针对性护理干预改善甲状腺手术患者焦虑抑郁心理的实效性研究

目的 探究针对性护理干预对甲状腺手术患者焦虑抑郁心理的改善作用。 方法 杭州市第一人民医院在2015年4月—2016年3月期间对54例接受甲状腺手术治疗的患者围手术期实施针对性护理干预，作为干预组；选取此前1年在围手术期仅接受常规护理干预的54例患者作为对照组。护理前后利用抑郁自评量表(self-rating depression scale,SDS)、焦虑自评量表(self-rating anxiety scale,SAS)和匹兹堡睡眠质量指数量表(pittsburgh sleep quality index scale,PSQI)对2组患者的抑郁、焦虑和睡眠质量进行评估，并利用日常生活能力评分(BI评分)和生活质量量表(SQLS)评分对患者的生活质量进行评价，利用SPSS 19.0统计软件对结果进行分析。 结果 2组护理前SDS、SAS、PSQI、BI评分和SQLS评分相比，差异不具有统计学意义(P＞0.05)；护理后，干预组SDS、SAS和PSQI分别为(31.2±9.5)分、(33.5±10.8)分和(37.9±6.2)分，对照组为(47.9±11.6)分、(53.1±5.8)分和(48.3±9.4)分，干预组SDS、SAS和PSQI明显低于对照组(P＜0.05)；护理后，干预组BI评分和SQLS评分均明显高于对照组(P＜0.05)。 结论 针对性护理干预模式的实施对于改善甲状腺手术患者的精神状况及睡眠质量具有显著效果，有助于生存质量的改善。 

Improvement on anxiety and depression of targeted nursing intervention in patients with thyroid surgery

Objective To observe and explore the improvement on anxiety and depression of targeted nursing intervention in patients with thyroid surgery. Methods Targeted nursing intervention model were carried out on 54 patients with thyroid surgery from April,2015 to March,2016,as the intervention group;54 cases accepted only normal nursing were selected as the control group.Self-rating depression scale(SDS),self-rating anxiety scale(SAS) and pittsburgh sleep quality index scale(PSQI) were used for assessment of depression,anxiety and sleep quality in both groups,and activities of daily living scores (BI rate) and the quality of life scale(SQLS) score were evaluated in both groups,SPSS software were used to analyze the results. Results The difference of SDS score,SAS score,PSQI score,BI rate and SQLS score before nursing between the two groups was not statistically significant(P>0.05);after nursing,SDS,SAS and PSQI in the intervention group were (31.2±9.5) points,(33.5±10.8) points and (37.9±6.2) points,and was (47.9±11.6) points,(53.1±5.8) points and (48.3±9.4) points in the control group,the difference was statistically significant(P<0.05);after the nursing,BI score and SQLS score in intervention group was significantly higher,the difference was statistically significant(P<0.05). Conclusion The implementation of targeted nursing intervention model has a significant effect on improving the mental status and sleep quality of patients with thyroid surgery,and it is helpful to improve the quality of life.