病友志愿者服务对行乳腺癌改良根治术患者心理应激、希望水平及生活质量的影响

Effect of volunteer service from ward-mates on the psychological stress,hope level and living quality of patients undergoing modified radical mastectomy for breast cancer

目的探讨病友志愿者服务对行乳腺癌改良根治术患者心理应激、希望水平及生活质量的影响。方法选取2019年1—12月医院行乳腺癌改良根治术治疗的患者102例为研究对象,按照年龄、瘤体直径、肿瘤分期以及发病部位匹配的原则将患者分为对照组与观察组,每组51例。对照组给予常规护理,观察组在对照组基础上给予病友志愿者服务。记录并比较两组患者干预前后心理应激、希望水平及生活质量评分。结果干预后,观察组SAS、SDS评分均低于对照组,积极态度、积极行动、亲密关系以及希望总体评分均高于对照组,心理、生理、环境以及社会关系评分均高于对照组,组间比较均差异具有统计学意义(P<0.05)。结论病友志愿者服务可明显改善行乳腺癌改良根治术患者心理应激水平,提高患者希望水平与生活质量。

Objective To discuss the eff ect of volunteer service from ward-mates on the psychological stress,hope level and living quality of patients undergoing modified radical mastectomy for breast cancer.Methods To select 102 cases of patients who underwent modified radical mastectomy for breast cancer in the hospital from January to December 2019 as the study objects,and the patients were divided into a control group and an observation group according to the matching principle of age,tumor diameter,tumor stage and onset location,with 51 cases in each group.The control group was given routine nursing care,and the observation group was given volunteer service from ward-mates on the basis of the control group to record and compare the psychological stress,hope level and quality of life scores of the two groups of patients before and after intervention.Results After the intervention,the scores of SAS and SDS in the observation group were lower than those in the control group,the overall scores of positive attitude,positive action,intimate relationship and hope were higher than those of the control group,the scores of psychological,physical,environmental and social relations were all higher than those of the control group,and the diff erences between the groups were statistically signifi cant(P<0.05).Conclusion The application of volunteer service from ward-mates can signifi cantly improve the psychological stress level of patients undergoing modifi ed radical mastectomy,and improve the level of hope and living quality of patients.