甲状腺癌患者全程护理干预单中心分析(附942例报告)  

Whole course nursing intervention for thyroid carcinoma:a report of 942 cases

作　　者：何红艳[1] 李瑞[1] 庞飞雄[1] 王丽静[1] 杨发秀[1] 张嘉越[1] 

机构地区：[1]中国人民解放军第303医院普通外科,广西南宁530021

出　　处：《海南医学》2014年第3期460-462,共3页Hainan Medical Journal

基　　金：广西自然科学基金(编号:桂科自0728254;2013GXNSFAA019243);广西卫生厅自筹经费课题(编号:E2011014)

摘　　要：目的根据我院20年甲状腺癌手术构成比变迁情况,总结相应的全程护理干预措施调整。方法回顾20年我院甲状腺手术后病理报告942例,按1991-1995年、1996-2000年、2001-2010年分为三个阶段,分析甲状腺癌全程护理干预措施临床效果。结果 3个阶段中,围手术期并发症的发生率比较差异有统计学意义(P<0.05),近10年以来甲状腺癌围手术期并发症发生率最高。结论随着甲状腺疾病谱的变迁,调整护理对策,强化全程的碘营养监测及心理干预,个体化的护理指导,提高对高危甲状腺癌患者术后的护理管理水平,以及规范化的出院指导和随访是提高甲状腺癌综合疗效的重要保证。Objective To explore the adjustment of nursing intervention on thyroid carcinoma according to the change of thyroid surgery spectrum in Guangxi between 1991 and 2010. Methods The pathological reports of thyroid surgery of 942 cases in three periods （1991-1995, 1996-2000 and 2001-2010） were reviewed retrospectively. The clinical nursing results were analyzed. Results The incidents of complication during perioperative period were 16.8%, 8.5% and 4.0%, respectively. The clinical result was the best in the latest 10 years （P〈0.05）. Conclusion Ac- cording to the change of spectrum of thyroid surgery, it is necessary to adjust the methods of nursing intervention. The whole course model of nursing intervention is the key point to improve clinical quality.

关 键 词：甲状腺疾病 甲状腺癌 并发症 护理干预 

分 类 号：R473.73[医药卫生—护理学]