Influence of cognitive nursing on patients' stress reaction to surgery for thyroid cancer
10.3760/cma.j.issn.1674-2907.2011.12.014
- VernacularTitle:认知护理对甲状腺瘤手术患者应激反应的影响
- Author:
Cai-Juan LIN
1
;
Xue-Hua LI
;
Yan-Xia LIANG
;
Chun-Xia YANG
Author Information
1. 广东省吴川市人民医院
- Keywords:
Cognitive numing;
Thyroid cancer;
Surgery;
Stress reaction
- From:
Chinese Journal of Modern Nursing
2011;17(12):1401-1403
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of cognitive nursing on patients'stress reaction to surgery for thyroid cancer.Methods 128 patients undergoing thyroid cancer surgery were randomly divided into intervention group(n=66)and control group(n=66).The intervention group was given cognitive nursing,while the control group normal nursing.The psychological status of both groups was evaluated by using SelfRating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)1 day before the operation.Blood pressure,pulse,cortisol and angiotensin Ⅱ of both groups were measured 30 minutes before anesthesia and their results were compared.Results The scores of SAS and SDS of the intervention group were obviously lower than those of the control group.Blood pressure,the level of cortisol and angiotensin Ⅱ in the intervention group were obviously lower than those in the control group 30 minutes before anesthesia;pulse in the intervention group was slower than that in the control group(P<0.01).Conclusions Cognitive nursing could remove poor psychological emotion of patients undergoing thyroid cancer surgery.mitigate their stress reaction and enhance their confidence to combat against the disease so as to promote their rehabilitation.
