集体抗癌形式对癌症康复患者心理状态和生命质量的影响研究被引量：3

Effects of Collective Anti-cancer Form on Psychological State and Life Quality in Cancer Rehabilitation Patients

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摘要目的探讨集体抗癌形式对癌症康复患者心理状态和生命质量的影响。方法于2015年9—10月抽取南京癌友康复协会会员124例,根据加入协会的时间不同,其中加入协会6~36个月者作为集体抗癌1组(61例),加入协会>36个月者作为集体抗癌2组(63例)。另选取同期在南京地区各社区和医疗单位收集的散在病例71例为对照组。对照组未进行任何干预措施。集体抗癌1组和集体抗癌2组进行各项有针对性的癌症康复集体活动,1~3次/周。采用横断面量表测量,包括焦虑自评量表(SAS)、抑郁自评量表(SDS)和中文人生意义问卷(C-MLQ)、肿瘤生存质量量表(EORTC QLQ-C30)等。结果 3组SAS、SDS得分比较,差异有统计学意义(F=6.88,P=0.001;F=3.37,P=0.037);其中集体抗癌1组、集体抗癌2组SAS、SDS得分低于对照组(P<0.05)。3组人生意义体验因子、人生意义寻求因子得分比较,差异均无统计学意义(P>0.05)。3组食欲领域得分比较,差异有统计学意义(P<0.05);其中集体抗癌1组、集体抗癌2组食欲得分低于对照组(P<0.05)。结论集体抗癌形式能够帮助患者进行心理调适和改善生活质量。 Objective To explore the effect of collective anti-cancer form on psychological state and life quality in cancer rehabilitation patients. Methods A total of 124 patients were randomly selected from Nanjing Cancer Rehabilitation Association from September to October 2015. According to the time of joining the association,the patients were divided into two groups. Among them,those who joined the association for 6-36 months were classified as group 1( 61 cases) of the collective anticancer,and those who joined the association for > 36 months were enrolled as group 2( 63 patients). In addition,71 scattered cases collected from communities and medical units in Nanjing area during the same period were selected as control group. The control group did not accept any intervention measures. Group 1 and group 2 of collective anti-cancer received collective activities targeting cancer rehabilitation for 1-3 times/week. The effect was measured using a cross-sectional scale,including self-rating anxiety scale( SAS),self-rating depression scale( SDS),meaning-in-life questionnaire in Chinese( C-MLQ),and tumor quality of life questionnaire( EORTC QLQ-C30),etc. Results There were statistically significant differences in the scores of SAS and SDS among the 3 groups( F = 6. 88,P = 0. 001; F = 3. 37,P = 0. 037); among them,scores of group 1 and group 2 were both lower than that of the control group( P < 0. 05). There were no statistically significant differences in the scores of life meaning experience factor and life meaning seeking factor among the 3 groups( P > 0. 05). There were statistically significant differences in the appetite domain among 3 groups( P < 0. 05); among them,scores of group 1 and group 2 were both lower than that of the control group( P < 0. 05). Conclusion Collective anti-cancer form can help patients adjust psychological state and improve life quality.