原发性甲状腺功能亢进症围手术期的护理体会  

Perioperative Nursing Experience of Primary Hyperthyroidism

作　　者：崔晓明 CUI Xiaoming(Shenyang Fifth People's Hospital,Shenyang 110023,China)

机构地区：[1]沈阳市第五人民医院,辽宁沈阳110023

出　　处：《中国医药指南》2022年第9期186-188,F0003,共4页Guide of China Medicine

摘　　要：目的 对原发性甲状腺功能亢进症患者围手术期的护理干预方法及其效果进行分析与评价。方法 此次研究采取随机盲选法,将2018年5月至2019年6月期间我院收治的76例原发性甲状腺功能亢进症患者划分为两组,各组均为38例患者;其中,对照组(n=38),采用常规护理,观察组(n=38),采用个性化围手术期护理干预,进一步比较两组患者的生活质量综合评定量表(Generic Quality of Life Inventory-74,GQOLI-74)评分、焦虑自评量表(Self-Rating Anxiety Scale,SAS)评分、抑郁自评量表(Self-Rating Depression Scale,SDS)评分、护理总满意度、并发症的发生率。结果 (1)护理前,观察组的SAS评分(35.57±3.58)分、SDS评分(36.58±3.83)分,与对照组SAS评分(35.56±3.59)分、SDS评分(36.59±3.84)分相比差异不明显(P>0.05);护理后,观察组的SAS评分(15.57±2.18)分、SDS评分(15.54±2.78)分均明显低于对照组SAS评分(23.54±3.34)评分、SDS评分(25.86±3.26)分(P<0.05)。(2)护理后,观察组的GQOLI-74评分[社会功能、躯体功能、心理功能、物质生活状态依次(76.39±4.57)分、(78.51±4.61)分、(79.82±4.29)分、(80.14±4.72)分],与对照组GQOLI-74评分[社会功能、躯体功能、心理功能、物质生活状态依次(61.29±2.18)分、(61.43±2.26)分、(62.58±2.47)分、(63.71±2.63)分]相比明显更高(P<0.05)。(3)护理后,对照组护理总满意度的73.68%,与观察组护理总满意度94.74%比较显著更低(P<0.05)。(4)在并发症的发生率方面,护理后,对照组的26.32%与观察组的5.26%比较显著更高(P<0.05)。结论 个性化围手术期护理干预用于原发性甲状腺功能亢进症的护理中效果较好,能够改善患者负性情绪,并提升其生活质量评分,增强患者对于护理的总满意度,降低患者的并发症的发生率,可以应用与推广。Objective To analyze and evaluate perioperative nursing intervention methods and efiects of primary hyperthyroidism. Methods A total of 76 patients with primary hyperthyroidism admitted to our hospital from May 2018 to June 2019 were randomly selected and divided into two groups, with an average of 38 patients in each group. Among them, the control group of patients with routine nursing, the observation group of patients in the control group on the basis of personalized perioperative nursing intervention. further compare the two groups of patients with the Generic Quality of Life Inventory-74(GQOLI-74) score, Self-rating Anxiety Scale(SAS) score, Self-rating Depression Scale(SDS) score, total nursing satisfaction, incidence of complications. Results(1)Before nursing, the SAS score and SDS score of observation group(35.57±3.58) points and(36.58±3.83) points were no significantly difierent from those of control group(35.56±3.59) points and(36.59±3.84) points(P>0.05). After nursing, SAS score(15.57±2.18) points and SDS score(15.54±2.78) points in the observation group were significantly lower than SAS score(23.54±3.34) points and SDS score(25.86±3.26) points in the control group(P<0.05).(2)After nursing, the GQOLI-74 score of the observation group [social function, physical function, psychological function, material life status, namely(76.39±4.57) points,(78.51±4.61) points,(79.82±4.29) points,(80.14±4.72) points], compared with the control group, the GQOLI-74 score of social function, physical function,psychological function and material life status were(61.29±2.18) points,(61.43±2.26) points,(62.58±2.47) points,(63.71±2.63) points were significantly higher(P< 0.05).(3)After nursing, the total nursing satisfaction of the control group was 73.68%, which was significantly lower than that of the observation group(94.74%)(P < 0.05).(4)After nursing, the incidence of complications was significantly higher in the control group(26.32%) than in the observation group(5.26%)(P<0.05). Conclusion Personalized p

关 键 词：原发性甲状腺功能亢进症 围手术期 护理干预 护理效果 负性心理 并发症发生率 

分 类 号：R473.6[医药卫生—护理学]