个性化护理干预对甲状腺微小乳头状癌患者的应用效果
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摘要
目的探究个性化护理干预对甲状腺微小乳头状癌患者的护理效果。方法选取2016年1月—2018年8月在长沙市第一医院接受治疗的甲状腺微小乳头状癌患者120例,采用随机数字表法将患者分为常规组和个性化组,各60例,常规组使用常规护理方法进行护理,个性化组给予个性化护理;统计2组患者焦虑自评量表(self rating anxiety scale,SAS)、抑郁自评量表(self rating depression scale,SDS)评分情况以及生活质量、护理质量评分,对2组患者住院时间以及护理满意度进行统计。结果 2组患者护理前的SDS量表、SAS量表评分对比,差异均无统计学意义(均P>0.05);护理干预后个性化组的SDS量表、SAS量表评分显著低于常规组的SDS量表、SAS量表评分,差异均具有统计学意义(均P<0.05)。2组患者护理前各生活质量评分对比,差异均无统计学意义(均P>0.05);护理干预后个性化组的各生活质量评分显著高于常规组的各生活质量评分,差异均具有统计学意义(均P<0.05)。个性化组患者的平均住院时间显著低于常规组,护理质量显著高于常规组,差异具有统计学意义(均P<0.05)。个性化组的总满意度为95.00%,显著高于常规组73.33%的总满意度,差异具有统计学意义(P<0.05)。结论使用个性化护理模式对甲状腺微小乳头状癌患者进行护理干预,可以明显改善患者的心理状态,促进患者身体恢复,提高患者的生活质量,使患者及家属更加满意。
Objective To explore the effect of individualized nursing intervention on patients with thyroid papillary microcarcinoma. Methods A total of 120 patients with thyroid papillary microcarcinoma treated in our hospital from January 2016 to August 2018 were selected. The patients were randomly divided into routine group and individualized group, with 60 cases in each group. The routine group received routine nursing care, while the individualized group received individualized nursing care. The self-rating anxiety scale(SAS) of the two groups was counted. Self-rating Depression Scale(SDS) score, quality of life, nursing quality score, hospitalization time and nursing satisfaction of the two groups were statistically analyzed. Results There was no significant difference in the scores of SDS and SAS before nursing between the two groups(all P>0.05). The scores of SDS and SAS in personalized group after nursing intervention were significantly lower than those in routine group(all P<0.05). There was no significant difference in the quality of life score between the two groups before nursing(all P>0.05); after nursing intervention, the quality of life score of the individualized group was significantly higher than that of the conventional group, and the difference was statistically significant(all P<0.05). The average hospitalization time of individualized group was significantly lower than that of routine group, and the quality of nursing was significantly higher than that of routine group. The difference was statistically significant(all P<0.05). The total satisfaction of individualized group was 95.00%, which was significantly higher than that of routine group(73.33%). The difference was statistically significant(P<0.05). Conclusion Individualized nursing mode for patients with thyroid papillary microcarcinoma nursing intervention can significantly improve the psychological status of patients, promote physical recovery of patients and improve the quality of life of patients, so patients and their families are more satisfied.
Objective To explore the effect of individualized nursing intervention on patients with thyroid papillary microcarcinoma. Methods A total of 120 patients with thyroid papillary microcarcinoma treated in our hospital from January 2016 to August 2018 were selected. The patients were randomly divided into routine group and individualized group, with 60 cases in each group. The routine group received routine nursing care, while the individualized group received individualized nursing care. The self-rating anxiety scale(SAS) of the two groups was counted. Self-rating Depression Scale(SDS) score, quality of life, nursing quality score, hospitalization time and nursing satisfaction of the two groups were statistically analyzed. Results There was no significant difference in the scores of SDS and SAS before nursing between the two groups(all P>0.05). The scores of SDS and SAS in personalized group after nursing intervention were significantly lower than those in routine group(all P<0.05). There was no significant difference in the quality of life score between the two groups before nursing(all P>0.05); after nursing intervention, the quality of life score of the individualized group was significantly higher than that of the conventional group, and the difference was statistically significant(all P<0.05). The average hospitalization time of individualized group was significantly lower than that of routine group, and the quality of nursing was significantly higher than that of routine group. The difference was statistically significant(all P<0.05). The total satisfaction of individualized group was 95.00%, which was significantly higher than that of routine group(73.33%). The difference was statistically significant(P<0.05). Conclusion Individualized nursing mode for patients with thyroid papillary microcarcinoma nursing intervention can significantly improve the psychological status of patients, promote physical recovery of patients and improve the quality of life of patients, so patients and their families are more satisfied.
引文
[1] 杨进宝,焦喜林,吴劲松,等.甲状腺微小乳头状癌危险因素研究进展[J].中国中西医结合外科杂志,2017,23(2):210-214.
[2] 傅晓丹,楼善贤,施红旗,等.甲状腺微小乳头状癌254例临床病理分析[J].中华病理学杂志,2015,44(4):258-261.
[3] 王碧霄,付利军,杜军威,等.甲状腺微小乳头状癌的治疗策略[J].国际外科学杂志,2015,42(5):344-347.
[4] 黄秀敏,齐璇.循证护理与个性化护理[J].中国护理管理,2016,16(9):1294-1296.
[5] 郭华雄.几种常见甲状腺肿瘤的病理诊断[C]//中国抗癌协会湖北省分会肿瘤病理学专业委员会.中国抗癌协会湖北省分会肿瘤病理学专业委员会2006年学术报告会论文资料汇编.2006.
[6] 郭庆玲,韩晓霞,张晓娜,等.甲状腺癌患者行131I治疗抑郁和焦虑分析和护理对策[J].标记免疫分析与临床,2018,25(11):1747-1749.
