摘要
目的探讨综合干预联合认知行为疗法对甲状腺癌术后患者用药依从性及生活质量的影响。方法将106例甲状腺癌手术患者根据干预方式的不同分为对照组(n=53)和观察组(n=53)。两组患者均进行甲状腺切除术,对照组患者给予常规综合干预,观察组患者在对照组的基础上联合认知行为疗法。比较两组患者甲状腺激素水平、心理状态、生活质量、用药依从性、住院时间和并发症发生情况。结果干预后,两组患者甲状腺素(T4)、三碘甲腺原氨酸(T3)水平均较干预前升高,且观察组患者T4、T3水平均高于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分均较干预前降低,且观察组患者SDS、SAS评分均低于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者躯体功能、情绪功能、社会功能、认知功能、角色功能评分均较干预前升高,且观察组患者躯体功能、情绪功能、社会功能、认知功能、角色功能评分均高于对照组,差异均有统计学意义(P﹤0.05)。观察组患者用药总依从性高于对照组,住院时间短于对照组,术后并发症总发生率低于对照组,差异均有统计学意义(P﹤0.05)。结论综合干预联合认知行为疗法应用于甲状腺癌术后患者,可帮助患者调节机体甲状腺激素分泌,缓解患者焦虑、抑郁等不良情绪,有效提高用药依从性,降低并发症发生率,改善患者生活质量。
Objective To explore the effect of comprehensive intervention combined cognitive behavioral therapy on medication compliance and quality of life in patients with thyroid cancer after surgery.Method A total of 106 patients with thyroid cancer surgery were divided into control group(n=53,received routine comprehensive intervention)and observation group(n=53,received routine comprehensive intervention+cognitive behavioral therapy)according to different intervention methods.Thyroid hormone levels,psychological status,quality of life,medication compliance,length of hospital stay and complications were compared between the two groups.Result After intervention,the levels of thyroxine(T4)and triiodothyronine(T3)in the two groups were higher than those before intervention,with higher levels of T4 and T3 in the observation group than those in the control group(P<0.05);the scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)of the two groups were lower than those before intervention,with lower scores in the observation group than those in the control group(P<0.05).After intervention,the scores of physical function,emotional function,social function,cognitive function and role function of the two groups were increased,with higher scores in the observation group than those in the control group(P<0.05).The overall medication compliance in the observation group was higher than that in the control group,the length of hospital stay and incidence of postoperative complications in the observation group were lower than those in the control group(P<0.05).Conclusion Comprehensive intervention+cognitive behavioral therapy in patients with thyroid cancer after surgery can help patients regulate the secretion of thyroid hormone,relieve anxiety,depression and other negative emotions,effectively improve medication compliance,reduce the incidence of complications,and improve the quality of life of patients.
作者
张刘彦
刘华
夏莹娟
ZHANG Liuyan;LIU Hua;XIA Yingjuan(Department of General Surgery,General Hospital of Zhengzhou Coal Industry(Group)Co.,LTD.,Zhengzhou 452370,He’nan,China;Department of General Surgery,the Third People’s Hospital of He’nan Province,Zhengzhou 471000,He’nan,China)
出处
《癌症进展》
2023年第20期2308-2312,共5页
Oncology Progress
关键词
甲状腺癌
综合干预
认知行为疗法
生活质量
用药依从性
thyroid cancer
comprehensive intervention
cognitive behavioral therapy
quality of life
medication compliance
