甲状腺癌患者围手术期个性化心理护理对悲观情绪的影响

杨朝梅

安康市宁陕县医院，陕西 安康，711600

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摘要：

目的 探讨和分析甲状腺癌患者围手术期个性化心理护理对悲观情绪影响。方法 研究选择 2015年 6月至 2017年 5月在我院进行手术治疗的 88例甲状腺癌患者当作研究对象，依入院顺序分甲组、乙组，每组 44例。所有患者均进行常规护理，而甲组患者加用个性化心理护理，评价甲乙两组患者的治疗依从性和悲观情绪情况。结果 乙组患者的治疗总依从率低于甲组患者（P＜0.05）；护理后甲乙两组患者的 SAS、SDS评分均低于护理前（P＜0.05），护理后甲组患者的 SAS、SDS评分均低于乙组患者，差异均具有统计学意义（P＜0.05）。结论 在甲状腺癌患者的围手术期中，个性化的心理护理可提高患者的依从性，并改善其悲观情绪，应推广使用。

关键词： 个性化心理护理；甲状腺癌；围术期

中图分类号： R473文献标志码：A文章编号： 2096-1413(2018)07-0187-02

Influence of individualized psychological nursing on the pessimism in patients with
thyroid cancer during perioperative period


YANG Zhao-mei
(the Hospital of Ningshan County, Ankang 711600,China)



ABSTRACT: Objective To investigate and analyze the influence of individualized psychological nursing on the pessimismin patients with thyroid carcinoma during the perioperative period. Methods From June 2015 to May 2017,Eighty-eight patients with thyroid cancer treated with surgicalin our hospital were selected and divided into group A and B according to the orde of admission, with 44 cases in each group. All the patients were given routine nursing, while the patients in the group A with individualized psychological nursing on the basis of the routine nursing.The treatment compliance and pessimism of the two groups were evaluated.Results The total treatment compliance of patientsin the group B was lower than that in the group A (P<0.05). After nursing,the scores of SAS and SDS in the two groups were lower than those before nursing(P<0.05); after nursing, the scores of SAS and SDS in the group A were lower than those in the group B, the differences were statistically significant (P<0.05). Conclusion In the perioperative period of thyroid cancerpatients, individualized psychological nursing can improve the compliance and pessimism ofpatient, whcih should be popularized.   　                   

KEYWORDS: individualized psychological nursing; thyroid cancer; perioperative period

参考文献：
[1]YOO Y,KIM JA,SON EJ,etal.Sonographic findingspredictive ofcen-trallymph node metastasisin patientswith papillary thyroid carcino ma:Influence of associated chronic lymphocytic thyroiditis on the diagnostic performance of sonography[J].J Ultrasound Med,2013,32(12):2145-2151.
[2] 贺书霞 . 舒适护理结合个性化心理护理对甲状腺术后咳嗽雾化治疗患者依从性及情绪的影响 [J]. 中国实用医药 ,2015,10(35):241-242.
[3] 李新 , 耿连侠 . 腔镜下甲状腺癌根治术的围手术期护理 [J]. 护士进修杂志 ,2013,28(5):449-451.
[4] 马丽 , 王欢 . 甲状腺癌颈侧方淋巴结清扫术后早期淋巴漏的护理体会 [J]. 中国医科大学学报 ,2013,42(9):854-855.
[5] 苟菊香 , 林小燕 .p53 基因治疗联合手术治疗晚期甲状腺癌病人的临床观察及护理 [J]. 护士进修杂志 ,2013,28(13):1179-1180.
[6] 周妙丽 , 弓健 , 廖丽娇 , 等 . 分化型甲状腺癌住院 131I 治疗患者低钙血症的观察及护理 [J]. 广东医学 ,2016,37(20):3149-3151.
[7] 金丽娜 . 优质护理服务模式应用于甲状腺癌患者围手术期的效果分析 [J]. 医药与保健 ,2017,25(2):169-170.
[8] 杨俊华 , 张敏 , 张文林 , 等 . 激励式护理对甲状腺癌手术患者负性情绪及生存质量的影响 [J]. 中华现代护理杂志 ,2016,22(23):3330-3333.
[9] 王雯易 , 陈先玲 , 谢丽 , 等 . 个性化心理护理对甲状腺癌围手术期患者悲观情绪的影响分析 [J]. 心理医生 ,2016,22(13):181-182.
[10] 郭贞 . 个性化心理护理对甲状腺癌围手术期患者悲观情绪及治疗配合度的影响 [J]. 中国伤残医学 ,2015,35(16):148-149.