【摘要】 目的观察艾灸在缓解甲状腺切除术后患者负性情绪的效果。方法在2016年7月—2017年7月间于某三甲医院普外科行甲状腺切除术后的患者中,通过准入及排除标准方便筛选总样本80例,采用随机数字表法分为实验组和对照组各40例。对照组仅使用甲状腺切除术后常规护理,实验组在对照组的基础上使用艾灸疗法。实验组及对照组分别在干预前、干预后采用自我感受负担量表(SPB)、焦虑自评量表(SAS)、抑郁自评量表(SDS)进行基线调查及效果评价。实验组及对照组在术后72 h使用WHO疼痛分级标准进行疼痛效果评价。结果干预后实验组的SPB、SAS、SDS评分分别为(28.89±4.75)分、(50.89±5.17)分、(50.29±6.46)分远低于对照组,差异有统计学意义(t=-2.923、-2.819、-2.471,P<0.05);干预后实验组术后72 h疼痛评分为2级的人数7例远低于对照组,差异有统计学意义(χ~2=10.36,P<0.05)。结论艾灸在改善甲状腺切除术后患者的自我感受负担、抑郁、焦虑等方面具有良好效果,可缓解负性情绪。更多还原

【Abstract】 Objective This paper tries to observe the effect of moxibustion in alleviating the negative emotions of patients after thyroidectomy. Methods During July 2016 to July 2017, 80 patients after thyroidectomy were convenient screened out by inclusion and exclusion criteria in general surgery department. The patients were divided into experimental group(n=40)and control group(n=40) by random number table. The control group only used conventional nursing after thyroidectomy and the experimental group used moxibustion therapy on the basis of the control group. The self-perceived burden scale(SPB), anxiety self-rating scale(SAS) and depression self-rating scale(SDS) were used to do baseline survey and effect evaluation before and after intervention on the experimental group and the control group. WHO classification criteria for pain was used to evaluated for the pain effect on experimental group and the control group after thyroidectomy within 72 hours.Results After the intervention, the SPB, SAS, and SDS scores in the experimental group were(28.89±4.75) points,(50.89±5.17) points, and(50.29±6.46) points were far lower than those in the control group. The difference was statistically significant(t=-2.923,-2.819,-2.471, P<0.05); The number of patients with pain score of grade 2 at 72 hours after intervention in the experimental group was significantly lower than that of the control group, with a significant difference(χ~2=10.36, P <0.05). Conclusion Moxibustion has a good effect in improving self-perceptual burden, depression, and anxiety after thyroidectomy and can relieve negative emotions.更多还原