基于自我调节理论的护理模式在甲状腺癌患者护理中的应用效果

Application Effect of Nursing Mode Based on Self-regulation Theory in Nursing of Patients with Thyroid Cancer

目的:探讨基于自我调节理论的护理模式在甲状腺癌患者护理中的应用效果。方法:选取2019年9月—2022年9月湖北省荆门市中心医院收治的甲状腺癌患者64例作为研究对象,按照随机数字表法分为观察组和对照组,各32例。对照组给予常规护理,观察组给予基于自我调节理论的护理模式,比较两组疾病感知水平、生活质量、睡眠质量、心理状态。结果:护理前,两组简易疾病感知问卷(BIPQ)、甲状腺癌特异性生活质量问卷(THYCA-QOL)评分比较,差异无统计学意义(P>0.05);护理后,两组BIPQ、THYCA-QOL评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。护理前,两组匹兹堡睡眠质量指数(PSQI)、汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分比较,差异无统计学意义(P>0.05);护理后,两组PSQI、HAMA、HAMD评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:基于自我调节理论的护理模式在甲状腺癌患者护理中的应用效果良好,能够改善患者疾病感知水平、负性情绪,提高生活质量、睡眠质量。

Objective:To explore the application effect of the nursing mode based on self-regulation theory in the nursing of thyroid cancer patients.Methods:A total of 64 thyroid cancer patients admitted to Jingmen Central Hospital of Hubei Province from September 2019 to September 2022 were selected as the study subjects.They were divided into observation group and control group according to random number table method,with 32 cases in each group.The control group was given routine nursing,and the observation group was given nursing mode based on self-regulation theory.The illness perception level,quality of life,sleep quality,and psychological state were compared between the two groups.Results:There was no significant difference in the scores of the Brief Illness Perception Questionnaire(BIPQ)and thyroid cancer-specific quality of life(THYCA-QOL)questionnaire between the two groups before nursing(P>0.05);After nursing,the scores of BIPQ and THYCA-QOL in the two groups were higher than those before nursing,and the scores in the observation group were higher than those in the control group,with a statistically significant difference(P<0.05).Before nursing,there was no significant difference in the scores of Pittsburgh Sleep Quality Index(PSQI),Hamilton Anxiety Rating Scale(HAMA)and Hamilton Depression Rating Scale(HAMD)between the two groups(P>0.05);After nursing,the scores of PSQI,HAMA and HAMD in the two groups were lower than those before nursing,and the scores in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).Conclusion:The nursing mode based on self-regulation theory has a good application effect in the nursing of thyroid cancer patients,and can improve the level of illness perception,negative emotion,quality of life and sleep quality of patients.