甲状腺癌患者围手术期采用渐进性肌肉放松训练的效果  

The effect of progressive muscle relaxation training in patients with thyroid cancer during the perioperative period

作　　者：李红米[1] 乐飞[2] 朱会[1] LI Hongmi;LE Fei;ZHU Hui(Department of Comprehensive Radiation Oncology,Jiangxi Cancer Hospital,Nanchang330029,China;Department of Head and Neck Surgery wardⅠ,Jiangxi Cancer Hospital,Nanchang330029,China)

机构地区：[1]江西省肿瘤医院肿瘤综合放疗科,江西南昌330029 [2]江西省肿瘤医院头颈外科一病区,江西南昌330029

出　　处：《中国现代医生》2021年第10期174-176,180,共4页China Modern Doctor

基　　金：江西省卫生健康委员会科技计划项目(20203555)。

摘　　要：目的探讨甲状腺癌患者围手术期采用渐进性肌肉放松训练的效果。方法选取2019年1月至2020年4月江西省肿瘤医院头颈外科收治的甲状腺癌患者180例,根据围手术期护理方案将其分为对照组(90例)与观察组(90例),对照组接受常规护理,观察组在常规护理基础上再行渐进性肌肉放松训练。护理干预前后采用Hamilton焦虑量表(HAMA)、Hamilton抑郁量表(HAMD)、匹兹堡睡眠质量指数量表(PSQI)、Piper疲乏量表(PFS)、疼痛视觉模拟评分法(VAS)对所有研究对象进行评分。结果护理干预前,两组HAMA评分、HAMD评分比较,差异无统计学意义(P>0.05);护理干预后,观察组HAMA评分、HAMD评分显著低于对照组,差异有统计学意义(P<0.05)。护理干预前,两组PSQI评分、PFS评分比较,差异无统计学意义(P>0.05);护理干预后,观察组PSQI评分、PFS评分评分显著低于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组VAS评分显著低于对照组,差异有统计学意义(P<0.05)。结论甲状腺癌患者围手术期采用渐进性肌肉放松训练可以取得较好的效果,包括改善患者不良情绪、睡眠质量、疲乏情况及疼痛程度等。Objective To investigate the effect of perioperative progressive muscle relaxation training in patients with thyroid cancer.Methods A total of 180 patients with thyroid cancer admitted to the Head and Neck Surgery Department of Jiangxi Cancer Hospital from January 2019 to April 2020.According to the perioperative nursing plan,they were divided into a control group(90 cases)and an observation group(90 cases).The control group received routine care.The observation group received progressive muscle relaxation training on the basis of routine care.Before and after the nursing intervention,the Hamilton anxiety scale(HAMA),Hamilton depression scale(HAMD),Pittsburgh sleep quality index(PSQI),Piper fatigue scale(PFS),and pain Visual analogue scale(VAS)were used to evaluate all subjects.Results Before the nursing intervention,there were no significant differences in the HAMA score and HAMD score between the two groups of subjects(P>0.05).After the nursing intervention,the HAMA score and HAMD score of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).Before nursing intervention,there were no significant differences in PSQI score and PFS score between the two groups(P>0.05).After the nursing intervention,the PSQI score and PFS score of the observation group were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).After the nursing intervention,the VAS score of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The progressive muscle relaxation training in the perioperative period of patients with thyroid cancer can achieve good results,including improving the patient′s bad mood,sleep quality,fatigue,and pain.

关 键 词：甲状腺癌 肌肉放松训练 不良情绪 睡眠质量 疲乏 疼痛 

分 类 号：R736.1[医药卫生—肿瘤]