认知行为干预对气郁痰阻型结节性甲状腺患者的应对方式和情绪影响

Effect of Cognitive Behavioral Intervention on Coping Style and Mood of Thyroid Nodular Thyroid Sufferers

目的分析认知行为干预对气郁痰阻型结节性甲状腺患者的应对方式和情绪影响。方法随机选定青州市人民医院收治的气郁痰阻型结节性甲状腺患者118例,2016年2月—2018年2月为研究时段,遵循随机数字表法的分组原则,分试验组、对照组,每组样本容量59例。对照组采纳常规护理,试验组以对照组为基础,采纳认知行为干预。比较应对方式、心理情绪。结果试验组面对、回避、屈服评分分别是(6.98±1.36)分、(1.95±0.42)分、(1.92±0.25)分,对照组分别是(5.06±1.02)分、(2.19±0.47)分、(2.59±0.28)分,面对评分试验组的显著较对照组的高,回避、屈服评分试验组的显著较对照组的低,差异有统计学意义(t=8.675 1、2.924 7、13.710 2 P=0.000 0、0.0041、0.000 0);SAS、SDS评分试验组、对照组分别是(25.05±3.14)分、(31.08±4.52)分vs (30.69±4.05)分、(37.86±6.09)分,试验组的显著较对照组的低,差异有统计学意义(t=8.453 6、6.866 8 P<0.01)。结论认知行为干预可明显调节气郁痰阻型结节性甲状腺患者应对方式,减轻消极情绪,值得借鉴。

Objective] To analyze the coping styles and emotions of cognitive-behavioral interventions on patients with phlegm-type thyroid nodules. Methods 118 cases of phlegm-type thyroid nodules treated by Qingzhou People＇s Hospital were randomly selected. The period from February 2016 to February 2018 was the study period. The grouping principle was followed by the random number table method. In the control group, there were 59 samples in each group. The control group adopted routine care. The test group was based on the control group and adopted a cognitive behavioral intervention. Comparing coping styles and psychological emotions. Results The scores of facing, avoidance and yield of the test group were （6.98±1.36） points, （1.95±0.42） points, and （1.92±0.25） points respectively, and the control group were （5.06±1.02） points and （2.19±0.47） points, （2.59±0.28） points were significantly higher in the scoring test group than in the control group, and the avoidance and yield score test groups were significantly lower than the control group, with statistical differences（t= 8.675 1, 2.924 7,13.710 2, P=0.000 0, 0.004 1, 0.0000）; the SAS and SDS scores in the test group and control group were（25.05±3.14） points, （31.08±4.52） points vs （30.69±4.05） points, and （37.86±6.09） points, respectively. The test group was significantly lower than the control group, with a statistical difference（t= 8.453 6, 6.866 8; P〈0.01）. Conclusion Cognitive-behavioral intervention can significantly modulate qi and phlegm-type nodular thyroid patients＇ responding ways to ease negative emotions, which is worth learning from.