协同模式对分化型甲状腺癌术后~(131)I治疗患者情绪及生活质量的影响  

Effect of Coordination Model on Psychological Status and Quality of Life of Patients with Differentiated Thyroid Cancer after~(131)I Therapy

作　　者：朱明霞[1] 崔盈盈[1] ZHU Ming-xia;CUI Ying-ying(Taizhou People's Hospital,Taizhou Jiangsu 225300,China)

机构地区：[1]泰州市人民医院核医学科,江苏泰州225300

出　　处：《泰州职业技术学院学报》2021年第1期73-77,共5页Journal of Taizhou Polytechnic College

摘　　要：目的分析分化型甲状腺癌术后~(131)I治疗患者应用协同模式对其心理状况及生活质量的影响。方法选取2018年10月~2020年10月在我院收治的甲状腺癌术后~(131)I治疗患者100例,采用随机数字表法将其分为两组,各50例。对照组患者采用常规模式干预,研究组采用协同护理模式,比较两组情绪、生活质量等改善情况。结果研究组干预后SAS评分,SDS评分,与对照组各评分比较差异明显(P<0.05)。干预后两组患者的自我效能评分均提升,且研究组干预后自我效能评分改善情况优于对照组(P<0.05)。两组干预后自护能力均较干预前改善,且研究组干预后自护能力总分及各项目评分均高于对照组(P<0.05)。研究组干预后癌因性评分低于对照组,组间差异明显(P<0.05)。且研究组干预后生活质量各维度评分高于对照组,研究组护理满意度为96.00%,与对照组的80.00%比较明显较高,P<0.05,差异有统计学意义。结论分化型甲状腺癌术后~(131)I治疗患者中应用协同护理模式,能够有效改善患者心理状况,减轻患者癌因性疲乏,增强患者自我效能感,从而提升患者自护能力,改善患者生活质量及满意度,在临床具有较高的应用价值。Objective To analyze the effect of coordination model on psychological status and quality of life of patients with differentiated thyroid cancer after~(131)I therapy.Methods From October 2018 to October 2020,100 pa⁃tients with thyroid cancer treated with~(131)I were randomly divided into two groups,50 cases in each group.The patients in the control group were intervened with conventional mode,and the study group were treated with collaborative nursing mode.Results The SAS score and SDS score of the study group were(45.81±3.53)and(42.68±3.95)respectively after intervention,which were significantly different from those of the control group(P<0.05).After intervention,the self-efficacy scores of the two groups were improved,and the improvement of self-ef⁃ficacy score in the study group was better than that in the control group(P<0.05).After the intervention,the selfcare ability of the two groups was improved,and the total score of self-care ability and the score of each item in the study group were higher than those in the control group(P<0.05).After intervention,the cancer related score of the study group was lower than that of the control group,and the difference between the two groups was significant(P<0.05).After intervention,the scores of quality of life in the study group were higher than those in the control group.The nursing satisfaction of the study group was 96.00%,which was significantly higher than that of the con⁃trol group(80.00%)(P<0.05).Conclusion The application of coordinated nursing mode in patients with differentiat⁃ed thyroid cancer after~(131)I treatment can effectively improve the psychological status of patients,reduce can⁃cer-related fatigue,enhance the self-efficacy of patients,so as to improve the self-care ability of patients,improve the quality of life and satisfaction of patients,which has high clinical application value.

关 键 词：协同模式 分化型甲状腺癌 术后~(131)I治疗 自护能力 生活质量 

分 类 号：R322.51[医药卫生—人体解剖和组织胚胎学]