认知行为护理结合基于压力/应激理论的健康教育在甲状腺癌患者中的应用  

Application of cognitive behavioral nursing combined with health education based on stress theory in patients with thyroid cancer

作　　者：王珠清 林丽英 潘雯[1] 叶良姬 徐婧[1] 叶钦[1] WANG Zhuqing;LIN Liying;PAN Wen;YE Liangji;XU Jing;YE Qin(Fujian Cancer Hospital,Fuzhou,Fujian,350014,China)

机构地区：[1]福建省肿瘤医院,福建福州350014

出　　处：《中西医结合护理（中英文）》2023年第10期5-8,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探讨认知行为护理结合基于压力/应激理论的健康教育在甲状腺癌患者围手术期中的应用效果。方法以2021年1月至2022年12月在福建省肿瘤医院行手术治疗的116例甲状腺癌患者作为研究对象,采用随机抽签法分为2组。对照组58例患者施以常规护理,观察组58例患者则施以认知行为护理结合基于压力/应激理论的健康教育。比较2组在入院时及干预后的恐惧疾病进展简化量表评分、抑郁自评量表评分、焦虑自评量表评分、健康行为量表评分、匹兹堡睡眠质量指数量表评分、生命质量评分量表评分,以及护理总满意率。结果干预4周后,2组的恐惧疾病进展简化量表、抑郁自评量表、焦虑自评量表及匹兹堡睡眠质量指数量表评分均低于干预前,健康行为量表和生命质量评分量表评分均高于入院时(P均<0.05);观察组的以上评分均优于同期对照组(P均<0.05)。观察组的护理总满意率为93.10%,高于对照组的72.41%(P<0.05)。结论认知行为护理结合基于压力/应激理论的健康教育可有效缓解甲状腺癌患者的负面情绪和复发恐惧感,提高睡眠质量,改善健康行为和生命质量,并有助于提升护理服务满意率。Objective To investigate the application effect of cognitive behavioral nursing combined with health education based on stress theory in the perioperative period of thyroid cancer patients.Methods A total of 116 thyroid cancer patients who underwent surgical treatment at Fujian Cancer Hospital from January 2021 to December 2022 were selected as the study subjects.They were randomly divided into two groups using lottery method.The 58 patients in the control group received routine nursing care,while the 58 patients in the observation group received cognitive behavioral nursing combined with health education based on stress theory.The Fear of Progression Questionnaire-Short Form scores,Self-Rating Depression Scale scores,Self-Rating Anxiety Scale scores,Health Behavior Scale scores,Pittsburgh Sleep Quality Index scores,Quality of Life Scale scores,and overall nursing satisfaction rate were compared between the two groups at admission and after intervention.Results After 4 weeks of intervention,the scores of the Fear of Progression Questionnaire-Short Form,the Self-Rating Depression Scale,the Self-Rating Anxiety Scale,and the Pittsburgh Sleep Quality Index in both groups were lower than those before intervention,and the scores of the Health Behavior Scale and the Quality of Life Scale were higher than those at admission(all P<0.05).The above scores in the observation group were better than those in the control group(all P<0.05).The overall satisfaction rate of nursing in the observation group was 93.10%,which was higher than 72.41%in the control group(P<0.05).Conclusion Cognitive behavioral nursing combined with health education based on stress theory can effectively alleviate the negative emotions and fear of relapse,improve the sleep quality,health behaviors and quality of life of patients with thyroid cancer,and help to increase the satisfaction rate of nursing service.

关 键 词：甲状腺癌 围手术期 认知行为护理 压力/应激理论 健康教育 

分 类 号：R473.73[医药卫生—护理学]