摘要
目的探讨聚焦解决模式对分化型甲状腺癌患者131碘(131I)治疗中焦虑、抑郁情绪、自护能力及疼痛程度的影响。方法纳入2017年9月~2019年9月期间在我院接受131I治疗的85例分化型甲状腺癌患者作为主要研究对象,依据随机数字表法分组,对照组(42例)患者接受常规护理干预,观察组(43例)在对照组基础上联合聚焦解决模式干预,观察比较两组患者干预前后汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、自我护理能力量表(ESCA)评分及疼痛程度。结果干预后,两组患者的HAMA、HAMD及VAS评分明显降低(P<0.05),ESCA评分明显升高(P<0.05);干预后,观察组患者的HAMA、HAMD及VAS评分低于对照组(P<0.05),ESCA评分高于对照组。结论聚焦解决模式能有效改善分化型甲状腺癌患者在131I治疗过程中出现的负性情绪,提高其自我护理能力,减轻治疗疼痛程度,值得临床推广应用。
Objective The effect of the focused resolution model on negative emotions,self-care ability and pain in patients with differentiated thyroid cancer treated with 131I.Methods A total of 85 patients with differentiated thyroid cancer who were treated with 131I in our hospital from September 2017 to September 2019 were collectedand randomly divided into two groups:the control group(42 cases)received routine nursing intervention,and the observation group(43 cases)received focused resolution model on the basis of the control group.Hamilton depression scale(HAMD)score,Hamilton anxiety scale(HAMA)score,self-care ability scale(ESCA)score and pain level before and after intervention between the two groups were compared.Results After intervention,HAMA,HAMD and VAS scores in the two groups significantly decreased(P<0.05),and ESCA score significantly increased(P<0.05).After intervention,HAMA,HAMD and VAS scores in the observation group were lower than those in the control group(P<0.05),and ESCA score in the observation group was higher than that in the control group.Conclusion The focused solution model can effectively improve the negative emotions of patients with differentiated thyroid cancer during 131I treatment,improve their self-care ability,and reduce the pain level during treatment,which is worthy of clinical promotion and application.
作者
张会娟
秦乡音
李倩
韩星敏
ZHANG Huijuan;QIN Xiangyin;LI Qian(The First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《国际精神病学杂志》
2020年第3期630-633,共4页
Journal Of International Psychiatry
关键词
聚焦解决模式
分化型甲状腺癌
131I
负性情绪
自护能力
疼痛
Focused solution mode
Differentiated thyroid cancer
131I
Negative emotions
Self-protective capacity
Pain
