配偶支持联合正性暗示对甲状腺癌根治术联合淋巴结清扫患者心境状态的影响

Effect of spouse support combined with positive cue on mood state of patients undergoing radical thyroidectomy combined with lymph node dissection

目的:探讨配偶支持联合正性暗示对甲状腺癌根治术联合淋巴结清扫患者疾病认知情况及心境状态的影响。方法:选取2018年1月-2018年6月我院接受的甲状腺癌根治术联合淋巴结清扫患者260例,按入院时间顺序分为研究组(n=130)、对照组(n=130)。对照组实施常规干预,研究组于常规干预基础上采取配偶支持联合正性暗示,均干预2个月。对比两组干预2个月后疾病认知程度、干预满意度、社会支持评分(SSRS)、负性情绪[抑郁评分(SDS)、焦虑评分(SAS)]、应对方式评分(MCMQ)。结果:干预2个月后研究组疾病认知程度高于对照组(U=3.018,P<0.05);干预2个月后研究组SSRS量表客观支持、主观支持、对支持利用度各维度评分及总分高于对照组(t=6.935,5.607,6.924,11.081;P<0.001);干预2个月后研究组SDS、SAS评分低于对照组(t=16.445,18.393;P<0.001);干预2个月后研究组MCMQ量表中面对评分高于对照组,屈服、回避评分低于对照组(t=5.426,8.980,7.121;P<0.001);经干预,研究组干预满意度优于对照组(U=3.401,P<0.05)。结论:配偶支持联合正性暗示应用于甲状腺癌根治术联合淋巴结清扫患者可显著提升患者疾病认知及社会支持程度,改善心境状态及应对方式,提高干预满意度。

Objective:To investigate the effect of spouse support combined with positive suggestion on disease cognition and mood state in patients with thyroid cancer combined with lymph node dissection.Methods:A total of 260 patients with radical thyroidectomy and lymph node dissection were enrolled in our hospital from January 2018 to June 2018.The patients were divided into study group(n=130)and control group(n=130)according to the order of admission.The control group underwent routine intervention.The study group received spousal support and positive cues on the basis of routine intervention,and both interventions were for 2 months.The disease cognition,intervention satisfaction,social support score(SSRS),negative emotion[SDS,anxiety score(SAS)],and coping style score(MCMQ)were compared after 2 months of intervention.Results:After 2 months of intervention,the disease cognition of the study group was higher than that of the control group(u=3.018,P<0.05).After 2 months of intervention,the SSRS total score and three dimensions scores in the study group were higher than those of the control group(t=6.935,5.607,6.924,11.081;P<0.001).After 2 months of intervention,the SDS and SAS scores of the study group were lower than those of the control group(t=16.445,18.393;P<0.001);After 2 months of intervention,the MCMQ scale of the study group was higher than the control group,and the yield and avoidance scores were lower than the control group(t=5.426,-8.980,-7.121;P<0.001);after intervention,the intervention satisfaction of the study group was better than that of the control group(u=3.401,P<0.001).Conclusion:The combination of spouse support and positive suggestion for thyroid cancer combined with lymph node dissection can significantly improve patients’ disease cognition and social support,improve mood state and coping style,and improve intervention satisfaction.