伴侣陪伴参与的亲情干预对甲状腺癌手术患者心理应激、术后疼痛及睡眠质量的影响  

Effects of Companion Accompanying Family Intervention on Psychological Stress,Postoperative Pain and Sleep Quality in Patients undergoing Thyroid Cancer Surgery

作　　者：宋远征 韦玮 唐婧[1] SONG Yuanzheng;WEI Wei;TANG Jing(The First Affiliated Hospital of Fujian Medical University,Fuzhou 350000,China)

机构地区：[1]福建医科大学附属第一医院,福州350000

出　　处：《世界睡眠医学杂志》2023年第6期1320-1322,共3页World Journal of Sleep Medicine

摘　　要：目的:分析伴侣陪伴参与的亲情干预对甲状腺癌手术患者心理应激、术后疼痛及睡眠质量的影响。方法:选取2020年7月至2022年7月福建医科大学附属第一医院收治的甲状腺癌手术治疗的患者98例作为研究对象,按照速记数字表法分为观察组和对照组,其中对照组47例,观察组51例。对照组给予亲情干预,观察组给予伴侣陪伴参与的亲情干预。采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index, PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(Self-rating Anxiety Scale, SAS)、抑郁自评量表(Self-rating Depression Scale, SDS)比较2组患者焦虑、抑郁症状改善情况,采用视觉模拟评分法(Visual Analogue Scale, VAS)比较2组患者的疼痛感受,采用生命质量量表(WHOQOL-BREF)对2组患者的生命质量进行比较。结果:干预后,观察组VAS、SAS、SDS和PSQI评分均显著低于对照组,观察组WHOQOL-BREF评分显著高于对照组,差异均有统计学意义(均P<0.05)。结论:伴侣陪伴参与的亲情干预能缓解甲状腺癌术后患者机体的疼痛程度,可以减轻应激心理中的焦虑和抑郁情绪,改善睡眠质量和生命质量,值得临床推广使用。Objective:To analyze the effects of family affection intervention accompanied by partners on psychological stress,postoperative pain and Sleep Quality In patients undergoing thyroid cancer surgery.Methods:A total of 98 patients with thyroid cancer undergoing surgical treatment in the First Affiliated Hospital of Fujian Medical University from July 2020 to July 2022 were selected as the research objects,and were divided into observation group and control group according to the stenographic digital table method,with 47 cases in the control group and 51 cases in the observation group.The control group was given the family intervention,and the observation group was given the family intervention accompanied by the partner.Pittsburgh Sleep Quality Index(PSQI)scale was used to compare the differences of sleep quality between the two groups,and Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between the two groups,and Visual Analogue Scale(VAS)was used to compare the pain perception between the two groups.Quality of life Scale(WHOQOL-BREF)was used to compare the quality of life between the two groups.Results:After intervention,VAS,SAS,SDS and PSQI scores in the observation group were significantly lower than those of the control group,and WHOQOL-BREF scores in the observation group were significantly higher than those of the control group,the difference between the two groups was statistically significant(P s<0.05).Conclusion:Family affection intervention accompanied by partners can alleviate the pain degree of patients with thyroid cancer after surgery,reduce anxiety and depression in stress psychology,improve sleep quality and quality of life,and is worthy of clinical promotion.

关 键 词：伴侣陪伴参与的亲情护理 甲状腺癌手术 心理应激 术后疼痛 生命质量 

分 类 号：R736.1[医药卫生—肿瘤] R338.63[医药卫生—临床医学]