谢艺玲

[摘要] 目的 淺析激励式护理对甲状腺癌手术患者负性情绪及生存质量的影响。 方法 随机将方便选取的2015年5月—2017年6月期间在该院接受治疗的60例甲状腺癌手术患者分为两组，每组患者30例，一组为观察组患者给予激励式护理，另一组对照组患者给予常规护理，观察两组患者负性情绪以及生活质量。 结果 治疗后，观察组患者焦虑评分为（40.60±6.81）分；对照组焦虑评分（49.66±7.34）分，观察组优于对照组（t=2.05，P<0.05）；观察组抑郁评分为（50.26±6.41）分，对照组抑郁评分（40.32±6.01）分，观察组优于对照组（t=2.57，P<0.05）；观察组总质量评分为（83.64±5.62）分均明显优于对照组总质量评分为（60.32±5.24）分，组间差异有统计学意义（t=6.88，P<0.05）；观察组患者对服务与技术、关心与爱护以及环境与指导满意度均显著高于对照组，组间差异有统计学意义（P<0.05）。 结论 为甲状腺癌手术患者使用激励式护理可以有效改善其不良情绪以及生活质量，提高患者护理满意度，值得临床大力推广。

[关键词] 激励式护理；甲状腺癌；负性情绪

[中图分类号] R473.73 [文献标识码] A [文章编号] 1674-0742（2018）08（a）-0165-03

Analysis of the Influence of Incentive Nursing on Negative Emotion and Quality of Life of Thyroid Cancer Patients

XIE Yi-ling

General surgery，The First Affiliated Hospital of Xiamen University， Xiamen， Fujian Province， 361009 China

[Abstract] Objective To analyze the effect of incentive nursing on negative emotions and quality of life of thyroid cancer patients. Methods 60 patients undergoing thyroid cancer surgery in the hospital from May 2015 to June 2017 were convenient selection and randomly divided into two groups， 30 patients in each group. One group received incentive nursing care for the observation group， and patients in the control group were given routine care to observe negative emotions and quality of life in both groups were compared. Results After treatment， the anxiety score in the observation group was（40.60±6.81）points； the anxiety score in the control group （49.66±7.34）points was better in the observation group than in the control group（t=2.05，P<0.05）； the depression score in the observation group was （50.26±6.41）points， control group depression score （40.32±6.01）points， observation group was better than control group（t=2.57，P<0.05）； observation group total quality score was（83.64±5.62）points were significantly better than the control group total quality score（60.32±5.24）points， there was a significant difference between groups（t=6.88，P<0.05）； Patients in the observation group were significantly more satisfied with service and technology， care and love， and environment and guidance than the control group， with significant differences between groups （P<0.05）. Conclusion The use of incentive nursing for patients with thyroid cancer surgery can effectively improve their bad mood and quality of life， improve patient's care satisfaction， and is worthy of clinical promotion.

[Key words] Incentive care； Thyroid cancer； Negative emotions

甲状腺癌是临床常见疾病之一，具有病情重、发病缓慢等特点，患病初期患者并不会有明显的感受，待到发现时已经是中晚期[1]。临床主要的治疗方式就是外科手术，将原病灶以及转移病灶切除，同时给予术后治疗，临床效果较好[2-3]。但治疗过程中，患者常常因对治疗不了解，以及对自身疾病认识不足，导致产生恐惧、焦虑、紧张等不良情绪[4-5]。临床研究发现若能为患者进行有效的护理干预，可改善患者心理状态，患者治疗效果更为理想。人类是情感较为丰富的动物，因此在治疗疾病的过程中感情因素也会对人类生活以及工作造成较大影响。激励是一种对被管理者进行管理的手段，可以对其进行鼓励，并且激发其内在潜力。然可朝着目标更加努力。临床为患者进行激励护理干预主要就是为了对患者的生理以及心理进行针对性干预，给予患者情感支持以及指导，提高患者对于疾病的认识，加快患者的康复速度。……