改良综合体位干预对甲状腺手术患者临床效果分析  

Clinical Effect of Improved Comprehensive Body Position Intervention in Thyroid Surgery

作　　者：杨晓秋[1] 田永波[1] 陈治龙[1] Yang Xiaoqiu;Tian Yongbo;Chen Zhilong(Affiliated Hospital of Beihua University,Jilin 132011,China)

机构地区：[1]北华大学附属医院,吉林吉林132011

出　　处：《北华大学学报（自然科学版）》2018年第2期257-260,共4页Journal of Beihua University（Natural Science）

基　　金：吉林市医疗卫生指导性计划项目(20163063)

摘　　要：目的分析改良综合体位干预在甲状腺手术中的临床应用价值.方法选择84例符合条件者,随机分为对照组和观察组,对照组选择传统的手术方式,观察组应用综合体位干预,包括术前护理、术中及术后个性化护理,观察患者术后情况.结果与对照组比较,观察组患者术前体位训练达标情况更佳,患者的安置体位时间、手术时间、术后住院时间及卧床时间均降低,术后头痛、呕吐的发生率以及中重度综合征明显缓解,满意度及舒适度评分更好,差异具有统计学意义(P<0.05).结论改良综合体位干预可有效减轻或避免甲状腺术后综合征,提升患者满意度和舒适度.Objective To investigate the clinical effect of improved postural comprehensive intervention after thyroid surgery.Method84patients were randomly divided into two groups.Patients in the control group were treated with the conventional operation method and those in the observation group with the improved postural comprehensive intervention,including the preoperative nursing,intraoperative improved posture and postoperative care.Results Compared with those in the control group,the preoperative position training were better(P<0.05),the resettlement position time,operation time,postoperative hospitalization time and bed time were lower(P<0.05),the incidence of postoperative headache,vomiting and moderately severe symptoms were less(P<0.05),and the satisfaction and comfort scores were higher(P<0.05)in the observation group.Conclusion Improved comprehensive body position intervention can effectively reduce or avoid the thyroid postoperative syndrome,and improve patient satisfaction and comfort,worth popularizing.

关 键 词：体位干预 甲状腺手术 甲状腺术后并发症 

分 类 号：R473.6[医药卫生—护理学]