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目的 探讨甲状腺恶性肿瘤患者术前焦虑抑郁状况及影响因素.方法 选取2019年11月～2020年1月四川省某三级甲等肿瘤专科医院137例甲状腺恶性肿瘤患者为研究对象,在术前1 d采用一般情况调查问卷、焦虑自评量表(SAS)、抑郁自评量表(SDS)进行调查评分,同时采用单因素分析甲状腺恶性肿瘤患者术前焦虑抑郁状况及原因.结果 甲状腺恶性肿瘤患者的焦虑主要与是否做颈部淋巴结清扫这一因素相关(P＜0.05);患者的抑郁主要与年龄以及术后照顾情况相关(P＜0.05).结论 甲状腺恶性肿瘤患者术前存在不同程度的焦虑抑郁障碍,医务人员应重点关注26～30岁、术后照顾情况不同、进行颈淋巴结清扫的甲状腺恶性肿瘤患者.在甲状腺恶性肿瘤患者的长期治疗过程中,着重关注患者心理状况,给予针对性的心理护理,降低患者的心理应激水平,提高治疗依从性和治疗效果.“,”Objective To investigate the preoperative anxiety and depression of patients with thyroid cancer and its influencing factors. Methods From November 2019 to January 2020, 137 patients with thyroid cancer in a class III a tumor hospital in Sichuan province were selected as the research objects. The general situation questionnaire, self-rating anxiety scale (SDS) and self-rating depression scale (SAS) were used to score the day before operation, and the anxiety and depression status and causes of patients with thyroid cancer were analyzed by single factor analysis. Results The anxiety of patients with thyroid cancer was mainly related to whether to do neck lymph node dissection (P＜0.05); the depression of patients was mainly related to age and postoperative care (P＜0.05). Conclusion Patients with thyroid cancer have different degrees of anxiety and depression before operation. Medical staff should pay attention to patients aged 26 to 30 years old, with different postoperative care and neck lymph node dissection. In the long-term treatment of patients with thyroid cancer, we should pay attention to the psychological status of patients, give targeted psychological nursing, reduce the psychological stress level of patients, and improve the treatment compliance and treatment effect.