Nursing Intervention Of Anxiety For The Patients With Thyroid Cancer

Thyroid cancer is a common endocrine tumor, the incidence of which is increasing every year. The number of female patients is more than male; the ratio is 1:3. As a serious negative event, once the person is diagnosed as cancer, the strong stressors from cancer and surgery usually can cause patients'psychological stress response, especially the anxiety. Surgery is the main method for treatment of thyroid cancer clinically, and operation, a strong stress source, often results in the occurrence of psychological stress reaction, such as anxiety, in patients. The patients urged to rescue themselves by the operations, while they may produce anxiety, fear, and depression because of damage of body from the operation.Recently, it is known that there is a closely relationship between the onset, development, prognosis and psychological social factors with the development of psychosoma medicine and the change of physiology-psychology-society pattern. A number of researches showed that as a common emotional reaction, anxiety was more and more focused by nursing experts in domestic and abroad. As a stress source, anxiety can cause a series of physiological change in patients, while produce the adverse effect on operation, the recovery, and pain and sleeping of patients, which is closely associated to the onset, development, and prognosis. Therefore, nursing workers should pay more attention to the anxiety psychology of patients, seek for the cause of anxiety, explore the nursing intervention measurement for it, help patients positively face to the disease, smoothly pass through pre-operative period, and improve the life qualities of prognosis. So it is a hot research in the modern nursing intervention measurement field to explore systemic nursing intervention measurement.Objective:To study on the effect of the nursing intervention measurement on patients'anxieties anxiety during nursing thyroid cancer, in order to provide the experimental basis for further resolving the anxiety of thyroid cancer, make the nurses work more effective, maximally decrease the anxiety of thyroid cancer.Methods:The eligible patients were randomly divide into control group with administration of regular treatment and nursing and intervention group in which patients were nursed with systemic nursing intervention measurement).Systemic nursing intervention measurement includes information support, behavior intervention, social support, improvement of sleeping. The hospital blood pressure, heart rate, self rating anxiety scale (SAS), self rating depression scale(SDS) ; pre-operation blood pressure and heart rate; post-operation blood pressure, heart rate, SAS, SDS and Pittsburgh sleep quality index(PSQ I) of the thyroid cancer patients were performed. The 103 patients expelled patients without thyroid cancer by pathological diagnosis were researched, of which 52 cases were control groups, and 51 cases were intervention groups. The general state of patients was described, and the pre-operation blood pressure and heart rate, post-operation blood pressure, heart rate, SAS, SDS, and PSQI were compared by statistical analysis.Results:The research results showed that the patients with thyroid cancer were anxious, depressive and sleep disorder and significantly more anxious, depressive and sleep disorder than the domestic normal persons. By systemic nursing intervention, in intervention group, the pre-operation blood pressure, heart rate(134.3±8.1 mmHg, 86.1±6.2 mmHg, 84.8±6.8 times/min) significantly lower than those in control group(145.0±8.0mmHg, 92.1±7.9mmHg, 89.3±4.4times/min)(p<0.05);the post-operation systolic pressure blood and diastolic blood pressure, heart rate(140.7±6.5mmHg, 92.2±10.5mmHg, 90.5±5.8 times/min), SAS, SDS(40.86±6.16, 41.27±7.39)significantly lower than those in control group(systolic pressure blood and diastolic blood pressure, heart rate :150.8±9.9 mmHg,98.4±13.4 mmHg,98.2±8.4 times/min; SAS, SDS: 55.00±8.45, 54.29±6.40 ) (p<0.05), and the post-operation PSQI (5.23±1.16)significantly lower than those in control group(7.73±1.68)(p<0.05). There were significantly different among sleep latency, sleep duration, habitual sleep efficiency, sleep disturbance, used sleep medication and daytime dysfunction between two groups. The above results showed that the systemic nursing intervention of anxiety for the patients with thyroid cancer improved the ability to psychological stress, altitude to face operation, patients'sleeping, decrease the patients'anxious feeling.Conclusion:1. In this study, the anxious degree of patients with thyroid cancer was significantly higher than that in domestic normal persons, compared with the domestic normal persons, which showed that the patients with thyroid cancer were anxious.2. In this study, the depression degree of patients with thyroid cancer was significantly higher than that in the domestic normal persons, compared with the domestic normal persons, which showed that the patients with thyroid cancer were depressive.3. In intervention group, the pre-operation blood pressure, heart rate significantly lower than those in control group(p<0.05);the post-operation blood pressure, heart rate, SAS, SDS, PSQI significantly lower than those in control group(p<0.05), which showed that the systemic nursing intervention of anxiety for the patients with thyroid cancer improved the anxious feeling of the patients, made the patients face operation and disease with positive altitude, improved the recovery of patients, improved the qualify of life in patients.