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个性化护理干预对甲状腺微小乳头状癌患者的应用效果
引用本文:穰佳熙,陈煜,贺莉萍. 个性化护理干预对甲状腺微小乳头状癌患者的应用效果[J]. 中华全科医学, 2019, 17(5): 877-880. DOI: 10.16766/j.cnki.issn.1674-4152.000815
作者姓名:穰佳熙  陈煜  贺莉萍
作者单位:1. 长沙市第一医院呼吸内科, 湖南 长沙 410000;
基金项目:湖南省教育厅科学研究项目(16A200)
摘    要:目的 探究个性化护理干预对甲状腺微小乳头状癌患者的护理效果。 方法 选取2016年1月—2018年8月在长沙市第一医院接受治疗的甲状腺微小乳头状癌患者120例,采用随机数字表法将患者分为常规组和个性化组,各60例,常规组使用常规护理方法进行护理,个性化组给予个性化护理;统计2组患者焦虑自评量表(self rating anxiety scale,SAS)、抑郁自评量表(self rating depression scale,SDS)评分情况以及生活质量、护理质量评分,对2组患者住院时间以及护理满意度进行统计。 结果 2组患者护理前的SDS量表、SAS量表评分对比,差异均无统计学意义(均P>0.05);护理干预后个性化组的SDS量表、SAS量表评分显著低于常规组的SDS量表、SAS量表评分,差异均具有统计学意义(均P<0.05)。2组患者护理前各生活质量评分对比,差异均无统计学意义(均P>0.05);护理干预后个性化组的各生活质量评分显著高于常规组的各生活质量评分,差异均具有统计学意义(均P<0.05)。个性化组患者的平均住院时间显著低于常规组,护理质量显著高于常规组,差异具有统计学意义(均P<0.05)。个性化组的总满意度为95.00%,显著高于常规组73.33%的总满意度,差异具有统计学意义(P<0.05)。 结论 使用个性化护理模式对甲状腺微小乳头状癌患者进行护理干预,可以明显改善患者的心理状态,促进患者身体恢复,提高患者的生活质量,使患者及家属更加满意。 

关 键 词:个性化护理   甲状腺微小乳头状癌   心理状态   生活质量
收稿时间:2018-09-20

Study on the effect of individualized nursing intervention on patients with thyroid micro-papillary carcinoma
Affiliation:Department of Respiratory, Changsha First Hospital, Changsha, Hunan 410000, China
Abstract:Objective To explore the effect of individualized nursing intervention on patients with thyroid papillary microcarcinoma. Methods A total of 120 patients with thyroid papillary microcarcinoma treated in our hospital from January 2016 to August 2018 were selected. The patients were randomly divided into routine group and individualized group, with 60 cases in each group. The routine group received routine nursing care, while the individualized group received individualized nursing care. The self-rating anxiety scale (SAS) of the two groups was counted. Self-rating Depression Scale (SDS) score, quality of life, nursing quality score, hospitalization time and nursing satisfaction of the two groups were statistically analyzed. Results There was no significant difference in the scores of SDS and SAS before nursing between the two groups (all P>0.05). The scores of SDS and SAS in personalized group after nursing intervention were significantly lower than those in routine group (all P<0.05). There was no significant difference in the quality of life score between the two groups before nursing (all P>0.05); after nursing intervention, the quality of life score of the individualized group was significantly higher than that of the conventional group, and the difference was statistically significant (all P<0.05). The average hospitalization time of individualized group was significantly lower than that of routine group, and the quality of nursing was significantly higher than that of routine group. The difference was statistically significant (all P<0.05). The total satisfaction of individualized group was 95.00%, which was significantly higher than that of routine group (73.33%). The difference was statistically significant (P<0.05). Conclusion Individualized nursing mode for patients with thyroid papillary microcarcinoma nursing intervention can significantly improve the psychological status of patients, promote physical recovery of patients and improve the quality of life of patients, so patients and their families are more satisfied. 
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