Ye Tongmei, Zhao Yuelei
Department of Thyroid and Breast Surgery, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, Anhui, China.
Department of Interventional and Vascular, The Second Affiliated Hospital of Wannan Medical College, Wuhu, 241000, Anhui, China.
Sci Rep. 2025 Jul 1;15(1):21757. doi: 10.1038/s41598-025-07063-w.
This work aims to explore the effects of supportive psychological nursing in combination with continuous nursing on mental state as well as coping style of patients with thyroid malignancy undergoing surgery. Eighty-two patients with thyroid malignancy undergoing surgery admitted to our hospital from March 2023 to June 2024 were chosen to be the study objects, followed by dividing into control group and observation group. The control group adopted routine nursing intervention and routine discharge health education. Based on routine nursing intervention and routine discharge health education, the observation group adopted supportive psychological nursing combined with continuous nursing. The negative emotions, coping style, self-management ability, cancer-related fatigue, quality of life, sleep quality, medication compliance along with nursing satisfaction were compared in 2 groups. After nursing, in contrast to the control group, the anxiety and depression scores in the observation group were lower (p < 0.05), the improvements of yielding, avoiding and confronting scores in the observation group were more obvious (p < 0.05), the self-management ability scores in the observation group presented higher (p < 0.05), the cancer-related fatigue scores in the observation group were lower (p < 0.05), the quality of life scores in the observation group were higher (p < 0.05), the sleep quality score in the observation group was lower (p < 0.05), and the medication compliance along with nursing satisfaction of patients in the observation group was better (p < 0.05). Supportive psychological nursing in combination with continuous nursing can improve the mental state and coping style, promote the self-management ability, cancer-related fatigue, quality of life and sleep quality, as well as elevate the medication compliance and nursing satisfaction of patients with thyroid malignancy undergoing surgery.
本研究旨在探讨支持性心理护理联合延续性护理对甲状腺恶性肿瘤手术患者心理状态及应对方式的影响。选取2023年3月至2024年6月在我院接受手术的82例甲状腺恶性肿瘤患者作为研究对象，分为对照组和观察组。对照组采用常规护理干预及常规出院健康教育。观察组在常规护理干预及常规出院健康教育的基础上，采用支持性心理护理联合延续性护理。比较两组患者的负性情绪、应对方式、自我管理能力、癌因性疲乏、生活质量、睡眠质量、用药依从性及护理满意度。护理后，观察组焦虑、抑郁评分低于对照组（p＜0.05），观察组屈服、回避及面对评分改善更明显（p＜0.05），观察组自我管理能力评分更高（p＜0.05），观察组癌因性疲乏评分更低（p＜0.05），观察组生活质量评分更高（p＜0.05），观察组睡眠质量评分更低（p＜0.05），观察组患者用药依从性及护理满意度更好（p＜0.05）。支持性心理护理联合延续性护理可改善甲状腺恶性肿瘤手术患者的心理状态及应对方式，促进其自我管理能力、减轻癌因性疲乏、提高生活质量及睡眠质量，还可提高患者用药依从性及护理满意度。
