甲状腺微创手术中护理干预研究  

Research on Nursing Intervention of Minimally Invasive Thyroid Surgery

作　　者：黄丽娟[1] 唐丽虹[1] 林玉霞[1] 

机构地区：[1]莆田学院附属医院新区手术室,福建莆田351100

出　　处：《中外医疗》2017年第12期147-149,共3页China & Foreign Medical Treatment

摘　　要：目的研究分析甲状腺微创手术中护理干预对患者的影响。方法方便选取该院2015年1月—2017年1月收治的进行甲状腺微创手术患者160例,分为对照组与研究组,各组80例,其中对照组给予常规护理,研究组在对照组基础上给予手术护理干预,并进行问卷调查,比较两组患者术后心理状态、并发症发生情况以及医师满意度。结果对照组护理前后SDS评分分别为(41.82±2.31)分、(38.74±3.21)分,SAS护理前后分别为(40.75±3.23)分、(37.18±2.84)分,研究组SDS护理前后为(41.56±2.18)分、(29.46±2.88)分,SAS护理前后分别为(40.84±3.33)分、(28.19±2.52)分,两组护理后均明显优于护理前,且研究组明显优于对照组,差异有统计学意义(P<0.05),研究组医师对术中护理满意度为91.25%,对照组为77.50%,两组之间比较差异有统计学意义(P<0.05),对照组术后并发症发生率为30.00%,研究组为15.00%,两组之间比较其差异有统计学意义(P<0.05)。结论甲状腺微创手术术中护理干预可有效减轻患者术后心理状态,并降低并发症的发生,减轻患者的痛苦,促进患者的康复,提高医师满意度,值得临床广泛推广应用。Objective To research and analyze the effect of nursing intervention in the minimally invasive thyroid surgery on patients. Methods 160 cases of patients with minimally invasive thyroid surgery admitted and treated in our hospital from January 2015 to January 2017 were convenient selected and divided into two groups with 80 cases in each, the control group were given the routine nursing, while the research group were given the operation nursing intervention on the basis of the control group, and the patients were surveyed by the questionnaire, and the postoperative mental state, occurrence of complications and satisfactory degree of physicians were compared between the two groups. Results The SDS scores and SAS scores before and after nursing in the research group were obviously better than those in the control group[(41.82±2.31)points,(38.74 ±3.21)points,(40.75 ±3.23)points,(37.18 ±2.84)points vs(41.56 ±2.18)points,(29.46 ±2.88)points,(40.84 ±3.33)points,(28.19±2.52)points], and the scores after nursing were obviously better than those before nursing, and the differences were obvious with statistical significance(P<0.05), and the nursing satisfactory degree in the research group was higher than that in the control group(91.25% vs 77.50%), and the difference between groups was statistically significant(P<0.05), and the difference in the incidence rate of complications after operation between the control group and the research group was statistically significant(30.00% vs 15.00%)(P<0.05). Conclusion The nursing intervention in the minimally invasive thyroid surgery can effectively relieve the mental state of patients, reduce the occurrence of complications, relieve the pains of patients, promote the recovery of patients, and improve the satisfactory degree of physicians, which is worth wide promotion and application in clinic.

关 键 词：甲状腺 微创手术 护理干预 

分 类 号：R5[医药卫生—内科学]