认知行为护理模式对甲状腺结节患者术后心理状态的影响分析.doc

认知行为护理模式对甲状腺结节患者术后心理状态的影响分析

【摘要】目的：研究认知行为护理模式对甲状腺结节患者术后心理状态等的影响。方法：选取本院肝胆甲状腺外科于2022年1月—2023年1月收治的甲状腺结节患者60例，按照随机数表法分为对照组（30例）和观察组（30例）。对照组采用常规护理模式，观察组采用认知行为护理模式。结果：观察组甲状腺结节患者心率、呼吸频率、舒张压、收缩压低于对照组，超敏C反应蛋白、白细胞计数、白细胞介素6低于对照组，HAMA量表、HAMAD量表评分低于对照组，疾病认知、护理认知评分高于对照组，恶心呕吐、头晕乏力、发热总发生率低于对照组，对比结果差异显著（P0.05）。结论：认知行为护理模式对甲状腺结节患者术后心理状态等指标具有积极影响，因此认知行为护理模式更具推广价值。

【关键词】甲状腺结节；认知行为护理模式；心理状态评分；认知功能评分

【Abstract】Objective：Tostudytheeffectofcognitivebehavioralnursingmodeonpostoperativepsychologicalstateofpatientswiththyroidnodules.Methods：Atotalof60patientswiththyroidnodulesadmittedtotheDepartmentofHepatobiliaryandThyroidSurgeryofourhospitalfromJanuary2022toJanuary2023wereselectedanddividedintocontrolgroup（30cases）andobservationgroup（30cases）accordingtorandomnumbertablemethod.Thecontrolgroupadoptedconventionalnursingmode，andtheobservationgroupadoptedcognitivebehavioralnursingmode.Results：Theheartrate，respiratoryrate，diastolicbloodpressureandsystolicbloodpressureofthyroidnodulepatientsintheobservationgroupwerelowerthanthoseinthecontrolgroup，thescoresofhypersensitiveC-reactiveprotein，whitebloodcellcountandinterleukin-6werelowerthanthoseinthecontrolgroup，thescoresofHAMAscaleandHAMADscalewerelowerthanthoseinthecontrolgroup，thescoresofdiseasecognitionandnursingcognitionwerehigherthanthoseinthecontrolgroup，andthetotalincidenceofnausea，vomiting，dizziness，fatigueandfeverwerelowerthanthoseinthecontrolgroup.Thedifferencewassignificant（P0.05）.Conclusion：Thecognitivebehavioralnursingmodelhasapositiveeffectonthepsychologicalstateandotherindicatorsofpatientswiththyroidnoduleaftersurgery，sothecognitivebehavioralnursingmodelismorevaluabletopromote.

【KeyWords】Thyroidnodules；Cognitivebehavioralnursingmodel；Mentalstatescore；Cognitivefunctionscore

甲状腺结节是甲状腺内的肿块，可随吞咽动作移动，在甲状腺疾病中比