社会支持联合应对方式干预对甲状腺癌手术患者心理弹性及生命质量的影响  

Effect of social support and coping style intervention on psychological resilience and life quality in patients with thyroid cancer surgery

作　　者：张舒[1] 赵波 Zhang Shu;Zhao Bo(Department of Gastrointestinal, Anorectal, Cervical Surgery, Changzhou Second People's Hospital, Affiliated to Nanjing Medical University, Changzhou 213003, China)

机构地区：[1]南京医科大学附属常州市第二人民医院胃肠、肛肠、颈部外科,213003

出　　处：《中国实用护理杂志》2019年第16期1261-1265,共5页Chinese Journal of Practical Nursing

摘　　要：目的探讨社会支持联合应对方式干预对甲状腺癌手术患者心理弹性及生命质量的影响。方法选择2015年7月至2017年6月收治的甲状腺癌手术患者83例为研究对象,采用前瞻性研究的方法按照随机数字表法分为干预组42例和对照组41例。对照组给予包括健康教育、基础护理、并发症预防、随访等在内的甲状腺癌手术患者常规护理干预,干预组联合应用社会支持及应对方式干预。随访3个月,采用中文版心理弹性量表(CDRISC)、生命质量测定量表(QLQ-C30)、自制患者满意度调查表评价2组患者心理弹性水平、生命质量、患者满意度。结果随访3个月,干预组坚韧性、应对压力、适应性、信念评分分别为(26.45 ± 4.65)、(22.25 ± 4.21)、(16.42 ± 3.25)、(7.65 ± 1.21)分,明显高于对照组的(22.36 ± 4.35)、(17.25 ± 3.42)、(14.36 ± 2.43)、(6.35 ± 0.80)分,差异有统计学意义(t=3.264~5.930,P<0.05);干预组认知功能、情绪功能、社会功能、躯体功能评分分别为(80.12 ± 9.36)、(76.25 ± 9.12)、(76.36 ± 9.21)、(75.12 ± 8.32)分,明显高于对照组的(68.45 ± 8.32)、(70.25 ± 8.45)、(68.62 ± 8.21)、(66.32 ± 7.65)分,差异有统计学意义(t=3.107~5.998,P<0.05);试验组患者满意度95.24%(33/41),明显高于对照组的80.49%(40/42),差异有统计学意义(χ^2=4.260,P<0.05)。结论社会支持联合应对方式干预有助于提高甲状腺癌手术患者心理弹性水平,改善生命质量,维系良好的护患关系。Objective To investigate the effect of social support and coping style intervention on psychological resilience and life quality in patients with thyroid cancer surgery. Methods A total of 83 patients with thyroid surgery admitted from July 2015 to June 2017 were enrolled. The prospective study was used and the patients were divided into the treatment group (42 cases) and the control group (41 cases) by random digits table method. The control group received routine nursing intervention for thyroid cancer surgery patients including health education, basic nursing, prevention of complications, follow-up, etc., and the treatment group was combined with social support and coping style intervention. After 3 months of follow-up, the Chinese version of Connor-Davidson Resilience Scale (CDRISC), Quality of Life Questionnaire-Core (QLQ-C30), Self-made Survey of Patient Satisfaction was used to evaluate the psychological resilience, life quality, and patients satisfaction of the two groups. Results The toughness, coping pressure, adaptability and belief scores of the treatment group were (26.45±4.65),(22.25±4.21),(16.42±3.25),(7.65±1.21) points, which were significantly higher than those of the control group (22.36±4.35),(17.25±3.42),(14.36±2.43),(6.35±0.80) points, and the differences were statistically significant (t=3.264-5.930, P <0.05);the cognitive function, emotional function, social function and physical function scores of the treatment group were (80.12±9.36),(76.25±9.12),(76.36±9.21), and (75.12±8.32) points, which were significantly higher than those of the control group (68.45±8.32),(70.25±8.45),(68.62±8.21),(66.32 ± 7.65) points, and the differences were statistically significant (t = 3.107-5.998, P <0.05);the patient satisfaction rate of the treatment group was 95.24%(33/41), which was significantly higher than that of the control group (80.49%, 40/42), and the differences were statistically significant (χ^2=4.260, P <0.05). Conclusions Social support and joint coping style intervention can h

关 键 词：甲状腺肿瘤 生活质量 社会支持 应对方式 心理弹性 

分 类 号：R473.73[医药卫生—护理学]