同伴支持联合正念减压疗法对甲状腺肿瘤患者术后情绪及生存质量的影响

Effect of peer support combined with mindfulness-based stress reduction on postoperative mood and quality of life in patients with thyroid tumor

目的探讨同伴支持联合正念减压疗法对甲状腺肿瘤患者术后情绪及生存质量的影响。方法将106例甲状腺肿瘤手术患者按入院时间分为两组,每组53例。对照组采取常规干预,研究组在此基础上采取同伴支持联合正念减压疗法,观察6周。比较两组干预前后社会支持评定量表、焦虑自评量表、抑郁自评量表、自我护理能力测定表、生活质量核心量表评分及满意度。结果(1)社会支持:干预后研究组社会支持评定量表的客观支持、社会支持利用度、主观支持维度分显著高于对照组(P<0.01)。(2)情绪:干预后研究组焦虑自评量表、抑郁自评量表评分显著低于对照组(P<0.01)。(3)自护能力:干预后研究组自我护理能力测定表的自我责任感、自我护理技能、健康知识水平维度分高于对照组(P<0.01)。(4)生存质量:干预后研究组生活质量核心量表的躯体功能、社会功能、情感功能维度分显著高于对照组(P<0.01)。(5)满意度:研究组总满意率为94.3%,对照组为73.6%,研究组显著高于对照组(P<0.01)。结论同伴支持联合正念减压疗法能有效提高甲状腺肿瘤手术患者的社会支持度,缓解负性情绪,增强自护能力,改善生存质量,提高患者满意度。

Objective To explore the effect of peer support combined with mindfulness-based stress reduction on postoperative mood and quality of life in patients with thyroid tumor.Methods A total of 106 patients undergoing thyroid tumor surgery were divided into study group and control group according to the order of admission time,with 53 cases in each group.The control group was given routine intervention,and the study group was given peer support combined with mindfulness-based stress reduction for 6 weeks.The scores and satisfaction of social support rating sheet(SSRS),self-rating anxiety scale(SAS),self-rating depression scale(SDS),exercise of self-care agency scale(ESCA)and quality of life core questionnaire(QLQ-C30)were compared between the two groups before and after intervention.Results(1)Social support:after the intervention,the objective support,social support utilization,and subjective support dimension scores of the study group were significantly higher than those of the control group(P<0.01).(2)Mood:after the intervention,the scores of SAS and SDS of the study group were significantly lower than those of the control group(P<0.01).(3)Self-care ability:after the intervention,the self-responsibility,self-care skill,and health knowledge dimension scores in ESCA of the study group were higher than those of the control group(P<0.01).(4)Quality of life:after the intervention,the body function,social function and emotional function dimension scores in QLQ-C30 of the study group were significantly higher than those of the control group(P<0.01).(5)Satisfaction:the total satisfaction of the study group was 94.3%,and that of the control group was 73.6%,The study group was significantly higher than the control group(P<0.01).Conclusions Peer support combined with mindfulness-based stress reduction can effectively improve the social support of patients undergoing thyroid tumor surgery,relieve negative emotions,enhance self-care ability,improve quality of life,and improve patient satisfaction.