基于压力与应激理论的干预措施在甲状腺癌术后患者中的应用效果  

Application Effect of Intervention Measures Based on Stress and Stress Theory on Postoperative Patients with Thyroid Cancer

作　　者：孔垂芳 张恒 刘亚平 冯爱敏 孙文聪 罗园园 KONG Chuifang;ZHANG Heng;LIU Yaping;FENG Aimin;SUN Wencong;LUO Yuanyuan(Department of Thyroid Surgery,Henan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Zhengzhou 450003,China;Department of Neurology,Henan Provincial People’s Hospital,Zhengzhou University People’s Hospital,Zhengzhou 450003,China)

机构地区：[1]河南省人民医院甲状腺外科,郑州大学人民医院,河南郑州450003 [2]河南省人民医院神经内科,郑州大学人民医院,河南郑州450003

出　　处：《河南医学研究》2024年第15期2861-2865,共5页Henan Medical Research

基　　金：2021年度河南省医学科技攻关计划联合共建项目(LHGJ20210053)。

摘　　要：目的探讨基于压力与应激理论的干预措施在甲状腺癌术后患者中的应用效果。方法选取2022年2月至2023年3月河南省人民医院收治的90例甲状腺癌患者,按随机数字表法分为两组,每组45例,对照组行外科常规干预,观察组于此基础上行基于压力与应激理论的干预措施。比较两组患者术后康复情况、并发症、干预前后心理状态[创伤后应激障碍自评量表(PCL-C)、中文版压力知觉量表(CPSS)]及术后肩关节功能。结果观察组术后首次下床、术后住院时间均短于对照组,住院费用低于对照组(P<0.05);干预后,观察组PCL-C、CPSS评分低于对照组(P<0.05);出院时观察组肩关节功能评分高于对照组(P<0.05);观察组术后并发症发生率(8.89%)低于对照组(24.44%)(P<0.05)。结论基于压力与应激理论的干预措施应用于围手术期甲状腺癌患者,能有效调节患者心理状态,降低创伤后应激程度及心理压力,降低并发症风险,促进术后早期康复。Objective To investigate the application of intervention measures based on stress and stress theory in patients with thyroid cancer and its influence on postoperative recovery,psychological state and complications.Methods A total of 90 patients with thyroid cancer admitted to Henan Provincial People’s Hospital from February 2022 to March 2023 were selected and randomly divided into two groups,45 cases in each group.The control group received conventional surgical intervention,while the observation group received intervention measures based on the theory of pressure and stress.The postoperative rehabilitation,complications,psychological status[PTSD checklist-civilian version(PCL-C)and Chinese perceived stress scale(CPSS)]and postoperative shoulder joint function were compared between the two groups.Results The observation group’s first postoperative discharging from bed and postoperative hospital stay were shorter than those of the control group,and the hospital cost was lower than those of the control group(P<0.05).After the intervention,the PCL-C and CPSS scores of the observation group were lower than that of the control group(P<0.05).At the time of discharge,the observation group had higher scores of shoulder function than that of the control group(P<0.05),and the incidence rate of postoperative complications in the observation group(8.89%)was lower than that in the control group(24.44%)(P<0.05).Conclusion The intervention measures based on stress and stress theory can effectively regulate the psychological state of patients with perioperative thyroid cancer,reduce the degree of post-traumatic stress and psychological stress,reduce the risk of complications,and promote early postoperative recovery.

关 键 词：甲状腺癌 压力与应激理论 肩关节功能 康复 心理 

分 类 号：R473.73[医药卫生—护理学]