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·头颈疾病·

身心一体化护理干预对甲状腺癌患者负性情绪、生活质量的影响

作者:贾彦梅 王焕枝

所属单位:河南省郑州市第六人民医院核医学科 (河南 郑州 450015)

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摘要

目的 探讨身心一体化护理干预对于甲状腺癌患者焦虑抑郁等负性情绪以及生活质量的影响。方法 将入院治疗140 例甲状腺癌患者随机分为观察组和对照组,观察组实行身心一体化护理干预,对照组实行常规护理干预。比较两 组护理前后患者SAS和SDS以及QLQ-C30量表得分情况。结果 护理后,两组SAS评分和SDS评分都有降低,且观察组 SAS评分和SDS评分显著低于对照组(P<0.05)。护理后,QLQ-C30量表中总体身体状况评分,观察组明显高于对照 组,差异显著(P<0.05)。结论 对于甲状腺癌患者实行身心一体化护理效果良好,有效缓解患者负性情绪(焦虑 和抑郁),并从各方面提高患者生活质量。

Objective To study the effects of integrated physical and mental nursing intervention on negative emotion and quality of life in patients with thyroid carcinoma. Methods A total of 140 patients with thyroid carcinoma in our hospital were taken as the clinical research objects, and they were randomly divided into observation group and control group. The control group was given traditional nursing, and the study group was given integrated of physical and mental nursing. The scores of SAS, SDS and QLQ-C30 scale in the two groups before and after nursing were compared. Results After nursing, the scores of SAS and SDS in the two groups were both decreased, and the scores of SAS and SDS in the observation group were significantly lower than those in the control group (P<0.05), the QLQ-C30 general physical condition score in the observation group was obviously higher than that in the control group, and their difference was statistically significant (P<0.05). Conclusion Integrated of physical and mental nursing which has good effect for patients with thyroid carcinoma, can not only effectively alleviate patients' negative emotions (anxiety and depression), but also improve their quality of life in all respects.

【关键词】身心一体化护理;甲状腺癌;负性情绪;生活质量

【中图分类号】R736.1

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2017.03.004

前言

甲状腺癌是甲状腺最常见的恶性肿瘤之一,主要 表现为甲状腺有硬质肿块、无活动性,颈淋巴结肿大 [1]。甲状腺癌使患者生活质量下降,治疗过程中易产 生负性情绪,而负性情绪不利于甲状腺癌患者的治疗 和恢复。有研究报道显示,护理干预可有效改善甲状 腺癌患者不良情绪,并提高其生活质量[2],本研究针 对140例甲状腺癌患者进行身心一体化护理干预,获 得较好效果。