首页|个性化心理干预对甲状腺癌手术患者心理状态与睡眠质量的影响

个性化心理干预对甲状腺癌手术患者心理状态与睡眠质量的影响

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目的 探讨个性化心理干预联合渐进性肌肉放松训练对甲状腺癌手术患者心理状态与睡眠质量的影响.方法 将 2023 年 2 月~11 月收治的 82 例甲状腺癌手术患者随机分为对照组和观察组,各41例.对照组患者给予渐进性肌肉放松训练,观察组患者在对照组基础上给予个性化心理干预.干预前和干预 30 d后,采用华西心晴指数(HEI)问卷、Piper疲乏评估修订量表(PFS-R)、中文版癌症复发恐惧量表(FCRI-C)、中文版心理弹性量表(CD-RISC)、匹兹堡睡眠质量指数(PSQI)和Spitzer生活质量指数(SQLI)评估两组患者的心理状态、心理弹性、睡眠质量和生活质量.结果 干预 30 d后,两组患者HEI、PFS-R、FCRI-C评分及PSQI各维度评分较干预前降低,且观察组低于对照组;两组患者CD-RISC各维度评分、SQLI各项目评分较干预前升高,且观察组高于对照组(P<0.05 或 0.01).结论 个性化心理干预联合渐进性肌肉放松训练在甲状腺癌手术患者中的应用效果确切,值得在临床推广.
Effect of individualized psychological intervention on mental state and sleep quality of patients undergoing thyroid cancer surgery
Objective To explore the effect of individualized psychological intervention(IPI)plus progressive muscle relaxation training(PMRT)on mental state and sleep quality of patients undergoing thyroid cancer surgery.Methods Eighty-two patients undergoing thyroid cancer surgery from Feb.to Nov.2023 were randomly divided into control and observation group,with 41 ones in each.Controls received the PMRT and observation group did the IPI on the basis of controls.Mental state,psychological resilience,sleep quality and quality of life were assessed for both groups using the Huaxi Emotional-distress Index(HEI),Revised Piper Fatigue Scale(PFS-R),Chinese version of Fear of Cancer Recurrence Inventory(FCRI-C),Chinese version of the Connor-Davidson Resilience Scale(CD-RISC),Pittsburgh Sleep Quality Index(PSQI)and Spitzer Quality of Life Index(SQLI)before intervention and after 30 day intervention.Results After 30 day intervention,HEI,PFS-R and FCRI-C scores as well as each dimension scores of the PSQI in both groups lowered compared with pre-intervention and those were lower in observation than control group;each dimension scores of the CD-RISC and each item scores of the SQLI in both groups elevated compared with pre-intervention and those were higher in observation than control group(P<0.05 or 0.01).Conclusion The IPI plus PMRT is effective in patients undergoing thyroid cancer surgery and worthy of clinical promotion.

individualized psychological interventionprogressive muscle relaxation trainingthyroid cancermental statesleep quality

李茜、朱春华、刘丽亚、李红强

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450052(河南·郑州)郑州大学第一附属医院

个性化心理干预 渐进性肌肉放松训练 甲状腺癌 心理状态 睡眠质量

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)