冰山理论护理干预对碘-131治疗甲状腺癌患者负面情绪与睡眠质量的影响  

Effect of Iceberg Theory Nursing Intervention on Negative Mood and Sleep Quality in Patients with Thyroid Cancer Treated with Iodine-131

作　　者：贾建敏 沙静瑶 高园园 张静静 任红艳[2] 王君 陈荔蕊 赵帆 JIA Jianmin;SHA Jingyao;GAO Yuanyuan;ZHANG Jingjing;REN Hongyan;WANG Jun;CHEN Lilui;ZHAO Fan(Department of Nuclear Medicine,Henan Cancer Hospital,Zhengzhou 450000,China;Internal medicine,Henan Cancer Hospital,Zhengzhou 450000,China;Office of Public Health,Henan Cancer Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省肿瘤医院核医学科,河南郑州450000 [2]河南省肿瘤医院内科,河南郑州450000 [3]河南省肿瘤医院保健办,河南郑州450000

出　　处：《河南医学研究》2023年第16期3069-3072,共4页Henan Medical Research

基　　金：河南省医学科技攻关计划项目(LHGJ20210216);河南省医学科技攻关计划项目(LHGJ20210209)。

摘　　要：目的探究冰山理论护理干预对碘-131治疗甲状腺癌患者负面情绪与睡眠质量的影响。方法前瞻性选取2021年10月至2022年2月在河南省肿瘤医院收治的260例碘-131治疗甲状腺癌患者,按随机数字表法将患者分为研究组130例与对照组130例。对照组患者接受常规护理干预,研究组在对照组干预措施基础上接受基于冰山理论的护理干预,于干预1个月后对比两组心理状态[自评抑郁量表(SDS)评分、自评焦虑量表(SAS)评分]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、生命质量[生命质量测定量表(QLQ-C30)评分]的差异。结果干预前,两组SDS评分、SAS评分、PSQI各因子得分、QLQ-C30评分各因子得分比较,差异无统计学意义(P>0.05)。干预后,研究组QLQ-C30评分各因子得分高于对照组(P<0.05),SDS评分、SAS评分、PSQI评分各因子得分均低于对照组(P<0.05);组内比较,与干预前相比,两组患者干预后QLQ-C30评分各因子得分均升高(P<0.05),SDS评分、SAS评分、PSQI评分各因子得分均降低(P<0.05)。结论基于冰山理论的护理干预应用于碘-131治疗甲状腺癌患者可有效缓解负面情绪,提高患者睡眠质量与生活质量。Objective To explore the effects of iceberg theory nursing intervention on negative mood and sleep quality in patients with thyroid cancer treated with iodine-131.Methods A total of 260 patients with thyroid cancer treated with iodine-131 from October 2021 to February 2022 in Henan Cancer Hospital were prospectively selected as the study objects.The patients were divided into 130 cases in the study group and 130 cases in the control group according to the random number table method.The patients in the control group received conventional nursing interventions,and the study group was given nursing interventions based on the iceberg theory on the basis of the interventions in the control group,and the differences in psychological status[self-rating depression scale(SDS)score,self-rating anxiety scale(SAS)score],sleep quality[Pittsburgh sleep quality index(PSQI)],and quality of life[quality of life questionnaire C30(QLQ-C30)score]between the two groups were compared after one month of intervention.Results Before the intervention,the SDS scores,SAS scores,PSQI scores of each factor,and QLQ-C30 scores of each factor were compared between the two groups,and the differences were not statistically significant(P>0.05).After the intervention,the QLQ-C30 scores of the study group were higher than those of the control group(P<0.05),while the scores of SDS,SAS and PSQI scores were lower than those of the control group(P<0.05).Compared with before the intervention,the scores of QLQ-C30 scores of the two groups were higher after the intervention(P<0.05).The scores of SDS,SAS and PSQI were all decreased(P<0.05).Conclusion Nursing intervention based on iceberg theory can effectively relieve negative emotions and improve sleep quality and quality of life of patients with thyroid cancer treated with iodine-131.

关 键 词：甲状腺癌 碘-131 冰山理论 护理 

分 类 号：R473.73[医药卫生—护理学]