专科护士术前干预对甲状腺瘤手术病人应激反应的影响  

Influence of preoperative intervention of special nurses on stress reaction of patients accepting thyroid tumor operation

作　　者：朱琳[1] 段青萍[1] 周君[1] 郑惠琴[1] 

机构地区：[1]南方医科大学附属宝安医院

出　　处：《全科护理》2009年第30期2736-2738,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨专科护士术前干预对甲状腺瘤手术病人应激反应的影响。[方法]184例单侧甲状腺瘤病人随机将其分成对照组和干预组,测量并评估两组病人干预前后焦虑评分(SAS)、血压、脉搏的变化,比较病人手术体位综合征发生率和对护理工作的满意度。[结果]①干预组干预前后的SAS评分有显著差异(t=12.553,P<0.05),而对照组则无差异(P>0.05);对照组和干预组干预前SAS评分无显著差异(P>0.05),而干预后差异有统计学意义(P<0.01)。②对照组和干预组术前收缩压无明显差异(P>0.05),二者术中的收缩压均较术前有明显升高(P<0.01),但对照组术中收缩压升高更加明显(P<0.01)。同样,对照组和干预组术前脉搏无明显差异(P>0.05),二者术中脉搏均较术前有明显升高(P<0.01),对照组升高更加显著(P<0.01)。③对照组手术体位综合征发生率明显高于干预组(χ2=1 0.9 4,P<0.01);而干预组的满意度明显高于对照组(χ2=7.43,P<0.01)。[结论]专科护士术前干预可减轻甲状腺瘤手术的应激反应程度,提高病人的满意度。Objective： To probe into the influence of preoperative intervention of special nurses on stress reaction of patients accepting thyroid tumor operation. Methods： A total of 184 patients with single thyroid adenoma were ran domly divided into control group（n=92） and interventional group （n= 92）. Changes of state anxious score （SAS）, blood pressure and pulse of the two groups cases before and after the intervention have been measured and assessed. The incidence of thyroidectomy posture syndrome （TPS） and the satisfaction degree toward nursing work of patients were compared. Results： ① There was significant difference in terms of SAS between before and after intervention in intervention group cases （t = 12. 553, P〈0.05）. However, there was no significant difference in control group （P〉0.05）. There was no statistical difference in pre-interventional SAS between control and intervention group （P〉0.05）. There was statistical significant difference in terms of post - intervention SAS between the two groups （P〈0.01）. ② There was no significant difference in terms of preoperative systolic pressure between control and intervention group （P〉0.05）. Systolic pressure of both groups cases during operation was much higher than that of before operation （P〈0.01）. However, the increase of systolic pressure in control group cases during operation was more than that in intervention group cases（P〈0.01）. There was no significant difference in preoperative pulse between control and intervention group cases （P〉0.05）. Pulses of both groups cases during operation were much higher than that of before operation （P〈0.01）. And the increase of pulses in eontrol group patients during operation was more than that of intervention group （t= 2.35, P〈0.01）. ③ The incidence of TPS in control group was significantly higher than that of intervention group cases （χ^2 =10.94,P^0.01）. The satisfaction degree toward nursing work of intervention group patients was mu

关 键 词：专科护士 甲状腺次全切除术 应激反应 术前干预 

分 类 号：R473.73[医药卫生—护理学]