细节干预对接受碘131治疗甲状腺癌手术患者不良情绪及生活质量的影响

Effect of detailed intervention on adverse emotions and quality of life in patients with iodine-131 treatment after thyroid cancer surgery

目的探讨细节干预对接受碘131(^(131)I)治疗甲状腺癌手术患者不良情绪及生活质量的影响。方法选取2022年收治的接受^(131)I治疗的甲状腺癌手术患者150例,按照随机数字表法分为观察组和对照组,每组75例。对照组采用常规干预,观察组在对照组基础上采用细节干预。比较2组患者对^(131)I治疗认知程度、不良反应发生情况、放射性药物意外污染发生情况、不良情绪及生活质量。结果观察组患者对^(131)I治疗认知评分高于对照组(P<0.05)。观察组恶心、呕吐、唾液腺肿痛、颈部肿胀、胃部不适发生率低于对照组(P<0.05)。观察组治疗期间服药意外洒漏污染、呕吐污染、被服污染、排泄污染发生率低于对照组(P<0.05)。观察组焦虑自评量表(SAS)与抑郁自评量表(SDS)评分低于对照组(P<0.05)。观察组健康调查简表(SF-36)评分高于对照组(P<0.05)。结论细节干预可改善接受^(131)I治疗的甲状腺癌手术患者对^(131)I治疗的认知水平,降低不良反应发生率,减少放射性药物意外污染,改善心理状况,提高生活质量。

Objective To explore the effect of detailed intervention on adverse emotions and quality of life in patients with iodine-131 treatment after thyroid cancer surgery.Methods A total of 150 patients with iodine-131 treatment after thyroid cancer surgery in the our hospital from January to December 2022 were enrolled.They were randomly assigned to receive either routine intervention(control group,n=75)or routine intervention+detailed intervention(observation group,n=75).The cognitive degree of iodine-131 treatment,the incidence of adverse reactions,the incidence of accidental contamination of radioactive drugs,the adverse emotions and the quality of life of the two groups were compared.Results After intervention,the cognitive score of iodine-131 treatment in the observation group was significantly higher than that in the control group(P<0.05).The incidence of adverse reactions(nausea,vomiting,swollen and pain of the salivary glands,neck swelling and stomach discomfort)in the observation group was significantly lower compared with the control group(P<0.05).The incidence of accidental spill contamination,vomiting contamination,bedding and clothing contamination and excretion contamination in the observation group was significantly lower than that in the control group(P<0.05).After intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the observation group were significantly lower relevant to the control group(P<0.05).After intervention,the 36-item Short Form Health Survey(SF-36)score of the observation group was significantly higher than that of the control group(P<0.05).Conclusion For patients with iodine-131 treatment after thyroid cancer surgery,detailed intervention can improve patients’cognitive level of iodine-131 treatment,reduce the incidence of adverse reactions,reduce accidental contamination of radioactive drugs,improve psychological status,and enhance the quality of life.