个案护理结合心理调护在微波消融术治疗甲状腺疾病中的应用及对疼痛感知、负性情绪和遵医行为的影响  

The application of case nursing combined with psychological nursing in microwave ablation of thyroid gland disease and its influence on pain perception negative emotion and compliance behavior

作　　者：黄梅[1] HUANG Mei(Third General Surgery Department of Huanggang Central Hospital,Hubei Huanggang 438000,China)

机构地区：[1]黄冈市中心医院普外三科,湖北黄冈438000

出　　处：《临床普外科电子杂志》2022年第2期94-97,110,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的探讨个案护理结合心理调护在微波消融术治疗甲状腺疾病中的应用及对疼痛感知、负性情绪和遵医行为的影响。方法选取2020年1月至2021年1月就诊于黄冈市中心医院的114例甲状腺疾病患者,根据护理方式不同分为两组,观察组57例,对照组57例。两组均接受微波消融术治疗,对照组仅行常规围手术期干预,观察组采用个案护理结合心理调护进行干预,对比两组患者干预前后疼痛感知、负性情绪和遵医行为的变化。结果干预前,两组患者疼痛感知情况、负性情绪以及遵医情况差异无显著性(P>0.05)。干预后,观察组患者疼痛评分、焦虑自评量表(self-rating anxiety scale,SAS)评分、抑郁自评量表(self-rating depression scale,SDS)评分和遵医情况明显优于对照组,差异有显著性(P<0.05)。结论个案护理结合心理调护干预在微波消融术治疗甲状腺疾病患者中的应用效果良好。Objective To investigate the application of case nursing combined with psychological care in microwave ablation of thyroid gland disease and its effect on pain perception,negative emotion and compliance behavior.Method A total of 114 patients with thyroid disease admitted to Huanggang Central Hospital from January 2020 to January 2021 were selected and divided into two groups according to different nursing method,including 57 cases in the observation group and 57 cases in the control group.Both groups received microwave ablation treatment.The control group only received routine perioperative intervention,and the observation group received individual nursing combined with psychological care.The changes of pain perception,negative emotion and compliance behavior before and after intervention were compared between the two groups.Result Before intervention,there were no significant differences in pain perception,negative emotion and compliance between the two groups(P>0.05).After intervention,the pain score,self-rating anxiety scale score,self-rating depression scale score and compliance of the observation group were significantly better than those of the control group,with statistically significant differences(P<0.05).Conclusion Individual nursing combined with psychological nursing intervention microwave ablation for thyroid patients has a good effect.

关 键 词：个案护理 心理调护 甲状腺疾病 疼痛感知 负性情绪 

分 类 号：R47[医药卫生—护理学]