激励式护理模式对甲状腺癌手术患者的影响

Influence of incentive nursing mode on physical and mental stress coping style and life quality of patients underwent thyroid cancer surgery

目的探讨激励式护理模式对甲状腺癌手术患者身心应激、应对方式及生活质量的影响。方法选取2019年6月—2021年1月医院收治的甲状腺癌手术患者126例作为研究对象,按照两组基础资料具有匹配性原则将其分为观察组和对照组,每组63例。对照组接受常规护理,观察组在对照组基础上接受激励式护理模式干预。比较两组患者身心应激反应、应对方式及生活质量的变化。结果干预后两组在进入室前、麻醉时及术后2 h三个时点,三项指标均呈先增后降的趋势,时间之间差异有统计学意义(P_(时间)<0.05);各时点均以观察组低于对照组,差异有统计学意义(P_(组间)<0.05),并且随观察时间延长,组间差异逐渐增大,差异有统计学意义(P_(交互)<0.05)。观察组患者生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论激励式护理模式干预能有效降低甲状腺癌手术患者身心应激反应,改变患者消极应对方式,提升患者生活质量。

Objective To explore the influence of incentive nursing mode on physical and mental stress,coping style and quality of life of patients underwent the thyroid cancer surgery.Methods A total of 126 thyroid cancer patients admitted in the hospital from June 2019 to January 2021 were selected as the study subjects.According to the principle of matching the basic data between two groups,they were divided into an observation group and a control group,with 63 patients in each group.The control group received routine nursing,the observation group received incentive nursing intervention on the basis of the control group.The changes of physical and mental stress response,coping style and quality of life were compared between two groups.Results After intervention,the three indexes of the two groups showed a trend of increasing at the beginning and then decreasing at three time points before entering the room,during anesthesia and 2 h after surgery,the difference was statistically significant(P_(time)<0.05).At each time point,the observation group was lower than the control group,the difference was statistically significant(P_(between groups)<0.05),the difference increased gradually with the observation time,the difference was statistically significant(P_(interaction)<0.05).Life quality score of observation group was higher than the control group,the difference was statistically significant(P<0.05).Conclusion The intervention of incentive nursing mode could effectively reduce the physical and mental stress response of patients undergoing thyroid cancer surgery,change the negative coping style of patients'and improve their life quality.