心理干预在甲状腺分泌疾病治疗中的临床效果

Clinical efficacy of psychological intervention in patients with thyroid endocrinological disease

目的探讨心理干预对甲状腺分泌疾病手术患者应激反应的影响。方法选取64例行甲状腺分泌疾病手术患者,将其分成心理干预组(A组)和常规护理组(B组)各32例,比较护理后抑郁自评量表(SDS)和焦虑自评量表(SAS)评分,记录护理前后血压、心率、皮质醇及血管紧张素Ⅱ变化情况。结果护理后A组抑郁、焦虑护理效果明显优于B组(P<0.05);护理后A组血压、心率、皮质醇及血管紧张素Ⅱ等指标均明显低于B组,比较差异有意义(P<0.05)。结论对甲状腺分泌疾病手术患者行心理干预方案,可有效改善其应激反应,值得临床推广。

Objective To explore the effect of psychological intervention on stress reaction of patients with thyroid endocrinological disease operation. Methods A total of 64 thyroid endocrinological disease operation patients were randomly divided into psychological intervention group （A group） and routine nursing group （group B）, with 32 cases in each group. Self - rating Depression Scale （SDS） and Selfrating Anxiety Scale （SAS） scores were compared and the changes of blood pressure, heart rate, cortisol and angiotensin Ⅱ were recorded after nursing. Resuits After nursing, nursing effect of the depression and anxiety of A group was better than that in B group（P〈0.05）. Blood pressure, heart rate, cortisol and angiotensin Ⅱ in group A were significantly lower than those in B group （P 〈 0.05）. Conclusion Psychological intervention for patients with thyroid endocrinological disease operation can effectively alleviate the stress response, so it is worthy of clinical promotion.