摘要
目的:了解甲状腺癌患者的焦虑、抑郁现况,探讨手术室个性化舒适护理在甲状腺癌手术患者中的应用效果。方法:选择接受甲状腺癌手术的患者326例,将其随机分为干预组和对照组,对照组采用常规护理,干预组患者实施手术室个性化舒适护理。在入院时、术前一天、术后一天对患者的焦虑、抑郁情况进行调查,同时监测患者的血压、心率、睡眠情况。结果:甲状腺癌患者入院时存在明显的焦虑抑郁情况,81.9%的甲状腺癌患者存在焦虑情绪,71.8%的患者存在抑郁情绪,以轻度焦虑抑郁为主。与入院时相比,术前一天患者的焦虑抑郁得分明显升高(P<0.001),但干预组焦虑得分低于对照组(t=-4.643,P<0.001),术后一天患者的焦虑得分较术前一天明显下降(P<0.001)。干预组患者术前、术后血压、心率均低于对照组(P<0.001)。手术当日干预组和对照组均出现不同程度的血压升高、心率加快,干预组变化比例明显低于对照组(血压升高:47.9%vs.76.7%;心率加快:22.1%vs.33.7%)。干预组和对照组在术前一天、术后当晚均存在不同程度的睡眠障碍,其中对照组失眠比例大于干预组(P<0.05)。结论:手术室个性化舒适护理可明显改善患者的焦虑、抑郁情绪,提高治疗效果。
Objective： To evaluate levels and prevalence of anxiety and depression in patients with thyroid cancer, and to explore the effectiveness of personalization comfort care in operating room on patients undergoing thyroid surgery. Methods： Three hundred and twenty-six patients awaiting thyroid surgery were recruited, and they were randomly divided into two groups. The control group was given the routine care, while the intervention group was given the personalization comfort care in operating room. Anxiety levels and depression levels were assessed by questionnaires on admission, pre-operation, post-operation. The blood pressure, heart rate and sleep status were closely monitored. Results： On admission, patients with thyroid cancer had some level of anxiety and depression, the anxiety prevalence was 81.9%, mainly mild anxiety, and the depression prevalence was 71.8%, mainly mild depression. Compared with the status on admission, the levels of anxiety and depression pre-operation was significantly increased, and the control group had higher anxiety level than that of the intervention group （t =-4.643, P〈0.001）. The blood pressure and heart rate of the intervention group of pre-operation and post-operation were significant lower than those of the control group. Both groups had changes in blood pressure and heart rate before the surgery, and the percentage of elevated blood pressure and increased heart rate of the intervention group were lower than those of the control group （elevated blood pressure： 47.9% vs. 76.7%; increased heart rate： 22.1% vs. 33.7%）. The percentage of insomnia of the control group was significantly higher than that of the intervention group. Conclusion： Patients with thyroid cancer have a high level of anxiety and depression. The application of personalization comfort care in operating room is helpful to reduce the anxiety level of patients and to improve the treatment effect.
出处
《肿瘤预防与治疗》
2017年第3期191-197,共7页
Journal of Cancer Control And Treatment
关键词
甲状腺癌
手术室
舒适护理
焦虑
抑郁
Thyroid cancer
Operating room
Comfort care
Anxiety
Depression
