Cox健康行为互动模式联合个性化干预在甲状腺癌手术患者中的应用  

Application of Cox-interaction model of client health behavior combined with individualized intervention in patients with thyroid cancer undergoing surgery

作　　者：张雅娟 王方[1] 卢玖菊[2] 赵园 李怡静 ZHANG Yajuan;WANG Fang;LU Jiuju;ZHAO Yuan;LI Yijing(Ward II Department of Thyroid Head and Neck,He’nan Cancer Hospital,Zhengzhou 450000,He’nan,China;Department Internal Medicine,He’nan Cancer Hospital,Zhengzhou 450000,He’nan,China)

机构地区：[1]河南省肿瘤医院甲状腺头颈二病区,郑州450000 [2]河南省肿瘤医院内科,郑州450000

出　　处：《癌症进展》2025年第5期614-616,620,共4页Oncology Progress

摘　　要：目的探讨Cox健康行为互动模式(Cox-IMCHB)联合个性化干预在甲状腺癌手术患者中的应用效果。方法根据干预方式不同将120例甲状腺癌手术患者分为对照组(59例)和观察组(61例),对照组患者采用常规干预,观察组患者在对照组的基础上采用Cox-IMCHB联合个性化干预。比较两组患者的心理状况[抑郁自评量表(SDS)、焦虑自评量表(SAS)]、术后疼痛情况[视觉模拟评分法(VAS)]、并发症发生情况及满意度。结果干预后,两组患者SDS、SAS评分均低于本组干预前,观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。术后12、24、48 h,观察组患者VAS评分均明显低于对照组,差异均有统计学意义(P﹤0.01)。观察组患者并发症总发生率低于对照组,总满意度高于对照组,差异有统计学意义(P﹤0.05)。结论Cox-IMCHB联合个性化干预应用于甲状腺癌手术患者中,可以改善心理状况、减轻术后疼痛、减少并发症、提高满意度。Objective To investigate the application effect of Cox-interaction model of client health behavior(Cox-IMCHB)combined with individualized intervention in patients with thyroid cancer underwent surgery.Method According to different intervention methods,120 patients with thyroid cancer who undergoing surgery were divided into control group(59 cases)and observation group(61 cases).Patients in the control group received routine intervention,and patients in the observation group received Cox-IMCHB combined individualized intervention on the basis of the control group.The psychological status[self-rating depression scale(SDS),self-rating anxiety scale(SAS)],postoperative pain[visual analogue scale(VAS)],incidence of complications and satisfaction of the two groups were compared.Result After intervention,the scores of SDS and SAS in two groups were lower than those before intervention,and the scores of SDS and SAS in observation group were lower than those in control group,the differences were statistically significant(P<0.05).At 12,24 and 48 h after surgery,the VAS scores of observation group were significantly lower than those in control group,and the differences were statistically significant(P<0.01).The total incidence of complications of observation group was lower than that of control group,and the total satisfaction rate was higher than that of control group,the differences were statistically significant(P<0.05).Conclusion The application of Cox-IMCHB combined with individualized intervention in patients with thyroid cancer undergoing surgery can improve psychological status,relieve postoperative pain,reduce complications,and enhance satisfaction.

关 键 词：甲状腺癌 手术 Cox健康行为互动模式 个性化干预 

分 类 号：R736.1[医药卫生—肿瘤]