饮食吞咽姿势对甲状腺手术后患者切口疼痛的影响  

Influence of diet swallowing posture on incision pain of patients after thyroid surgery

作　　者：朱玉芹[1] 胡玉美[1] 付秀花[1] 

机构地区：[1]滨州市滨州市人民医院护理部

出　　处：《中华护理教育》2011年第2期73-74,共2页Chinese Journal of Nursing Education

摘　　要：目的探讨两种不同吞咽姿势对减轻甲状腺手术患者切口疼痛的影响。方法选择302例实施甲状腺腺瘤摘除或甲状腺部分切除的患者,采用掷硬币法分两组,每组患者均采用正常吞咽姿势和低头吞咽姿势,进行自身对照。一组患者先采用正常吞咽姿势后低头吞咽姿势,二组患者先采用低头吞咽姿势后正常吞咽姿势。观察患者术后不同时间、不同饮食种类,两种吞咽姿势切口疼痛的程度。结果两组患者的低头姿势吞咽3个时间点、不同饮食种类,患者疼痛视觉模拟评分均低于正常吞咽姿势,差异有统计学意义（P〈0.01）。结论护士应指导甲状腺手术后患者饮食时采用低头吞咽姿势,以减轻吞咽时的切口疼痛,促进切口愈合,提高患者满意度。Objective To explore the influence of two different swallowing posture on relieving incision pain of patients after thyroid surgery. Methods A total of 302 patients after thyroid adenoma excise or thyroid partial resection were divided into two groups with the coin toss method. The first group adopted bow swallowing posture after normal swallowing posture,and the second group adopted normal swallowing posture after bow swallowing posture. The levels of incision pain were observed at different time,different typer of food between the two groups. Results In the two groups,the score of visual analogue scale（VAS） when the patients used bow swallowing posture was lower than the score of VAS when they used normal swallowing posture,the differences were statistically significant（P0.01）. Conclusion Nurses should guide the patients after thyroid surgery to used bow swallowing posture,in order to reduce the incision pain when patients swallow,promote healing of incision,and improve the patients’ satisfaction.

关 键 词：甲状腺切除术 吞咽 姿势 疼痛 

分 类 号：R473.73[医药卫生—护理学]