社工与志愿服务在医院结直肠癌术后抑郁患者中的应用初探
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广西壮族自治区卫生和计划生育委员会基金“利用微信平台构建肠造口延续性多学科诊疗护理模式的探讨”(Z2015361),“出院计划对肠造口患者造口适应性及生活质量的影响”(Z2016767);广西壮族自治区人民医院护理科研基金“护理与医务社工合作模式在结直肠癌快速康复中的建立与应用”(GXPHN2016-4)


Primary study on social worker and volunteer service application in depression patients after colorectal cancer surgery
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    摘要:

    为探讨社工与志愿服务在医院结直肠癌术后抑郁患者中的应用效果。由经过心理咨询师培训的社工和志愿者应用抑郁量表(SDS)测评结直肠癌术后抑郁患者的抑郁程度。随机将抑郁患者分为两组,观察组采用社工与志愿服务干预的模式,对照组采用常规护理模式。一个月后测评患者抑郁分值、造口相关知识掌握情况、更换造口袋操作的合格率。一个月后,观察组患者的SDS得分低于对照组(P<0.05),造口相关知识掌握程度与更换造口操作的合格率均高于对照组(P<0.05)。研究指出社工与志愿服务介入结直肠癌术后患者的康复过程,有利于减轻患者的抑郁情绪,提高患者主动参与自我造口护理意识,有效促进患者的造口适应性与康复。

    Abstract:

    To explore the effect on the social workers and volunteer services for the patients with depression after colorectal cancer surgery, the social workers and volunteers, who have been trained by the psychological counselors evaluated depression patients after colorectal cancer surgery using SDS(Self?Rating Depression Scale). Depressed patients were randomly divided into two groups, the observation group using social workers and volunteer services intervention mode and the control group using routine care model. SDS score, qualification rate of colostomy related knowledge and qualification rate of ostomy bag replacement were compared for the two groups after one month. The observation group had a significantly lower SDS score(P<0.05)than the control group, had a significantly higher qualification rate(P<0.05)in colostomy related knowledge and ostomy bag replacement than the control group. The study showed social workers and volunteers service for colorectal cancer patients, would help to reduce the patient's depression emotion, improve the patients’ awareness of active participation in self?ostomy care and promote the patients’ ostomy adaptation and rehabilitation.

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张 馨,李 月,詹文倩,黄正会,陈德凤.社工与志愿服务在医院结直肠癌术后抑郁患者中的应用初探[J].南京医科大学学报(社会科学版),2019,(5):388~391

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  • 收稿日期:2018-09-07
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  • 在线发布日期: 2019-11-06
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