综合干预联合认知行为疗法对甲状腺癌患者术后治疗期间依从性的影响

目的 手术是治疗甲状腺癌的主要方法之一,能有效改善预后,但是也会给患者带来极大的负面影响,为此需要加强术后治疗与护理;认知行为疗法是符合现代理念的护理方法,可以通过改变患者的理念与行为而达到促进健康的目的。本研究探讨综合干预联合认知行为疗法对甲状腺癌患者术后治疗期间依从性的影响。 方法 选择2011年2月—2015年2月在哈尔滨医科大学附属第一医院诊治的甲状腺癌患者130例,根据随机数字表法分为治疗组与对照组各65例,所有患者都给予放射性核素131I口服治疗,对照组在治疗期间给予常规综合干预护理,在此基础上治疗组加用积极的认知行为疗法干预,护理观察周期为3个月。 结果 2组护理后的血清总三碘甲腺原氨酸(TT3)与总甲状腺素(TT4)值明显高于护理前(P<0.05),同时护理后治疗组的血清TT3与TT4值明显高于对照组(P<0.05)。治疗组护理期间的喉返神经损伤、低钙血症、甲状旁腺功能低下、切口感染等并发症发生情况明显少于对照组(P<0.05)。护理期间治疗组的依从性明显好于对照组(P<0.05)。护理后治疗组的躯体功能、生理职能、社会功能、情感职能、精神健康、躯体疼痛、总体健康、活力等评分明显高于对照组(P<0.05)。 结论 综合干预联合认知行为疗法在甲状腺癌患者术后的应用能有效提高依从性,促进机体甲状腺激素分泌的平衡,减少并发症的发生,从而提高患者的生活质量。 

The compliance effects of comprehensive intervention combined cognitive behavioral therapy for the treatment of thyroid cancer patients after surgery

Objective Surgery is the main methods in the treatment of thyroid cancer, which can effectively improve the prognosis, but will also bring great negative impact to the patients. Therefore, it is necessary to strengthen postoperative treatment and nursing. Cognitive behavioral therapy is in line with the modern concept of nursing method, which can change the concept and behavior of the patients and to promote health condition. This study is to investigate the compliance effects of comprehensive intervention combined cognitive behavioral therapy for the treatment of thyroid cancer patients after surgery. Methods We selected 130 patients with thyroid cancer after surgery treated in our hospital from February, 2011 to February, 2015, and randomly divided into the treatment group and the control group with 65 patients in each group. All patients were given oral radionuclides iodine-131 treatment, the control group received routine care during treatment, and the treatment group was given the positive cognitive behavioral therapy intervention. The nursing observation period was three months. Results The serum TT3 and TT4 values in the two group after care were significantly higher than those before treatment (P < 0. 05), while the serum TT3 and TT4 values in the treatment group after care were significantly higher (P < 0. 05). The recurrent laryngeal nerve injury, hypocalcemia, hypoparathyroidism, wound infection and other complications during care in the treatment group were significantly less than those in the control group (P < 0. 05).The compliance in the treatment group during care was significantly superior to the control group (P < 0. 05). The physical function, physiological function, social function, emotional function, mental health, bodily pain, general health, vitality and other scores after care in the treatment group were significantly higher than those in the control group (P < 0. 05). Conclusion Comprehensive intervention combined cognitive behavioral therapy for the treatment of thyroid cancer patients after surgery can improve compliance and the body's secretion balance of thyroid hormone, reduce the incidence of complications, thereby improve the quality of life of patients.