explore the effect of planned home visiting method on the emotion and quality of life(QOL) of malignant tumor patients. METHODS:A clinical case control study was taken. Seventy eight patients with malignant tumor were randomly divided into visiting group and control group, and these two groups had the same clinical treatments, and the planned home visiting was added on the visiting group. All the patients were measured by self rating depression scale(SDS), self rating anxiety scale(SAS), and quality of life questionnaire core 30(QLQ C30), which were as measuring standards before and after home visiting. RESULTS: After 6 months, the score of QOL in the visiting group was obviously different before and after intervention, mainly displayed that the scores of affective function,cognition function, social function, and the whole health condition were significantly different before and after intervention[The scores before intervention were(71.24±3.76),(73.45±4.14), (40.38±4.48), and(66.84±2.61) points respectively; after intervention were(58.42±4.94),(62.78±5.41), (31.08±4.52), and(59.81±3.23) points, t=2.16 to 3.32, P< 0.05].Negative emotion such as depression and anxiety were obviously decreased, and there was a very significant difference[The scores before treatment were(54.55±8.13), (58.68±6.07) points respectively; 6 months after treatment were(49.12±6.82), (52.46±4.65) points, t=2.97 to 3.65, P< 0.01]. CONCLUSION:Home visiting can provide society psychology support, improve negative emotion and QOL in patients with malignant tumor.