正念治疗联合心理护理在分化型甲状腺癌术后碘131隔离治疗中的临床效果研究

Effects of Mindfulness Therapy Combined with Psychological Nursing in Postoperative Iodine-131 Isolation Treatment for Patients with Differentiated Thyroid Cancer

摘要: 目的：探讨正念治疗联合心理护理对分化型甲状腺癌术后碘131隔离治疗患者心理状态、治疗依从性、社会支持度、生活质量及护理满意度的影响。方法：选取2024年1月至2025年12月泰安市中心医院收治的90例分化型甲状腺癌术后接受碘131隔离治疗患者作为研究对象，按随机数字表法分为观察组和对照组，各45例。对照组给予常规护理干预，观察组在对照组基础上实施正念治疗联合心理护理干预。两组均干预1个月，比较两组干预前后焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分、社会支持度、生活质量、治疗依从性及护理满意度。结果：干预前，观察组与对照组SAS、SDS评分、社会支持度及生活质量各维度评分比较，差异均无统计学意义(均P > 0.05)。干预1个月后，两组SAS、SDS评分均较干预前降低，社会支持度及生活质量各维度评分均较干预前升高；且观察组SAS、SDS评分低于对照组，社会支持度及生活质量各维度评分高于对照组，差异均有统计学意义(均P < 0.001)。干预后，观察组治疗总依从率为88.89% (40/45)，高于对照组的73.33% (33/45)，差异有统计学意义(χ² = 7.863, P = 0.020)。观察组护理总满意度为91.11% (41/45)，高于对照组的75.56% (34/45)，差异有统计学意义(χ² = 9.302, P = 0.010)。讨论：正念治疗联合心理护理应用于分化型甲状腺癌术后碘131隔离治疗患者，可有效改善患者焦虑、抑郁情绪，提高治疗依从性和社会支持水平，改善生活质量，并提升护理满意度，具有一定临床应用价值。

Abstract: Objective: To explore the effects of mindfulness therapy combined with psychological nursing on psychological status, treatment compliance, social support, quality of life, and nursing satisfaction in patients with differentiated thyroid carcinoma undergoing postoperative iodine-131 isolation therapy. Methods: A total of 90 patients with differentiated thyroid carcinoma who underwent postoperative iodine-131 isolation therapy in Tai’an Central Hospital from January 2024 to December 2025 were selected as the research subjects. They were divided into an observation group and a control group according to the random number table method, with 45 cases in each group. The control group received routine nursing intervention, while the observation group received mindfulness therapy combined with psychological nursing on the basis of routine nursing. Both groups were intervened for 1 month. Treatment compliance, Self-Rating Anxiety Scale (SAS) score, Self-Rating Depression Scale (SDS) score, social support, quality of life, and nursing satisfaction were compared between the two groups before and after intervention. Results: Before intervention, there were no statistically significant differences between the observation group and the control group in SAS scores, SDS scores, social support scores, and quality of life scores in all dimensions (all P > 0.05). After 1 month of intervention, SAS and SDS scores decreased in both groups compared with those before intervention, while social support scores and quality of life scores in all dimensions increased. Moreover, the SAS and SDS scores in the observation group were lower than those in the control group, and the social support scores and quality of life scores in all dimensions were higher than those in the control group, with statistically significant differences (all P < 0.001). After intervention, the total treatment compliance rate in the observation group was 88.89% (40/45), which was higher than 73.33% (33/45) in the control group, and the difference was statistically significant (χ² = 7.863, P = 0.020). The total nursing satisfaction rate in the observation group was 91.11% (41/45), which was higher than 75.56% (34/45) in the control group, and the difference was statistically significant (χ² = 9.302, P = 0.010). Discussion: Mindfulness therapy combined with psychological nursing for patients with differentiated thyroid carcinoma undergoing postoperative iodine-131 isolation therapy can effectively improve anxiety and depression, enhance treatment compliance and social support, improve quality of life, and increase nursing satisfaction, showing certain clinical application value.