甲状腺癌患者行^(131)I治疗抑郁和焦虑分析和护理对策  

The Analysis and Nursing Strategy of Depression and Anxiety in Thyroid Cancer Patients After ^(131)I Treatment

作　　者：郭庆玲[1] 韩晓霞[1] 张晓娜[1] 赵玲[1] 职俊杰 GUO Qing-ling;HAN Xiao-xia;ZHANG Xiao-na;ZHAO ling;ZHI Jun-jie(Department of Endocrinology,307Hospital of PLA,Beijing 100071,China)

机构地区：[1]解放军第307医院内分泌科,北京100071

出　　处：《标记免疫分析与临床》2018年第11期1747-1749,共3页Labeled Immunoassays and Clinical Medicine

摘　　要：目的调查甲状腺癌患者^(131)I治疗后抑郁和焦虑发生情况;为以后的护理方式和研究提供参考数据。方法将本院2015年1月至2017年7月在我科住院治疗的甲癌术后1311内照射治疗患者160例,使用Zung抑郁自评量表(SDS)和Zung焦虑自评量表(SAS)进行评分,计算患者抑郁和焦虑发生率。结果甲状腺癌患者抑郁发生率高达77%,其中重度抑郁47%,患者焦虑发生率相对低。结论甲状腺癌患者^(131)I治疗期间抑郁发生率很高,除对患者进行常规的治疗和护理外,更重要的是对患者进行心理护理,让患者树立对治疗的信心和对生活的勇气,才能取得满意效果。Objective To investigate the incidence of depression and anxiety in thyroid cancer patients after the radioiodine 131 treatment and provide reference data for future nursing methods and research. Methods Using Zung self-rating depression scale and Zung self-rating anxiety scale,we examined the incidence of depression and anxiety in 160 post operation thyroid cancer patients,hospitalized for the radioiodine 131 internal radiation therapy from January 2015 to July 2017. Results The incidence of depression in thyroid cancer patients was up to 77% and 47% of them were severe depression. The incidence of anxiety in thyroid cancer patients was relatively lower than the incidence of depression. Conclusion The incidence of depression in thyroid cancer patients duringthe radioiodine 131 treatment is very high. In addition to the routine treatment and nursing care,it is more important to carry out psychological care for them. Satisfactory results can be achieved by allowing patients to develop confidence during treatments and build up the courage for their lives.

关 键 词：甲状腺癌 抑郁焦虑 现况调查 护理对策 

分 类 号：R473.73[医药卫生—护理学]