術前心理干預護理措施對甲狀腺癌手術效果的評價分析

[摘要] 目的 該研究就術前心理干預在甲狀腺癌手術患者護理中的應用效果及可行性進行了淺顯的分析。方法 按隨機數字表法將該院2014年1月—2016年1月期間收治的150例甲狀腺癌手術患者分為實施術前心理干預護理的觀察組（n=75）及實施術前常規護理干預的對照組（n=75），對兩組患者護理干預前后血壓、心率及心理狀況的變化情況，疾病知識掌握程度，依從性及護理滿意度，生活質量評分等指標進行觀察和統計。結果 觀察組患者護理干預后收縮壓（136.64±5.15）mmHg、舒張壓（83.64±5.13）mmHg及心率（86.22±4.52）次/min明顯低于對照組患者護理干預后收縮壓（149.64±5.06）mmHg、舒張壓（95.95±5.27）mmHg及心率（97.64±5.21）次/min（P<0.05）；觀察組患者疾病知識掌握程度96.00%，依從性94.67%，護理滿意度97.33%明顯高于對照組患者疾病知識掌握程度85.33%，依從性84.00%，護理滿意度88.00%（P<0.05）；觀察組患者各項生活質量評分明顯高于對照組患者（P<0.05）。結論 對甲狀腺癌手術患者實施術前心理干預護理的效果顯著，有效穩定了患者的消極情緒，穩定了患者的血壓和心率，提高了患者依從性，值得推廣。

[關鍵詞] 甲狀腺癌；術前護理；心理干預；生活質量

[中圖分類號] R473 [文獻標識碼] A [文章編號] 1674-0742（2016）12（c）-0154-03

[Abstract] Objective To analyze the application effect and feasibility of preoperative psychological intervention in the nursing of patients with thyroid cancer. Methods Randomly 150 cases of thyroid cancer patients admitted to our hospital from January 2014 to January 2016 were divided into preoperative psychological intervention nursing observation group （n=75） and the control group received preoperative routine nursing intervention （n=75）， the changes of two groups of patients with nursing intervention before and after the blood pressure， heart rate and psychology the degree of mastery of disease knowledge， compliance and nursing satisfaction， quality of life score were observed and statistics. Results The observation group nursing intervention in patients with systolic blood pressure （136.64 ± 5.15） mmHg， diastolic blood pressure （83.64 ± 5.13） mmHg and heart rate（86.22 ± 4.52）times/min was significantly lower than the control group after nursing intervention in patients with systolic blood pressure（149.64 ±5.06） mmHg， diastolic blood pressure （95.95 ± 5.27） mmHg and heart rate （97.64±5.21）times/min（P<0.05）； observation group of patients with the disease knowledge 96.00%， 94.67% compliance， nursing satisfaction was significantly higher than the control group 97.33% patients the disease knowledge 85.33%， 84.00% compliance， nursing satisfaction of 88.00% patients in the observation group（P<0.05）； the quality of life score was significantly higher than the control group（P<0.05）. Conclusion For patients with thyroid cancer surgery before the implementation of psychological intervention nursing effect， effective and stable patients with negative emotions， stabilize the blood pressure and heart rate， improve patient compliance， worthy of promotion.

[Key words] Thyroid cancer； Preoperative nursing； Psychological intervention； Quality of life

近年來，青年女性群體是甲狀腺癌的高發人群[1]，甲狀腺癌作為一種惡性腫瘤，對人類的身體健康構成了嚴重的威脅[2]。該研究就甲狀腺癌手術患者術前進行心理護理的臨床價值及可行性進行了淺顯的分析，現將詳情匯報如下。

1 資料與方法

1.1 一般資料

采用隨機數字表法[1-2]將該組的150例甲狀腺癌手術患者分為兩組。觀察組患者75例，其中男女患者比例為28∶47，觀察組中位年齡為（47.43±5.63）歲；……