预见性护理对甲状腺癌根治术后患者负面情绪、睡眠质量及生活质量的影响  

The effect of predictive care on negative emotions,sleep quality and life quality in thyroid cancer patients after radical thyroidectomy

作　　者：刘大响[1] 闫春花[1] 王令焕[1] 徐梅[1] 王秀珍[1] 高超[1] LIU Daxiang;YAN Chunhua;WANG Linghuan(Department of Otolaryngology Head and Neck Surgery,the Fourth Hospital of Hebei Medical Universit,Shijiazhuang 050035,China)

机构地区：[1]河北医科大学第四医院耳鼻咽喉头颈外科,石家庄050035

出　　处：《国际精神病学杂志》2024年第5期1671-1673,1677,共4页Journal Of International Psychiatry

基　　金：2014年度河北省医学科学研究重点课题计划(编号:ZD20140393);2020年度河北省医学科学研究课题计划(编号:20201130)。

摘　　要：目的 探讨甲状腺癌根治术后实施预见性护理对患者负面情绪、睡眠质量及生活质量的影响。方法 于2021年4月~2022年11月采集病例资料入档,对象为医院在此期间收治的甲状腺癌根治术患者,共计纳入100例,纳入对象基于“随机数字表法”规范化分组处理,划分为对照组(实行常规护理)与观察组(常规护理+预见性护理),各组均纳入50例;观察对比负面情绪、睡眠质量、生活质量。结果 干预后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,其中观察组明显低于对照组(P<0.05);干预后,两组匹兹堡睡眠质量指数(PSQI)评分均明显降低,且观察组PSQI评分较对照组显著降低(P<0.05);干预后,两组简易健康状况调查(SF-36)评分均大幅度升高,其中观察组的健康状况评分明显高于对照组(P<0.05)。结论 甲状腺癌根治术后对患者实施预见性护理,可显著改善患者心理状态,消除负面情绪,以改善患者心理状态及提高睡眠质量,促进生活质量全面提升。Objective To explore the impact of predictive care on negative emotions,sleep quality and life quality of patients after radical thyroidectomy for thyroid cancer.Method A total of 100 patients with thyroid cancer who underwent radical surgery during Apr.2021 to Nov.2022 were included in the study.The participants were divided into control group(receiving routine care)and observation group(receiving routine care + predictive care)based on the standardized grouping method of "random number table".50 patients were included in each group.Negative emotions,sleep quality and quality of life were observed and compared.Results After intervention,the scores of the Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)decreased in both groups.The observation group had a lower score compared to the control group(P<0.05).After intervention,the Pittsburgh Sleep Quality Index(PSQI)scores of both groups were significantly reduced,and the observation group had significantly lower PSQI scores than the control group(P<0.05).After intervention,the scores of both groups on the Simplified Health Status Questionnaire(SF-36)significantly increased.Observation group hold higher scores(P<0.05).Conclusion The implementation of predictive care in thyroid cancer radical surgery can significantly improve the patient's psychological state,eliminate negative emotions,improve the patient's psychological state and sleep quality,and promote a comprehensive improvement in quality of life.

关 键 词：预见性护理 甲状腺癌根治术 负面情绪 睡眠质量 生活质量 

分 类 号：R740.05[医药卫生—神经病学与精神病学]