集束化护理在微波消融术治疗甲状腺良性结节患者中的应用效果  

Application effect of cluster nursing on patients with benign thyroid nodules treated by microwave ablation

作　　者：甘婷 邓慧[1] 史鑫鑫 胡瑾[1] GAN Ting;DENG Hui;SHI Xin-xin;HU Jin(The Second Department of Head and Neck,Jiangxi Cancer Hospital,Nanchang 330029,China)

机构地区：[1]江西省肿瘤医院头颈二科,江西南昌330029

出　　处：《中国当代医药》2020年第9期237-240,共4页China Modern Medicine

摘　　要：目的探讨集束化护理在微波消融术治疗甲状腺良性结节患者中的应用效果。方法回顾性分析2018年1月~2019年4月在江西省肿瘤医院接受微波消融术治疗的115例甲状腺良性结节患者的临床资料,根据护理方式的不同分为对照组(55例)与观察组(60例),对照组采用常规护理,观察组在常规护理基础上再加用集束化护理。比较两组的健康调查简表(SF-36)各维度评分,焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分,颈部肿胀发生率。结果入院时,两组患者的SF-36各维度评分比较,差异无统计学意义(P>0.05)。术后第3天,观察组躯体疼痛、精力、社会功能、情感职能、精神健康等5个维度评分高于对照组,差异有统计学意义(P<0.05);两组患者的生理机能、生理职能、一般健康状况等3个维度评分比较,差异无统计学意义(P>0.05)。两组患者术后第3天的SF-36各维度评分均低于入院时,差异有统计学意义(P<0.05)。入院时,两组患者的SAS、SDS评分比较,差异无统计学意义(P>0.05)。术后第3天,观察组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。两组患者术后第3天的SAS、SDS评分均低于入院时,差异有统计学意义(P<0.05)。术后10 h,观察组颈部肿胀发生率低于对照组,差异有统计学意义(P<0.05)。结论集束化护理在微波消融术治疗甲状腺良性结节过程中的效果确切,可提高患者生存质量,改善其焦虑、抑郁情绪,并降低术后颈部肿胀发生率。Objective To investigate the application effect of cluster nursing on patients with benign thyroid nodules treated by microwave ablation.Methods According to the nursing program,a total of 115 patients with benign thyroid nodules treated by microwave ablation in Jiangxi Cancer Hospital from January 2018 to April 2019 were divided into control group(n=55)and observation group(n=60).Patients in the control group were nursed with routine nursing,while in the observation group,cluster nursing was added besides the routine nursing.The short-from 36 health survey scale(SF-36)scores,self-rating anxiety scale(SAS)score,self-rating depression scale(SDS)score,neck swelling incidence and other indicators were compared between the two groups.Results There were no significant differences in the scores of the SF-36 dimensions between the two groups at admission(P>0.05).On the 3rd postoperative day,the scores of body pain,energy,social function,emotional function and mental health of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).There were no significant differences in the scores of the three dimensions of scores of physiological functioning,physical role and general health status(P>0.05).The scores of the SF-36 on the 3rd postoperative day were lower than those at admission,the differences were statistically significant(P<0.05).There were no significant differences in SAS and SDS scores between the two groups at admission(P>0.05).On the 3rd day after operation,the SAS and SDS scores of the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The SAS and SDS scores of the 3rd day after operation were lower than those at admission,the differences were statistically significant(P<0.05).At 10 h after operation,the incidence of neck swelling in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion Cluster nursing is effectiv

关 键 词：微波消融术 甲状腺良性结节 集束化护理 生存质量 负面情绪 

分 类 号：R473.5[医药卫生—护理学]