心理干预对甲状腺功能减退抑郁患者负性情绪影响研究.docVIP

心理干预对甲状腺功能减退抑郁患者负性情绪影响研究 　　【摘要】目的探究心理干?A对甲状腺功能减退抑郁患者负性情绪的影响。方法选取2014年1月～2016年12月间收治的86例甲状腺功能减退抑郁患者为受试对象，按照随机数字表分为观察组与对照组各43例。对照组予以常规护理干预，观察组在对照组基础上实施心理干预。比较干预前及干预1个月后，两组患者抑郁程度[Hamilton抑郁评分量表17项（HAMD17）]、焦虑程度[Hamilton焦虑评分量表（HAMA）]、甲状腺功能[血清促甲状腺激素（TSH）、血清总甲状腺激素（TT4）水平]变化。结果干预1个月后，两组患者HAMD、HAMA评分均较干预前显著下降（P均0.05），观察组患者HAMD、HAMA评分下降更明显（P均0.01）。干预1个月后，两组患者TSH水平均较干预前显著下降（P均0.05），观察组患者TSH水平下降更明显（P0.01）。两组患者TT4水平均较干预前显著提升（P0.05），观察组患者TT4水平提升更明显（P0.01）。结论心理干预能有效改善甲状腺功能减退抑郁患者负性情绪，对提升其治疗效果有利。 　　【关键词】心理干预；甲状腺功能减退；抑郁；负性情绪 　　中图分类号：R581.2 文献标识码：ADOI：10.3969/j.issn2018.02.027 　　Study on effect of psychological intervention on negative emotions 　　in patients with hypothyroidism and depression 　　ZHENG Dan，WANG Yingrui 　　（Xinxiang Central Hospital，Xinxiang 453000，China） 　　【Abstract】ObjectiveTo explore the effect of psychological intervention on negative emotions in patients with hypothyroidism and depression.Methods86 patients with hypothyroidism and depression treated in our hospital from January 2014 to December 2016 were selected for the study and were divided into observation group （n=43） and control group （n=43） according to random number table method.The control group were given routine nursing intervention，and based on which the observation group were given psychological intervention.And then，depression degree [Hamilton Depression Rating Scale17 （HAMD17）]，anxiety degree [Hamilton Anxiety Rating Scale （HAMA）]，thyroid function [serum thyroid stimulating hormone （TSH） and total serum thyroid hormone （TT4）] were compared between the two groups before intervention and after 1 month of intervention.ResultsAfter 1 month of intervention，the HAMD scores and HAMA scores in the two groups were significantly lower than those before intervention（P0.05），and those in the observation group were significantly lower than those in the control group（all P0.01）.The TSH levels in both groups were significantly lower than those before intervention （P0.05），and that in the observation