护理干预在腔镜辅助颈部小切口甲状腺手术中的效果  

Effect of nursing intervention in endoscopy auxiliary neck small incision thyroidectomoy

作　　者：张艳[1] 张丽梅[1] 张雪鹏[1] 吴春涛[1] 赵莹[2] 

机构地区：[1]河北联合大学附属医院肿瘤外科,河北唐山063000 [2]河北联合大学图书馆,河北唐山063000

出　　处：《中国医药导报》2015年第8期121-123,共3页China Medical Herald

基　　金：河北省科技计划项目(编号13277768D);中国煤炭工业协会科学技术研究指导性计划项目(编号MTKJ2014-288)

摘　　要：目的观察心理护理加耳穴按压对腔镜辅助颈部小切口甲状腺手术患者的影响。方法选取2012年10月-2014年8月于河北联合大学附属医院诊治的65例腔镜手术患者,随机分为实验组33例和对照组32例,实验组应用心理疗法加耳穴按压对腔镜甲状腺手术患者进行干预,对照组患者给予常规围术期护理。比较两组术后并发症发生率、术后直观模拟标尺法（VAS）疼痛评分和患者对护理工作的满意度。结果实验组术后并发症发生率明显低于对照组（15.16%比37.50%,χ^2=4.20,P〈0.05）。实验组术后第1、3天的VAS疼痛评分为（1.5±0.4）、（1.0±0.2）分,均低于对照组[（2.2±0.5）、（1.5±0.3）分],差异有高度统计学意义（P〈0.01）。患者对护理工作满意度明显高于对照组（97.00%比68.80%,χ^2=9.20,P〈0.01）。结论心理护理加耳穴按压能降低腔镜辅助颈部小切口甲状腺手术术后恶心、呕吐的发生率,有效改善患者术后的疼痛程度,同时提高患者对护理工作的满意度。Objective To observe the effect of psychological nursing combined with auricular acupressure in patients with endoscopy auxiliary neck small incision thyroidectomoy. Methods Sixty-five patients in the Affiliated Hospital of Hebei United University after endoscopy auxiliary neck small incision thyroidectomoy were randomly divided into experiment group（n=33） and control group（n=32） from October 2012 to August 2014. Patients of control group accepted regular nursing post-operation, while patients of experiment group were treated with psychological nursing combined with auricular acupressure except for regular nursing. The incidence of postoperative nausea or vomiting, postoperative VAS pain score, and patients′satisfaction on nursing were compared between two groups. Results The postoperative incidence in experiment group was significanlty lower than that of control group（15.16% vs 37.50%, χ^2=4.20, P〈0.05）.Postoperative VAS pain scores on the first day and the third day in experiment group were obviously lower than those of control group [the first day：（1.5±0.4） scores vs（2.2±0.5） scores, the third day：（1.0±0.2） scores vs（1.5±0.3） scores, P〈 0.01]. The patients′ satisfaction on nursing of experiment group was significantly higher than that of control group（97.00% vs 68.80%, χ^2=9.20, P〈 0.01）. Conclusion Psychological nursing combined with auricular acupressure can not only reduce the incidence of postoperative nausea or vomiting and postoperative pain, but also improve patients′satisfaction on nursing in patients with endoscopy auxiliary neck small incision thyroidectomoy.

关 键 词：心理护理 耳穴按压 腔镜 甲状腺手术 

分 类 号：R473.6[医药卫生—护理学]