心理护理程序对甲状腺乳头状癌颈淋巴结清扫患者围术期生活质量的影响

Effects of psychological interventions on perioperative quality of life in patients with cervical lymph node dissection of papillary thyroid carcinoma

目的探讨临床心理护理程序对甲状腺乳头状癌颈淋巴结清扫患者生活质量的影响。方法筛选我院肿瘤外科甲状腺乳头状癌颈淋巴结转移患者100例，随机分为观察组和对照组，每组50例。观察组采用临床心理护理程序给予心理护理，对照组提供常规心理护理。两组患者在术前1周、术后1周、术后2月采用生活质量核心量表（QLQ-C30）、焦虑自量表（SAS）评估生活质量和心理压力变化，比较干预效果。结果临床心理护理2个月后，观察组生活质量核心量表整体健康状况（68．73±4．21）分，对照组（57．31±4．56）分，两组比较差异有统计学意义（t=10．23，P〈0．01）；心理压力方面也得到有效改善，观察组SAS评分（54．31±2．13）分，对照组（61．24±3．82）分，两组比较差异有统计学意义（江12．02，P〈0．01）。结论临床心理护理程序可有效改善甲状腺乳头状癌患者的负性情绪，有助于提高患者生活质量。

Objective To evaluate the effects of psychological interventions on the perioperative quality of life to patients with cervical lymph node dissection of papillary thyroid carcinoma （PTC）. Methods Selected from Surgical Oncology in our hospital, 100 patients with cervical lymph node metastasis in PTC were averagely and randomly divided into observation group and control group. The patients in observation group received psychological interventions according to clinical psychological nursing procedure, while the patients of control group used routine psychological nursing. All patients received QLQ-C30 to assess the quality of life, self-rating anxiety scale （SAS） to assess the patient＇s psychological pressure changes in the preoperative 1 week, 1 week after operation, postope＇rative 2 months, and we compared the effects after interventions. Results 2 months after clinical psychological interventions in the observation group, the score of overall health status in QLQ-C30 was （68.73 ±4.21 ） while it was （57.31 ±4.56） in the control group （t = 10. 23 ,P 〈0. 01 ） ; the mental pressure improved that the scores of SAS were （54.31 ±2.13 ） in the observation group and （61.24 ± 3.82） in the control group （t = 12. 02, P 〈 0. 01 ）. Conclusions Clinical psychological nursing can effectively improve negative emotions in papillary thyroid carcinoma patients, and help to improve the patient＇s quality of life.