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目的探讨社工介入对肿瘤患者出院后康复状况及其家属心理的影响。方法将2015年1月至2017年1月期间自愿加入的160例社区肿瘤患者及家属作为研究对象,按照随机数字表的方法分为观察组(n=80)和对照组(n=80),对照组患者接受常规的随访干预,观察组患者加入社工介入进行广泛干预。采用生活质量量表(QOL)和日常生活活动能力量表对两组患者的康复状况进行评定,同时采用抑郁自评量表(SDS)和焦虑自评量表(SAS)比较两组患者家属的心理状态。结果观察组患者的QOL量表和日常生活活动能力量表评分明显优于对照组的患者,差异具有统计学意义(P<0.05);观察组患者家属的SDS和SAS量表评分更低于对照组,差异具有统计学意义(P<0.05)。结论社工介入干预有助于提高患者肿瘤患者出院后的日常生活能力以及生活质量,同时改善了患者家属的不良情绪。
Objective To investigate the impact of intervention by social workers on the rehabilitation of patients with cancer after discharge and the psychology of their relatives. Methods A total of 160 community cancer patients and their relatives who volunteered for the period from January 2015 to January 2017 were enrolled in the study. Patients were divided into observation group (n = 80) and control group (n = 80) according to random number table. Patients in the control group received routine follow-up interventions, and intervention patients in the observation group received extensive intervention. The quality of life (QOL) and daily living activity scale were used to evaluate the rehabilitation status of both groups. At the same time, SDS and SAS were used to compare the family members’ Mental status. Results The scores of QOL and activity scale of daily living in the observation group were significantly better than those in the control group (P <0.05). SDS and SAS scores of the family members in the observation group were lower than those of the control group Group, the difference was statistically significant (P <0.05). Conclusion Interventions by social workers can help improve the daily living ability and quality of life of patients with cancer after discharge, and improve the negative emotions of patients’ families.