饶晓英

【摘要】 目的 探讨术前心理护理干预对甲状腺癌患者手术效果的影响。方法 29例甲状腺癌手术患者， 随机分为观察组（15例）和对照组（14例）。对照组患者实施常规术前护理， 观察组在常规术前护理基础上实施术前心理护理干预， 比较两组患者血压、心率、焦虑评分、抑郁评分、护理满意度。结果 与术前访视前比较， 观察组手术前30 min的心率、血压均未出现明显增高， 差异无统计学意义（P>0.05）；而对照组手术前30 min的心率、血压均明显增高， 差异具有统计学意义（P<0.05）。与术前访视前比较， 两组患者手术前30 min的焦虑评分、抑郁评分均明显降低， 且观察组明显低于对照组， 差异均具有统计学意义（P<0.05）。观察组护理满意度为100.00%， 明显高于对照组的71.43%， 差异具有统计学意义（P<0.05）。结论 在甲状腺癌患者手术前实施心理护理干预， 可有效改善患者的心理状态， 使患者的血压、心率维持稳定， 有利于手术的成功实施。

【关键词】 甲状腺癌；手术；术前护理；心理护理干预

DOI：10.14163/j.cnki.11-5547/r.2016.34.067

Influence by preoperative psychological nursing intervention on operational effect for thyroid cancer RAO Xiao-ying. Dongguan City Houjie Hospital， Dongguan 523000， China

【Abstract】 Objective To investigate influence by preoperative psychological nursing intervention on operational effect for thyroid cancer patients. Methods A total of 29 patients in thyroid cancer operation were randomly divided into observation group （15 cases） and control group （14 cases）. The control group received conventional preoperative nursing， and the observation group also received additional preoperative psychological nursing intervention. Comparison was made on blood pressure， heart rate， anxiety score， depression score and nursing satisfaction degree between the two groups. Results Comparing with preoperative interview， there was no obviously increased heart rate and blood pressure in preoperative 30 min in the observation group， and the difference had no statistical significance （P>0.05）. The control group had obviously increased heart rate and blood pressure in preoperative 30 min， and the difference had statistical significance （P<0.05）. Comparing with preoperative interview， both groups had reduced anxiety scores and depression scores in preoperative 30 min， and the observation group had much lower scores than the control group. Their differences all had statistical significance （P<0.05）. The observation group had much higher nursing satisfaction degree as 100.00% than 71.43% in the control group， and the difference had statistical significance （P<0.05）. Conclusion Implement of preoperative psychological nursing intervention for thyroid cancer patients can effectively improve their psychological state and stabilize their blood pressure and heart rate. This method is helpful for successful operation.

【Key words】 Thyroid cancer； Operation； Preoperative nursing； Psychological nursing intervention

甲狀腺癌属于临床常见恶性肿瘤， 多发生于中年女性人群， 危及患者的生命安全， 临床上治疗甲状腺癌多采取手术治疗， 但在手术前患者往往存在负性情绪， 容易引起血压增高、心率加快， 不利于手术治疗， 因此， 手术前针对甲状腺癌患者实施合理的护理干预措施十分重要[1， 2]。本次研究为了探讨术前心理护理干预对甲状腺癌患者手术效果的影响， 对2013年8月～2016年6月29例甲状腺癌手术患者进行随机对照研究。现报告如下。

1 资料与方法

1. 1 一般资料 选取2013年8月～2016年6月本院收治的29例甲状腺癌手术患者作为研究对象， 所有患者均符合《分化型甲状腺癌诊治指南》[3]中的诊断标准， 证实为分化型甲状腺癌。此次研究征得患者或患者家属知情同意， 且通过本院伦理委员会审批许可。采取单盲随机分组法将患者分为观察组（15例）和对照组（14例）。对照组中男2例、女12例， 年龄31～52岁， 平均年龄（42.35±8.12）岁， 肿瘤TNM分期：Ⅰ期7例、Ⅱ期5例、Ⅲ期2例；观……