摘要
目的:探讨心理护理干预在甲状腺乳头状腺癌术后护理中的应用效果。方法:选择2014年1月~2017年3月于我院择期接受手术治疗的86例甲状腺乳头状腺癌患者作为研究对象,按随机数字表法等分为对照组和观察组,对照组术后采用常规护理;观察组在常规护理基础上加用心理护理。比较两组干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分及症状自评量表(SCL-90)评分的变化,并采用生活质量核心量表(QLQ-C30)评定患者生活质量的变化。统计两组患者住院时间及术后并发症发生情况。结果:术后两组患者SAS,SDS,躯体症状评分处于较高水平(P>0.05),出院前,两组SAS,SDS,SCL-90量表各维度评分均降低,且观察组评分低于对照组(P<0.05);出院前观察组QLQC30量表评分均上升,且高于对照组(P<0.05);观察组住院时间短于对照组,术后并发症发生少于对照组(P<0.05)。结论:甲状腺乳头状腺癌患者术后普遍存在焦虑、抑郁负性心理,采用心理护理可纠正其负性情绪,改善躯体症状,提高患者生活质量,促进其术后恢复。
Objective： To explore the the application effect of psychological nursing intervention in postoperative nursing of papillary thyroid carcinoma.Methods： A total of 86 patients with papillary thyroid carcinoma with selective surgical treatment in our hospital from January 2014 to March 2017 were selected as the research object and equally divided into control group and observation group with random number table. The control group received postoperative conventional nursing; the observation group received psychological nursing combined with conventional nursing. Before intervention,the scores of self-rating anxiety scale（ SAS） and self-rating depression scale（ SDS）,and the changes in symptom checklist 90（ SCL-90） in the two groups were compared between the two groups. The quality of life core scale（ QLQ-C30） was adopted for assessment of the quality of life of patients. The statistics of length of stay and incidence of postoperative complications in the two groups were collected. Results： The postoperative scores of SAS,SDS and somatic symptoms were at a high level in the two groups（ P〈0. 05）. Before discharge,the scores in various dimensions of SAS,SDS and SCL-90 decreased,and those in the observation group were lower than the control group; before discharge（ P〈0. 05）,the scores of QLQ-C30 scale increased in the observation group,and were higher than those in the control group（ P〈0. 05）; the length of stay in the observation group was shorter than that in the control group,and the postoperative complications in the observation group was less than that in the control group（ P〈0. 05）. Conclusion： Negative psychology like anxiety and depression are common in patients with papillary thyroid carcinoma after operation. Psychological nursing can correct their negative emotions,improve their physical symptoms and their quality of life,and promote their postoperative recovery.
出处
《护理实践与研究》
2017年第22期149-151,共3页
Nursing Practice and Research
关键词
甲状腺乳头状腺癌
手术
心理护理
Papillary thyroid carcinoma
Operation
Psychological nursing
