分化型甲状腺癌患者焦虑现状分析及护理干预研究

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• 论文作者：廖春艳 ; 乔莉娜 ; 贺莲英 ; 武婷
• 年：2016
• 作者机构：西安交通大学第一附属医院普通外科;
• 论文关键词：分化型甲状腺癌 ; 焦虑 ; 护理干预
• 英文论文关键词：Differentiated thyroid cancer ; anxiety ; nursing intervention
• 会议召开时间：2016-11-25
• 会议录名称：湖南中医药大学学报2016/专集：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会论文集
• 语种：中文
• 分类号：R473.73
• 学会代码：HNZY
• 会议名称：国际数字医学会数字中医药分会成立大会暨首届数字中医药学术交流会
• 会议地点：中国广东珠海
• 主办单位：国际数字医学会、Digital Chinese Medicine
• 学会名称：湖南中医药大学期刊杂志社
• 页数：2
• 文件大小：2103k
• 原文格式：D
• 会议级别：全国

摘要

目的研究分化型甲状腺癌患者焦虑现状及探讨有效的护理干预措施。方法选择2014年11月至2015年11月在我院住院并确诊为分化型甲状腺癌的患者120例进行焦虑现状调查,通过一般资料调查表、焦虑自变量表以及对护理人员的满意度调查,分析患者焦虑现状分析以及护理干预的效果。结果分化型甲状腺患者的年龄、性别、居住地、家庭月均收入情况、费用支付方式、疾病了解情况、术后照顾情况、对生活满意度方面对SAS有影响,且均有意义(P<0.05)。所有患者在经过护理干预后均有降低,无焦虑组患者干预前后数据差异无意义(P>0.05),但轻度焦虑、中度焦虑及重度焦虑干预前后差异均有意义(P<0.05)。全体患者的总满意率为85.8%,满意率较高。无焦虑组患者对护理干预工作总满意率为100.0%,显著高于其他三组的总满意率,且数据差异有意义(P<0.05)。结论分化型甲状腺癌患者由于年龄、性别、职业、文化程度、家庭状况、居住地、家庭月均收入情况、支付费用方式、疾病了解情况、术后照顾情况、对生活满意度等原因产生不同程度的焦虑,通过护理人员心理护理、赏识护理、行为支持护理、亲属支持以及帮助患者形成良好的生活规律等护理干预方法,可以减轻患者的焦虑程度,改善患者的生存质量。
Objective To study the status of anxiety in patients with differentiated thyroid cancer and to explore effective nursing intervention measures. Method 120 cases ofpatientswith differentiated thyroid cancer diagnosed in our hospital were selected from November 2014 to November 2015. Through the general information questionnaire, the questionnaire of anxiety variablesand the satisfaction survey of nursing staff, to analyze the status of anxiety of patients and the analysis of the effect of nursing intervention. Results The age, sex, place of residence, family income, the costof payment, the condition of the disease, the care after operation, and the influence on the life satisfaction of the differentiated thyroid patients were affected by the SAS, and were statistically significant(P<0.05). All patients were reduced after nursing intervention, and there was no significant difference between the data before and after the intervention of anxiety free group(P>0.05). But the differenceswere statistically significant(P<0.05) before and after the intervention of mild anxiety, moderate anxiety and severe anxiety. The total satisfaction rate was 85.8% and the satisfaction rate was higher. The total satisfaction rate of the patients without anxiety group was 100%, which was significantly higher than that of the other three groups, and the difference was statistically significant(P < 0.05). C onclusion Differentiated thyroid cancer patients due to the age, sex, occupation, educational level, family status, place of residence, family monthly were income, pay cost, understanding of disease, postoperative care, havingdifferent degrees of anxiety. The nurses' psychological nursing, the recognition of nursing, behavior support care and family support and help patients form good living law ofnursing intervention methods, can alleviate the degree of anxiety in patients, improve the quality of life of patients.

引文

[1]龚芸,张丽,冯泽会,等.同伴教育对131I治疗分化型甲状腺癌患者焦虑及抑郁症状的影响[J].湖北医药学院学报,2015,34(2):147-148.
    [2]李晓霞,江华,曾定芬,等.分化型甲状腺癌患者焦虑的现况调查及护理干预研究[J].成都医学院学报,2014,9(1):101-103.
    [3]易于颦,朱玉泉,闫亚云,等.大剂量131 I治疗致分化型甲状腺癌患者睡眠障碍的原因分析及护理体会[J].肿瘤药学,2014,4(1):71-75.
    [4]李秀芬,李硕.同伴教育在肿瘤化疗患者健康教育中的应用[J].中国医药指南,2013,11(36):296-297.