赵一静 梁有琼 黄静 潘小瑜 黄艳娜

[摘要]目的探討综合循证干预对甲状腺癌患者心理状态及生活质量的影响。方法选取2018年9月至2019年9月广西壮族自治区人民医院收治的100例甲状腺癌患者作为研究对象，根据历史性前后对照方式分为对照组与干预组，每组各50例。对照组实施常规护理，干预组在常规护理基础上开展综合循证干预。比较两组焦虑、抑郁及生活质量评分。结果干预后，干预组焦虑水平为（37.13±9.94）分，明显低于对照组的（45.53±10.25）分，差异有统计学意义（ P <0.05）;干预组抑郁水平为（36.82±10.12）分，明显低于对照组的（45.32±10.83）分，差异有统计学意义（ P <0.05）;干预组患者生活质量中躯体功能、心理功能、社会功能、物质生活状态均明显高于对照组，差异有统计学意义（ P <0.05）。结论综合循证干预效果显著，能降低甲状腺癌患者焦虑、抑郁等不良情绪，提高患者生活质量，值得临床推广。

[关键词]甲状腺癌;心理;循证;躯体功能

[中图分类号] R473.73 [文献标识码] A  [文章编号]2095-0616（2021）22-0121-04

The effect of comprehensive evidence-based intervention on the psychological state of the patients with thyroid cancer

ZHAO  Yijing   LIANG  Youqiong   HUANG  Jing   PAN  Xiaoyu   HUANG  Yanna

Department of Otorhinolaryngology， Head and Neck Surgery， the People's Hospital of Guangxi Zhuang Autonomous Region， Guangxi， Nanning 530021， China

[Abstract] Objective To explore the effect of comprehensive evidence-based intervention on the psychological state and quality of life （QoL） of the patients with thyroid cancer. Methods A total of 100 patients with thyroid cancer admitted to and treated in the People's Hospital of Guangxi Zhuang Autonomous Region from September 2018 to September 2019 were taken as the research subjects. They were divided into the control group and the intervention group according to the historical before-after control method， with 50 patients in each group. The control group was given conventional nursing care. The intervention group received comprehensive evidence-based intervention on the basis of conventional nursing care. The scores of anxiety， depression and QoL were compared between the two groups. Results After the intervention， the anxiety level of the intervention group was （37.13±9.94） scores， significantly lower than the （45.53±10.25） scores of the control group， and the difference was statistically significant （P<0.05）. The depression level of the intervention group was （36.82±10.12） scores， significantly lower than the （45.32±10.83） scores of the control group， and the difference was statistically significant （P <0.05）. When the physical function， psychological function， social function and material life status， all of which belong to QoL， were compared between the two groups of patients， the scores of the intervention group were significantly higher than those of the control group， and the differences were statistically significant （P <0.05）. Conclusion Comprehensive evidence-based intervention produces significant effect. It can reduce anxiety， depression and other adverse emotions of the patients with thyroid cancer and improve their QoL. It is worthy of clinical promotion.

[Key words] Thyroid cancer; Psychological; Evidence-based; Physical function

甲状腺癌（thyroid carcinom， TC）是一种女性高发的常见恶性肿瘤，分为分化型 TC 和未分化型 TC，对患者生理、心理造成巨大危害[1]。调查显示，近年全球 TC 的发病率及病死率呈逐年上升趋势，对人类健康造成巨大威胁[2-3]。因此，针对 TC 治疗和护理越来越受到重视。TC 患者由于疾病的影响及对癌症的恐惧心理，致使患者产生很多负性情绪[4]。大量研究显示[4-8]，TC 患者存在严重的焦虑抑郁情绪，这使其原本就较差的生活质量进一步下降，不利于患者的康复。本研究采用综合循证干预方法，对 TC 患者进行心理干预，探讨该方法对患者焦虑、抑郁及生活质量的影响。现报道如下。

1资料与方法

1.1一般资料

选取2018年9月至2019年9月在广西壮族自治区人民医院耳鼻咽喉头颈科住院的TC 患者。采用历史性前后对照方式，以2018年9月至2019年2月的患者为对照组共50例，以2019年3月至2019年9月的患者为干预组共50例。……