渐进性肌肉放松训练对甲状腺癌手术患者心理状态及生活质量的影响

Effects of progressive muscle relaxation training on mental state and quality of life in patients undergoing surgery for thyroid cancer

目的探讨渐进性肌肉放松训练对甲状腺癌手术患者心理状态、睡眠及生活质量的影响。方法选取2019年11月至2020年12月间西安大兴医院收治的77例甲状腺癌手术患者作为研究对象,按照随机数表法进行分组。对照组38例接受常规护理干预,观察组39例接受渐进性肌肉放松训练,对比两组患者心理状态、睡眠质量和生活质量情况。结果干预前,两组患者睡眠情况、心理状态、生活质量比较,差异无统计学意义(P>0.05)。干预后,观察组睡眠各维度评分和总分均优于对照组,差异均有统计学意义(均P<0.05)。观察组抑郁自评量表(SDS)和焦虑自评量表(SAS)评分均优于对照组,差异均有统计学意义(均P<0.05)。观察组生活质量各维度评分和总分均优于对照组,差异均有统计学意义(均P<0.05)。结论渐进性肌肉放松训练能够在一定程度上缓解甲状腺癌手术患者焦虑、抑郁等不良心理问题,改善患者的睡眠质量和生活质量。

Objective To explore the effects of progressive muscle relaxation training on mental state,sleep and quality of life in patients undergoing surgery for thyroid cancer.MethodsSeventy-seven patients undergoing surgery for thyroid cancer at Xi'an Daxing Hospital were selected from November 2019 to December 2020.They were categorized into an observation group which was given progressive muscle relaxation training(39 patients)and a control group which was given conventional nursing(38 patients)using random table method.Mental state,sleep quality and quality of life were compared between the two groups.Results Before the intervention,there was no significant difference in sleep,mental state,and quality of life between the two groups(P>0.05).After the intervention,the scores in terms of sleep and the overall scores of all dimensions were significantly better in the observation group than in the control group(all P<0.05).The self-rating anxiety scale(SAS)and self-rating depression scale(SDS)scores were significantly better in the observation group than in the control group(all P<0.05).In terms of quality of life,the scores and overall scores of all dimensions were significantly better in the observation group than in the control group(all P<0.05).Conclusion Progressive muscle relaxation training can relieve anxiety,depression and other adverse psychological problems and improve quality of sleep and quality of life in patients undergoing surgery for thyroid cancer to a certain extent.