心理护理程序在甲状腺乳头状癌围手术期患者中的应用效果  

The effect of psychological nursing procedure on perioperative patients with papillary thyroid carcinoma

作　　者：李华春[1] Li huachun(Sichuan Cancer Hospital,Chengdu,610041,China)

机构地区：[1]四川省肿瘤医院放疗科,成都610041

出　　处：《当代护士（中旬刊）》2018年第10期76-79,共4页Modern Nurse

摘　　要：目的探讨心理护理程序对甲状腺乳头状癌围手术期患者的心理状态、生活质量、护理满意度的影响。方法 2015年8月～2017年8月,本院共收治98例接受经颈淋巴结清扫术甲状腺乳头状癌患者。按照数字法随机将其分成对照组(49例)和观察组(49例),对照组给予常规心理护理,观察组给予心理护理程序护理。干预后,对比2组患者护理后的临床满意度、并发症、护理后不同阶段汉密顿焦虑量表(HAMA)评分以及生活质量核心量表(QLQ-C30)评分。结果观察组非常满意为81. 63%(40/49),总满意为97. 96%(48/49)明显高于对照组的57. 14%(28/49),85. 71%(42/49)(P <0. 05);护理干预后1周及1个月2组患者HAMA评分均有明显下降,且观察组下降幅度更大(P <0. 05);观察组患者通过心理护理程序干预后,食欲、睡眠及精神等生理指标均优于对照组,其自我对甲状腺乳头状瘤颈淋巴结转移病症的认识、治疗后整体健康状况的提升及其家属对于该疾病的理解与治疗配合程度均也明显优于对照组(P <0. 05)。结论心理护理程序干预应用在经颈淋巴结清扫术治疗的甲状腺乳头状癌患者,能获得患者及其家属对护理更高的满意度,还能有效缓解患者对疾病的恐惧和焦虑,同时有助于患者预后康复。Objective To explore effects of the psychological nursing program on the psychological statement, life quality and nursing satisfaction of perioperative patients with papillary thyroid carcinoma. Methods From August 2015 to August 2017, a total of 98 cases of patients with papillary thyroid carcinoma treated by cervical lymph node dissection, they were randomly divided into the control group （49 cases） and observation group（ 49 case）. The control group was given routine nursing care, while the observation group was given psychological nursing procedures. After intervention, the clinical nursing satisfaction, complications, HAMA score and QLQ - c30 score of different stages in two groups were compared. Results The observation group of patients of very satisfied rate was 81.63% （40/49）, total satisfaction rate was 97. 96% （48/49）, which was significantly higher than the control group of 57.14% （28/49）, 85.71% （42/49） （ P 〈 0.05 ）. After nursing in- tervention for 1 week and 1 month,two groups of patients＇ HAMA scores were decreased significantly, and the observation group decreased more （P 〈 0.05 ）. The observation group treated by psychological nursing intervention program, appetite, sleep and mental and physiological indexes were better than that of the control group, and they had a good understanding of disease, a better overall health status, their families also had a good understanding and treatment of the disease, and cooperated well. These were significant better than that the control group（P 〈 0.05 ）. Conclusion Psychological nursing intervention program was applied to patients with papillary thyroid carcinoma, patients and their families not only can obtain higher satisfaction with nursing care, but also relieve the fear and anxiety mood of patients, moreover, it can promote rehabilitation of patients and is worthy of chnical reference.

关 键 词：心理护理程序 甲状腺乳头状癌 颈淋巴结清扫术 焦虑情绪 生活质量 护理满意度 

分 类 号：R473.73[医药卫生—护理学]