李冬华

目的：探讨综合干预联合认知行为疗法在甲状腺癌术后护理中的应用效果。方法：2022年11月-2023年10月，以甲状腺癌手术者60例为对象，经随机法分组，对照组30例、观察组30例分别实施常规干预、综合干预联合认知行为疗法。结果：对不良情绪评分、并发症率、满意度、功能锻炼依从性实施比较，观察组较对照组更好（P＜0.05）。结论：甲状腺癌手术患者实施综合干预联合认知行为疗法，可减轻不良情绪，减少术后并发症，提高护理满意度，值得临床推广。

甲状腺癌手术；常规干预；综合干预；认知行为疗法；不良情绪；并发症

[1] TINGTING,QIAO, DINGWEI,GAO, JUNYU,TONG, et al. Anxiety and depression status prior to radioactive iodine therapy among differentiated thyroid cancer patients during the COVID?19 pandemic[J]. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer,2022,30(12):10169-10177. [2] MULS, ANN, TAYLOR, ALEXANDRA, LALONDRELLE, SUSAN, et al. A proposed tailored investigational algorithm for women treated for gynaecological cancer with long-term gastrointestinal consequences[J]. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer,2020,28(10):4881-4889. [3] 韩莹,刘丽娜. 罗伊适应护理模式对甲状腺癌根治患者认知情绪调节及并发症的影响[J]. 北华大学学报（自然科学版）,2023,24(5):649-652. [4] KYUNG AH,PARK, SANGHEE,KIM, EUI GEUM,OH, et al. Factors affecting the health-promoting behavior of thyroid cancer survivors: comparison by stage of cancer survivorship[J]. Supportive care in cancer: official journal of the Multinational Association of Supportive Care in Cancer,2022,30(4):3429-3439. [5] CHEN, TANYA, GILFIX, BRIAN M., RIVERA, JUAN, et al. The Role of the ThyroSeq v3 Molecular Test in the Surgical Management of Thyroid Nodules in the Canadian Public Health Care Setting[J]. Thyroid: official journal of the American Thyroid Association,2020,30(9):1280-1287. [6] 李欢,马从忆,陈关凤,等. 基于时效性激励理论的快速康复外科护理对甲状腺癌手术患者疼痛和舒适度的影响[J]. 现代临床护理,2023,22(2):40-45. [7] 郭丽,张亚伟,叶红丽,等. 知信行健康教育模式对甲状腺癌患者知信行评分、服药依从性和生活质量的影响[J]. 癌症进展,2020,18(17):1817-1820. [8] 李小红,周霞. 基于赋能理论的认知行为路径化干预对甲状腺癌患者自我护理能力及生活质量的影响[J]. 护理实践与研究,2020,17(4):49-51. [9] 王甜甜,王轶,王晓静. 认知行为联合耳穴压豆护理干预在甲状腺癌术后患者中的应用[J]. 齐鲁护理杂志,2022,28(22):140-142. [10] 牛书润,门琤,张林娇. 多量表评估综合护理在甲状腺癌切除术患者中的应用[J]. 齐鲁护理杂志,2023,29(4):114-117.

点击下载PDF