[7] 温淑君.甲状腺癌患者实施心理护理干预对其焦虑及抑郁程度的影响分析[J].中国实用医药,2018,13(28):137-138.
[8] 胡彩平,林毅,李秋萍.SF-36量表与QLQ-C30量表在老年癌症病人生活质量评估中的应用及其相关性研究[J].护理研究,2015,29(24):2968-2972.
[9] 魏宁,王斐.甲状腺微小乳头状癌的研究进展[J].中华实验外科杂志,2016,33(3):848-851.
[10] 雍慧娟,徐书杭,刘超,等.甲状腺微小乳头状癌的临床诊治[J].中华内分泌代谢杂志,2018,34(4):353-358.
[11] 于洋,高明.甲状腺微小乳头状癌外科治疗进展[J].中国肿瘤临床,2015,42(9):487-490.
[12] 张太平,肖剑春,赵玉沛.甲状腺微小乳头状癌的诊断和外科治疗策略[J].国际外科学杂志,2016,43(2):75-77.
[13] 李竹岩,李德伟.个体化护理干预在甲状腺癌患者术后护理中的应用[J].中国药物与临床,2018,18(8):1425-1426.
[14] 董坤.甲状腺癌的临床护理[J].中国卫生标准管理,2014,5(23):52-54.
[15] 孙丽娟.个性化心理护理对甲状腺癌围手术期患者治疗配合度及悲观情绪的影响价值研究[J].心理医生,2017,23(31):195-196.
[16] 梁英.个性化心理护理在甲状腺围手术期患者中的应用效果[J].中国医药指南,2018,16(26):249-250.
[17] WANG M,GUI C,QIU S,et al.Periostin silencing suppresses the aggressive phenotype of thyroid carcinoma cells by suppressing the Akt/thyroid stimulating hormone receptor axis[J].Cytotechnology,2018,70(1):275-284.
[18] 刘香花.整体护理在促进甲状腺癌患者术后恢复中的效果分析[J].基层医学论坛,2018,22(33):4774-4775.
[19] 赵桂萍.综合性护理干预在甲状腺癌根治术患者中的应用价值[J].现代中西医结合杂志,2018,27(21):2378-2381.
[20] 郭红霞.临床护理路径在分化型甲状腺癌病人围术期护理中的应用[J].护理研究,2018,32(6):979-980.
[2] 傅晓丹,楼善贤,施红旗,等.甲状腺微小乳头状癌254例临床病理分析[J].中华病理学杂志,2015,44(4):258-261.
[3] 王碧霄,付利军,杜军威,等.甲状腺微小乳头状癌的治疗策略[J].国际外科学杂志,2015,42(5):344-347.
[4] 黄秀敏,齐璇.循证护理与个性化护理[J].中国护理管理,2016,16(9):1294-1296.
[5] 郭华雄.几种常见甲状腺肿瘤的病理诊断[C]//中国抗癌协会湖北省分会肿瘤病理学专业委员会.中国抗癌协会湖北省分会肿瘤病理学专业委员会2006年学术报告会论文资料汇编.2006.
[6] 郭庆玲,韩晓霞,张晓娜,等.甲状腺癌患者行131I治疗抑郁和焦虑分析和护理对策[J].标记免疫分析与临床,2018,25(11):1747-1749.
[7] 温淑君.甲状腺癌患者实施心理护理干预对其焦虑及抑郁程度的影响分析[J].中国实用医药,2018,13(28):137-138.
[8] 胡彩平,林毅,李秋萍.SF-36量表与QLQ-C30量表在老年癌症病人生活质量评估中的应用及其相关性研究[J].护理研究,2015,29(24):2968-2972.
[9] 魏宁,王斐.甲状腺微小乳头状癌的研究进展[J].中华实验外科杂志,2016,33(3):848-851.
[10] 雍慧娟,徐书杭,刘超,等.甲状腺微小乳头状癌的临床诊治[J].中华内分泌代谢杂志,2018,34(4):353-358.
[11] 于洋,高明.甲状腺微小乳头状癌外科治疗进展[J].中国肿瘤临床,2015,42(9):487-490.
[12] 张太平,肖剑春,赵玉沛.甲状腺微小乳头状癌的诊断和外科治疗策略[J].国际外科学杂志,2016,43(2):75-77.
[13] 李竹岩,李德伟.个体化护理干预在甲状腺癌患者术后护理中的应用[J].中国药物与临床,2018,18(8):1425-1426.
[14] 董坤.甲状腺癌的临床护理[J].中国卫生标准管理,2014,5(23):52-54.
[15] 孙丽娟.个性化心理护理对甲状腺癌围手术期患者治疗配合度及悲观情绪的影响价值研究[J].心理医生,2017,23(31):195-196.
[16] 梁英.个性化心理护理在甲状腺围手术期患者中的应用效果[J].中国医药指南,2018,16(26):249-250.
[17] WANG M,GUI C,QIU S,et al.Periostin silencing suppresses the aggressive phenotype of thyroid carcinoma cells by suppressing the Akt/thyroid stimulating hormone receptor axis[J].Cytotechnology,2018,70(1):275-284.
[18] 刘香花.整体护理在促进甲状腺癌患者术后恢复中的效果分析[J].基层医学论坛,2018,22(33):4774-4775.
[19] 赵桂萍.综合性护理干预在甲状腺癌根治术患者中的应用价值[J].现代中西医结合杂志,2018,27(21):2378-2381.
[20] 郭红霞.临床护理路径在分化型甲状腺癌病人围术期护理中的应用[J].护理研究,2018,32(6):979-980.