摘要
目的:探究基于碘131治疗后的护理应用于甲癌患者对心理状态及焦虑抑郁的影响。方法:选取于医院接受治疗的70例甲癌患者,按治疗护理方案将其分为两组。采用常规治疗及护理的32例患者为对照组,采用基于碘131治疗后针对性护理的38例患者为观察组。以血清甲状腺球蛋白(Tg)水平及疗效、甲状腺功能相关指标、心理韧性、焦虑抑郁情况、复发率以及不良反应发生情况为观察指标,评估两种治疗护理方案。结果:在经过治疗后,观察组患者血清Tg、TSAb、TSBAb、TRAb水平、SAS、SDS评分、复发率以及不良反应发生率均明显低于对照组(P<0.05),总有效率、自强、乐观、坚韧得分均明显高于对照组(P<0.05)。结论:基于碘131治疗后的护理对甲癌患者疗效较好,能显著改善相关指标、心理韧性以及焦虑、抑郁症状,且复发率及不良反应发生率低,值得临床推广。
Objective:To explore the effects of iodine 131-based post-treatment care on psychological status and anxiety and depression in patients with thyroid cancer.Methods:Seventy cases of thyroid cancer patients who were treated in hospital were selected and divided into two groups according to the treatment and care plan.Among them,32 patients with conventional treatment and nursing care were placed in the control group,and 38 patients with iodine 131-based post-treatment nursing care were categorised into the observation group.Serum thyroglobulin(Tg)level and efficacy,thyroid function-related indexes,psychological resilience,anxiety and depression,recurrence rate,and the occurrence of adverse reactions were used as observational indexes to evaluate the two treatment and care programmes.Results:After treatment,compared with the control group,the levels of serum Tg,TSAb,TSBAb,TRAb,SAS,SDS scores,recurrence rate and incidence of adverse reactions in the observation group decreased significantly(P<0.05).The scores of total effective rate,self-improvement,optimism and tenacity all increased significantly(P<0.05).Conclusion:Nursing based on iodine-131 treatment can significantly improve the relevant indicators,mental toughness,as well as symptoms of anxiety and depression,and has a low incidence of recurrence rate and adverse reactions,which is worthy of clinical promotion.
作者
刘文芳
张慧
许欢
易玲
LIU Wen-fang;ZHANG Hui;XU Huan(Jiangxi Cancer Hospital,Nanchang 330029,Jiangxi)
出处
《安徽医专学报》
2024年第3期60-62,共3页
Journal of Anhui Medical College
关键词
碘131治疗
甲癌
心理状态
焦虑
抑郁
iodine 131 therapy
a cancer
mental state
anxiety
depressed
