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目的探讨术前心理护理干预对甲状腺癌患者手术效果的影响。方法 29例甲状腺癌手术患者,随机分为观察组(15例)和对照组(14例)。对照组患者实施常规术前护理,观察组在常规术前护理基础上实施术前心理护理干预,比较两组患者血压、心率、焦虑评分、抑郁评分、护理满意度。结果与术前访视前比较,观察组手术前30 min的心率、血压均未出现明显增高,差异无统计学意义(P>0.05);而对照组手术前30 min的心率、血压均明显增高,差异具有统计学意义(P<0.05)。与术前访视前比较,两组患者手术前30 min的焦虑评分、抑郁评分均明显降低,且观察组明显低于对照组,差异均具有统计学意义(P<0.05)。观察组护理满意度为100.00%,明显高于对照组的71.43%,差异具有统计学意义(P<0.05)。结论在甲状腺癌患者手术前实施心理护理干预,可有效改善患者的心理状态,使患者的血压、心率维持稳定,有利于手术的成功实施。
Objective To investigate the effect of preoperative psychological nursing intervention on the surgical outcome of patients with thyroid cancer. Methods Twenty-nine patients with thyroid cancer were randomly divided into observation group (n = 15) and control group (n = 14). The patients in the control group underwent routine preoperative nursing. The observation group received preoperative psychological nursing intervention on the basis of routine preoperative nursing care. The blood pressure, heart rate, anxiety score, depression score and nursing satisfaction were compared between the two groups. Results Compared with those before operation, the heart rate and blood pressure of the observation group did not increase significantly 30 min before operation, the difference was not statistically significant (P> 0.05); while the control group 30 min before the operation, heart rate and blood pressure were significantly increased , The difference was statistically significant (P <0.05). The anxiety score and depression score of the two groups before operation were significantly lower than those before the operation, and the scores in the observation group were significantly lower than those in the control group (P <0.05). The satisfaction rate of nursing in the observation group was 100.00%, which was significantly higher than that of the control group (71.43%), the difference was statistically significant (P <0.05). Conclusions Psychological nursing intervention in patients with thyroid cancer before operation can effectively improve the psychological status of patients and keep the blood pressure and heart rate of patients stable. It is good for the successful implementation of surgery.