基于社交网络的正念认知疗法在甲状腺癌术后患者中的应用效果  

The Application Effect of Social Internet-Based Mindfulness-Based Cognitive Therapy in Patients with Thyroid Cancer After Surgery

作　　者：汪志红[1] 肖旺 李津[2] 何秋 盛彩华 谌红献[3] 黄秋平 汪明明[1] WANG Zhi-hong;XIAO Wang;LI Jin;HE Qiu;SHENG Cai-hua;SHEN Hong-xian;HUANG Qiu-ping;WANG Ming-ming(Department of Thyroid Surgery,the Second Xiangya Hospital of Central South University,Changsha 410011,China;Department of Anesthesiology,the Third Xiangya Hospital of Central South University,Changsha 410013,China;Institute of Mental Health,Central South University,Changsha 410011,China;Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]中南大学湘雅二医院甲状腺外科,长沙410011 [2]中南大学湘雅三医院麻醉科,长沙410013 [3]中南大学精神卫生研究所,长沙410011 [4]湖南中医药大学,长沙410208

出　　处：《中国临床心理学杂志》2024年第3期700-706,共7页Chinese Journal of Clinical Psychology

基　　金：湖南省卫生健康委重点指导课题(C202314027163);湘雅二医院护理科研重点基金(2022-HLKY-02);湖南省自然科学基金(2023JJ60086)。

摘　　要：目的:探讨基于社交网络的正念认知疗法对甲状腺癌术后患者焦虑、抑郁、自我形象、颈部瘢痕满意度及生活质量的影响。方法:采用便利抽样法,选取长沙市某三级甲等医院甲状腺外科接受传统开放甲状腺癌根治手术患者120例。将其随机分为对照组和干预组,每组60例。对照组接受甲状腺外科常规护理,干预组在对照组的基础上接受基于社交网络的正念认知疗法,干预时间8周。结果:干预后,干预组焦虑、抑郁、自我形象得分显著低于对照组(P<0.05),瘢痕满意度量表的瘢痕意识、外观满意度、症状满意度3个维度得分显著低于对照组(P<0.05),生活质量总分及躯体、角色、情绪、认知、社会5个功能维度得分均显著高于对照组(P<0.05)。结论:基于社交网络的正念认知疗法能有效改善传统开放甲状腺癌根治术后患者负性情绪,提升自我形象水平,增加颈部瘢痕满意度,并提高其生活质量。Objective:To explore the effects of social internet-based mindfulness cognitive therapy on anxiety,depres⁃sion,self-image,satisfaction with neck scar and quality of life in patients with thyroid cancer after surgery.Methods:A to⁃tal of 120 patients receiving traditional open radical surgery for thyroid cancer were selected from the thyroid gland surgery department of a Grade-III A hospital in Changsha city,and randomly divided into control group and intervention group,with 60 cases in each group.The control group received routine thyroid surgery care,and the intervention group received so⁃cial internet-based mindfulness cognitive therapy on the basis of the control group.The duration of intervention was 8 weeks.Results:After the intervention,the scores of anxiety,depression and self-image in the intervention group were sig⁃nificantly lower than those in the control group(P<0.05),the scores of scar awareness,appearance satisfaction and symptom satisfaction in the intervention group were significantly lower than those in the control group(P<0.05),and the quality of life in the intervention group were significantly higher than those in the control group(P<0.05).Conclusion:Social internetbased mindfulness cognitive therapy can improve negative mood,self-image,satisfaction with neck scar and quality of life of patients after traditional open radical thyroidectomy.

关 键 词：甲状腺癌 正念认知疗法 焦虑 抑郁 自我形象 瘢痕满意度 生活质量 

分 类 号：R395.5[哲学宗教—心理学]