|本期目录/Table of Contents|

[1]田国华,毛富强,王彤宇.综合心理干预对甲状腺围术期情绪及应激水平的影响[J].天津医科大学学报,2016,22(03):246-248.
　TIAN Guo-hua,MAO Fu-qiang,WANG Tong-yu.Effects of the comprehensive psychological intervention on emotion and surgical stress during peri-operative period of thyroidectomy[J].Journal of Tianjin Medical University,2016,22(03):246-248.
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《天津医科大学学报》[ISSN:1006-8147/CN:12-1259/R]

卷:
22卷
期数:
2016年03期
页码:
246-248
栏目:
医学心理学
出版日期:
2016-05-20

文章信息/Info

Title:
Effects of the comprehensive psychological intervention on emotion and surgical stress during peri-operative period of thyroidectomy
文章编号:
1006-8147（2016）03-0246-03
作者:
田国华1; 2 ; 毛富强1 ; 王彤宇3
(1.天津医科大学精神医学教研室,天津 300070 ;2.海洋石油总医院康复科,天津300452 ;3.海洋石油总医院神经内科,天津300452 )
Author(s):
TIAN Guo-hua1; 2;  MAO Fu-qiang 1;  WANG Tong-yu2
(1.Department of Psychiatry,Tianjin Medical University,Tianjin 300070,China;2.Department of Rehabilitation Medicine,CNOOC General Hospital,Tianjin 300452,China;3.Department of Neurology,CNOOC General Hospital,Tianjin 300452,China)
关键词:
心理干预;  甲状腺围术期;  情绪;  应激反应
Keywords:
comprehensive psychological intervention ; thyroidectomy during peri-operation period;  emotion; stress
分类号:
R749.055
DOI:
-
文献标志码:
A
摘要:

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目的:探讨心理干预对甲状腺围手术期情绪以及应激反应水平的影响。方法:选择择期甲状腺手术患者64例随机分为研究组和对照组各32例。入院后即对研究组患者给予综合心理干预至术后7 d。于入院后24 h、术前2 h、术后7 d发放综合医院焦虑抑郁量表(HAD)测查患者情绪状况；于入院后24 h、术前2 h、术后3 d抽取静脉血，检测血液中性粒细胞比率以及血糖、皮质醇、肾上腺素浓度值；出院前发放患者满意度调查问卷。对以上结果进行统计学分析。结果:入院后研究组和对照组HADA、HADD分值无统计学差异 (t=0.68、0.79，P>0.05)，实施干预后术前2 h以及术后7 d研究组和对照组的HADA、HADD评分有统计学差异(P<0.05或P<0.01)，表现为研究组评分小于对照组。入院后未经干预研究组与对照组血清中性粒细胞、血糖、血清皮质醇、肾上腺素浓度无明显差别(t=0.35、0.51、0.63、1.02，P>0.05)，经过综合心理干预后术前2 h、术后3 d检测各项指标浓度均有统计学差异(P<0.05或P<0.01)，研究组浓度小于对照组。研究组满意度高于对照组(t=3.68，P<0.01)。结论:心理干预能有效改善甲状腺手术患者情绪状况，降低血清应激激素水平，提高患者满意度。

Abstract:
Objective ： To explore effects of the comprehensive psychological intervention on emotion and surgical stress during peri-operative period of thyroidectomy. Methods: Patients undergoing selective thyroidectomy were randomly divided into psychological intervention（n=32) group and control (n=32) group．Interventions were given to the patients in group I by providing comprehensive psychological intervention．All patients were drew blood to detect the concentrations of the neutrophile granulocyte, blood sugar, blood cortisol and epinephrine at 24 h after admission preoperative 2 h and 3 days of post-operation. The scale of HAD were evaluated at 24 h after admission, preoperative 2 h and 7 days of post-operation．The patients were given satisfaction questionnaires then the results were analyzed. Results :The two groups were of） no difference (t=0.68,0.79，P>0.05) in the scores of HADA and HADD ,but there were differences (P<0.05 or <0.01) at preoperative 2 h and 7 days of post-operation，the scores of HADA and HADD in group C were higher than those in group I． There were on differences (t=0.35, 0.51, 0.63, 1.02，P>0.05) in concentrations of the neutrophile granulocyte, blood sugar, blood cortisol and epinephrine in two groups，but differences were found (P<0.05 or <0.01) at preoperative 2 h and 3 days of post operation and the concentrations of group C were higher than those of group I. Patient satisfaction of group I was higher than group C. Conclusion : Psychological intervention can improve the patient’s emotions more effectively, reduce stress reaction and enhance patients’ satisfaction.

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备注/Memo

备注/Memo:
作者简介 田国华（1974-），男，硕士在读，研究方向：精神医学；通信作者：毛富强，E-mail：maofq@tijmu.edu.cn。
更新日期/Last Update: 2016-05-25