Collaborative Care Model On The Mood And Quality Of Life In Post-operative Patients With Differentiated Thyroid Carcinoma For ¹³¹I Therapy

ObjectiveTo apply collaborative care model on131 I treatment patients after the operation for differentiated thyroid cancer,by Collaborative nursing intervention on the three stages: prehospitalization,in hospital and after discharged,to make nursing intervention plan which can help patients relieve anxiety and depression,to improve their quality of life,guide the future clinical nursing work effectively.Methods1.90 patients were selected from the Department of Imaging and Nuclear Medicine of a grade A tertiary hospital in Zhengzhou city from November,2015 to August,2016.45 of the control group were patients hospitalized from November,2015 to February2016,45 of the intervention group were patients hospitalized from April to July 2016.Routine nursing intervention including admission registration,disease assessment and health education were given to the control group,after discharging from the hospital,telephone consulting was used to know of patients,condition.The intervention group was given collaborative nursing intervention on the basis of routine nursing: telephone and WeChat personalized intervention was used prehospitalization,cognitive intervention,psychological counseling relaxation training,family and social support and sleep improvement were used to intervene the hospital patients,teaching patients and their families again before discharge,to supplement the relevant knowledge blind spot,to carry out targeted guidance for patients and family members;After discharging,the patients were intervened by telephone and WeChat Collaboratively.2.Self-rating depression scale(SDS),Self-rating anxiety scale(SAS)and Quality of Life(QLQ-C30)were used to assess the patients on the day to make an appointment in hospital,the day were admitted,one month and six month after discharge.3.Constituent ratios,(?) ± S,frequency,Chi-square test,t-test,repeated measurement were used to analyze the selected data.Results1.No significant difference was existed in demographic data,disease-related information(P>0.05).2.The difference of the two groups,SAS score on the day to make an appointment in hospital and be hospitalized were not statistically significant(P >0.05),the difference of SAS score between two groups at the time of one month and six month after discharge were statistically significant(P<0.05);Time effect is statistically significan(P <0.01),Patient SAS scores changed over time,regardless of the intervention factor;The group effect is statistically significant(P<0.05),SAS scores were different between two groups regardless of the time effect;Time and interaction effect were existed(P <0.05).3.The difference of SDS score between two groups on the day to make an appointment in hospital and be hospitalized were not statistically significant(P >0.05),the difference of SDS score between two groups at the time of one month and six month after discharge were statistically significant(P<0.05);Time effect is statistically significant(P<0.01),the SAS score of the intervention group changed over time regardless of the intervention factor.The group effect is statistically significant(P <0.05),SAS scores of the two groups were different regardless of the time factor.4.The difference of each dimension of the QLQ-C30 scale between two groups on the day to make an appointment in hospital were not statistically significant(P>0.05);The difference of physical function,role function,emotional function,cognitive function score between two groups on the day be hospitalized were statistically significant(P<0.05),The difference of life quality scales other dimensions between the two groups was not statistically significant(P >0.05);Social function,fatigue,nausea and vomiting,pain,constipation,financial difficulty existed time effect(P <0.01),no group effect(P >0.05),the other dimensions existed time and group effect;ConclusionCollaborative care model can effectively relieve patients' anxiety and depression,improve the overall quality of life,is beneficial to the treatment and prognosis of thyroid carcinoma,is worth using in the clinical.