分析协同护理结合正念减压干预对分化型甲状腺癌患者术后情绪、睡眠质量及生命质量的影响

To Analyze the Effects of Collaborative Nnursing Combined with Mindfulness-based Decompression Intervention on Mood,Sleep Quality and Quality of Life in Patients with Differentiated Thyroid Cancer after Surgery

目的:分析协同护理结合正念减压干预对分化型甲状腺癌患者术后情绪、睡眠质量及生命质量的影响。方法:选取2020年1月至2022年6月福建医科大学附属第一医院护理部收治的分化型甲状腺癌患者88例作为研究对象,按照随机数字表法分为观察组和对照组,其中对照组42例,观察组46例。对照组给予常规护理干预,观察组给予协同护理结合正念减压护理干预。采用抑郁自评量表(SDS)、焦虑自评量表(SAS)比较2组患者干预前后抑郁、焦虑的改善效果,采用癌症自我管理效能感量表(C-SUPPH)评估2组患者的自我效能,采用睡眠障碍量表(SDRS)对患者睡眠质量进行评估,采用癌症疲乏量表(CFS)评估患者疲乏状态,采用生命质量评估量表(SF-36)对2组患者的生命质量进行评估。结果:护理干预后,2组SDS、SAS、SDRS、CFS评分均得到有效降低,且观察组SDS、SAS、SDRS、CFS评分显著低于对照组,差异均有统计学意义(均P<0.05);护理干预后,观察组患者SF-36评分及C-SUPPH表格中正性态度、缓解压力、自我决策等方面评分均有提高,且观察组SF-36评分及C-SUPPH评分显著高于对照组,差异有统计学意义(P<0.05)。结论:协同护理结合正念减压干预能够有效改善分化型甲状腺癌患者术后不良情绪及睡眠质量,可提高患者的自我效能,降低疲劳感受,进而提升生命质量,值得临床推广使用。

Objective:To analyze the effects of collaborative nursing combined with mindfulness-based decompression intervention on mood,sleep quality and quality of life in patients with differentiated thyroid cancer after surgery.Methods:A total of 88 patients with differentiated thyroid cancer admitted to the Nursing Department of the First Affiliated Hospital of Fujian Medical University from January 2020 to June 2022 were selected as research objects and divided into observation group and control group according to the random number table method,including 42 patients in the control group and 46 patients in the observation group.The control group was given routine nursing intervention,and the observation group was given collaborative nursing combined with mindfulness-based decompression nursing intervention.Self-rating Depression Scale(SDS)and Self-Rating Anxiety Scale(SAS)were used to compare the improvement effects of depression and anxiety in the two groups before and after intervention.The Chinese Strategies Used Promote Health Scale(C-SUPPH)assessment self-efficacy between 2 groups,the Sleep dysfunction Rating Scale(SDRS)were used to assessed the Sleep quality,Fatigue status was assessed by Cancer Fatigue Scale(CFS),and Quality of Life assessment Questionnaire(Sshort form 36 Questionnaire,SF-36)were used to evaluated the quality of life between 2 groups.Results:After nursing intervention,the scores of SDS,SAS,SDRS and CFS in 2 groups were both reduced,and the scores of SDS,SAS,SDRS and CFS in the observation group were significantly lower than those of the control group,the difference between the 2 groups was statistically significant(P s<0.05).After nursing intervention,the SF-36 score and the scores of positive attitude,stress relief and self-decision-making in the C-SUPPH table of patients in the observation group were improved,and the SF-36 score and C-SUPPH score in the observation group were significantly higher than those of the control group,the difference between the 2 groups was statistically significant(P s<0.05).Conclusion:Collaborative nursing combined with mindfulness-based decompression intervention can effectively improve the adverse mood and sleep quality of patients with differentiated thyroid cancer after surgery,improve the self-efficacy of patients,reduce fatigue feelings,and then improve the quality of life,which is worthy of clinical promotion and use.