SHOW模式正念冥想在甲状腺癌术后患者中的应用效果分析  

Application effect analysis of SHOW mode mindfulness meditation in patients after thyroid cancer surgery

作　　者：侯晓俊 李乐 王征[1] 杜新峰[1] 王新[1] HOU Xiaojun;LI Le;WANG Zheng;DU Xinfeng;WANG Xin(Nanyang Central Hospital,Nanyang 473000,China)

机构地区：[1]南阳市中心医院,河南省南阳市473000

出　　处：《护理实践与研究》2024年第2期281-286,共6页Nursing Practice and Research

基　　金：河南省医学科技攻关计划项目(编号:LHGJ20200907)。

摘　　要：目的探讨SHOW模式正念冥想对甲状腺癌患者术后负性情绪和生活质量的影响,为甲状腺癌术后患者的护理提供科学的参考依据。方法选择2021年1—12月于医院采取甲状腺癌手术治疗的80例患者作为研究对象,按照组间基本特征具有可比性的原则将80例甲状腺癌患者分为观察组40例和对照组40例。对照组患者术后采用常规护理,观察组开展常规术后护理联合SHOW模式下的正念冥想干预,干预时间从患者入院当日至患者出院。患者入院后的1~2 d内填写一般资料调查表、抑郁自评量表(SDS)与焦虑自评量表(SAS)、生命质量测定量表(QLQ-C30)和护理工作满意度调查表,完成首次调查;出院后3个月时患者到医院复查完成术后的问卷调查。评估患者心理状态、生活质量和对护理工作的满意度。结果观察组干预3个月后SDS和SAS评分低于对照组,差异有统计学意义(均P<0.05)。观察组干预3个月后的QLQ-C30总均分及认知功能、情绪功能、角色功能、社会功能和躯体功能评分均高于对照组,差异有统计学意义(P<0.05);观察组患者对护理服务的满意度评分均较对照组患者高,差异有统计学意义(均P<0.05)。结论甲状腺癌手术患者围术期普遍存在焦虑、抑郁情绪,实施后SHOW模式正念冥想护理,利于改善患者心理状态,护理措施更具个性化和针对性,应用于甲状腺癌术后患者中效果良好,利于保持患者良好的心理状态,对于生活质量的改善和提升具有积极意义,患者对护理服务的满意度更高,利于提升临床护理服务水平。Objective To explore the effect of SHOW mode mindfulness meditation on postoperative negative emotions and quality of life in patients with thyroid cancer,and to provide scientific reference for the care of postoperative patients with thyroid cancer was as the study subject.Methods A total of 80 patients who underwent surgical treatment of thyroid cancer in the hospital from January to December 2021 were selected as the research subjects.According to the principle of comparability of basic characteristics between groups,80 patients with thyroid cancer were divided into an observation group of 40 cases and a control group of 40 cases.Patients in the control group received routine postoperative care,while the observation group received routine postoperative care combined with mindfulness meditation intervention in the SHOW mode.The intervention time was from the day the patient was admitted to the day he was discharged.Within 1 to 2 days after admission,the patient filled in the general information questionnaire,self-rating depression scale(SDS)and self-rating anxiety scale(SAS),quality of life questionnaire(QLQ-C30)and nursing work satisfaction questionnaire,completed the first survey,and completed the first survey 3 months after discharge.The patient went to the hospital for review and completed a postoperative questionnaire to evaluate the patient's mental state,quality of life and satisfaction with nursing work.Results The SDS and SAS scores of the observation group after 3 months of intervention were lower than those of the control group,and the differences were statistically significant(P<0.05).The total average QLQ-C30 score and cognitive function,emotional function,role function,social function and physical function scores of the observation group after 3 months of intervention were higher than those of the control group,and the differences were statistically significant(P<0.05);satisfaction scores with nursing services of patients in the observation group were higher than those in the control group,and the

关 键 词：SHOW模式 正念冥想技术 甲状腺癌术后 护理 抑郁 焦虑 

分 类 号：R473.73[医药卫生—护理学]