首页|基于社交网络的正念认知疗法在甲状腺癌术后患者中的应用效果

基于社交网络的正念认知疗法在甲状腺癌术后患者中的应用效果

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目的:探讨基于社交网络的正念认知疗法对甲状腺癌术后患者焦虑、抑郁、自我形象、颈部瘢痕满意度及生活质量的影响.方法:采用便利抽样法,选取长沙市某三级甲等医院甲状腺外科接受传统开放甲状腺癌根治手术患者120例.将其随机分为对照组和干预组,每组60例.对照组接受甲状腺外科常规护理,干预组在对照组的基础上接受基于社交网络的正念认知疗法,干预时间8周.结果:干预后,干预组焦虑、抑郁、自我形象得分显著低于对照组(P<0.05),瘢痕满意度量表的瘢痕意识、外观满意度、症状满意度3个维度得分显著低于对照组(P<0.05),生活质量总分及躯体、角色、情绪、认知、社会5个功能维度得分均显著高于对照组(P<0.05).结论:基于社交网络的正念认知疗法能有效改善传统开放甲状腺癌根治术后患者负性情绪,提升自我形象水平,增加颈部瘢痕满意度,并提高其生活质量.
The Application Effect of Social Internet-Based Mindfulness-Based Cognitive Therapy in Patients with Thyroid Cancer After Surgery
Objective:To explore the effects of social internet-based mindfulness cognitive therapy on anxiety,depres-sion,self-image,satisfaction with neck scar and quality of life in patients with thyroid cancer after surgery.Methods:A to-tal of 120 patients receiving traditional open radical surgery for thyroid cancer were selected from the thyroid gland surgery department of a Grade-Ⅲ A hospital in Changsha city,and randomly divided into control group and intervention group,with 60 cases in each group.The control group received routine thyroid surgery care,and the intervention group received so-cial internet-based mindfulness cognitive therapy on the basis of the control group.The duration of intervention was 8 weeks.Results:After the intervention,the scores of anxiety,depression and self-image in the intervention group were sig-nificantly lower than those in the control group(P<0.05),the scores of scar awareness,appearance satisfaction and symptom satisfaction in the intervention group were significantly lower than those in the control group(P<0.05),and the quality of life in the intervention group were significantly higher than those in the control group(P<0.05).Conclusion:Social internet-based mindfulness cognitive therapy can improve negative mood,self-image,satisfaction with neck scar and quality of life of patients after traditional open radical thyroidectomy.

Thyroid cancerMindfulness-based cognitive therapyAnxietyDepressionSelf-imageScar satisfactionQuality of life

汪志红、肖旺、李津、何秋、盛彩华、谌红献、黄秋平、汪明明

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中南大学湘雅二医院甲状腺外科,长沙 410011

中南大学湘雅三医院麻醉科,长沙 410013

中南大学精神卫生研究所,长沙 410011

湖南中医药大学,长沙 410208

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甲状腺癌 正念认知疗法 焦虑 抑郁 自我形象 瘢痕满意度 生活质量

湖南省卫生健康委重点指导课题湘雅二医院护理科研重点基金湖南省自然科学基金

C2023140271632022-HLKY-022023JJ60086

2024

中国临床心理学杂志
中国心理卫生协会

中国临床心理学杂志

CSTPCDCSSCI北大核心
影响因子:1.474
ISSN:1005-3611
年,卷(期):2024.32(3)