Effect of social support and coping style intervention on psychological resilience and life quality in patients with thyroid cancer surgery / 中国实用护理杂志

ABSTRACT

Objective To investigate the effect of social support and coping style intervention on psychological resilience and life quality in patients with thyroid cancer surgery. Methods A total of 83 patients with thyroid surgery admitted from July 2015 to June 2017 were enrolled. The prospective study was used and the patients were divided into the treatment group (42 cases) and the control group (41 cases) by random digits table method. The control group received routine nursing intervention for thyroid cancer surgery patients including health education, basic nursing, prevention of complications, follow-up, etc., and the treatment group was combined with social support and coping style intervention. After 3 months of follow- up, the Chinese version of Connor- Davidson Resilience Scale (CDRISC), Quality of Life Questionnaire-Core (QLQ-C30), Self-made Survey of Patient Satisfaction was used to evaluate the psychological resilience, life quality, and patients satisfaction of the two groups. Results The toughness, coping pressure, adaptability and belief scores of the treatment group were (26.45 ± 4.65), (22.25 ± 4.21), (16.42±3.25), (7.65±1.21) points, which were significantly higher than those of the control group (22.36± 4.35), (17.25±3.42), (14.36±2.43), (6.35±0.80) points, and the differences were statistically significant (t= 3.264-5.930, P <0.05); the cognitive function, emotional function, social function and physical function scores of the treatment group were (80.12±9.36), (76.25±9.12), (76.36±9.21), and (75.12±8.32) points, which were significantly higher than those of the control group (68.45±8.32), (70.25±8.45), (68.62±8.21), (66.32 ± 7.65) points, and the differences were statistically significant (t = 3.107-5.998, P <0.05); the patient satisfaction rate of the treatment group was 95.24% (33/41), which was significantly higher than that of the control group (80.49%, 40/42), and the differences were statistically significant (χ2=4.260, P<0.05). Conclusions Social support and joint coping style intervention can help the patients with thyroid cancer surgery to improve the level of psychological resilience, improve their life quality, and maintain a good relationship between nurses and patients.