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目的探讨激励式护理干预对甲状腺手术患者焦虑、抑郁情绪及生活质量的影响。方法选择2014年5月—2016年5月在收的100例甲状腺手术患者作为研究对象。随机分为对照组和观察组各50例。对照组采用常规护理,观察组在此基础上施加激励式护理干预。观察记录两组患者的焦虑抑郁评分及生活质量评分。计量资料组间比较采用t检验,组内比较采用配对t检验,P<0.05为差异有统计学意义。结果护理后,观察组和对照组焦虑自评量表(selfrating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分分别为(48.9±6.3)、(47.8±6.1)、(55.4±7.2)、(52.5±5.7)分,均低于护理前的(65.3±3.9)、(57.8±6.5)、(65.0±4.3)、(57.5±6.3)分,差异均有统计学意义(均P<0.05)。护理后,观察组SAS和SDS评分均低于对照组,差异均有统计学意义(均P<0.05)。护理后,对照组总体健康、生理功能、生理职能、躯体疼痛、活力、社会功能、情感职能、精神健康评分分别为(73.95±4.12)、(75.45±4.01)、(74.02±4.33)、(73.34±3.35)、(73.78±4.32)、(72.05±4.04)、(74.56±4.63)、(73.34±4.04)分,均低于观察组的(78.34±3.57)、(79.49±3.92)、(78.45±3.61)、(76.78±3.74)、(77.45±4.34)、(75.49±4.03)、(79.34±4.87)、(78.54±4.12)分,差异均有统计学意义(均P<0.05)。结论激励式护理干预可以抑制甲状腺手术患者的焦虑、抑郁情绪,使其心理压力降低,以致于使其生活质量得到提高。
Objective To investigate the effects of incentive nursing intervention on anxiety, depression and quality of life in patients with thyroid surgery. Methods A total of 100 patients undergoing thyroidectomy between May 2014 and May 2016 were enrolled in this study. Randomly divided into control group and observation group of 50 cases. The control group received routine nursing, and the observation group applied the incentive nursing intervention. Anxiety and depression scores and quality of life scores were recorded and recorded in both groups. Measurement data were compared between groups using t test, the group was compared using paired t test, P <0.05 for the difference was statistically significant. Results After nursing, the scores of selfrating anxiety scale (SAS) and self-rating depression scale (SDS) in observation group and control group were (48.9 ± 6.3) and (47.8 ± 6.1) , (55.4 ± 7.2) and (52.5 ± 5.7) points, respectively, were lower than those before nursing (65.3 ± 3.9), (57.8 ± 6.5), (65.0 ± 4.3) and (57.5 ± 6.3) Significance (all P <0.05). After nursing, SAS and SDS scores in the observation group were lower than those in the control group, the differences were statistically significant (all P <0.05). After nursing, the scores of total health, physiological function, physical function, physical pain, vitality, social function, emotional function and mental health of the control group were 73.95 ± 4.12, 75.45 ± 4.01, 74.02 ± 4.33, 73.34 ± 3.35, 73.78 ± 4.32, 72.05 ± 4.04, 74.56 ± 4.63 and 73.34 ± 4.04, respectively, which were lower than those in the observation group (78.34 ± 3.57, 79.49 ± 3.92, 78.45 ± 3.61, 76.78 ± 3.74, 77.45 ± 4.34, 75.49 ± 4.03, 79.34 ± 4.87 and 78.54 ± 4.12, respectively (all P <0.05). Conclusion Incentive nursing intervention can restrain anxiety and depression in patients with thyroid surgery and reduce their psychological pressure so that their quality of life can be improved.