甲状腺全切术治疗结节性甲状腺肿合并甲状腺癌的临床护理分析  

Clinical Nursing Analysis of Total Thyroidectomy for Nodular Goiter with Thyroid Cancer

作　　者：王艳雪 WANG Yanxue(Liaoyang City Central Hospital,Liaoyang 111000,China)

机构地区：[1]辽阳市中心医院,辽宁辽阳111000

出　　处：《中国医药指南》2022年第26期45-48,共4页Guide of China Medicine

摘　　要：目的研究将综合护理应用在甲状腺肿合并甲状腺癌患者以甲状腺全切术患者护理中的效果。方法将2018年4月至2019年4月到我院经过甲状腺全切术治疗的92例甲状腺肿合并甲状腺癌患者随机分为观察组和对照组,平均46例。对照组以常规护理干预,观察组实施综合护理,对不同护理以后的疼痛评分、甲状腺功能状况、并发症情况、焦虑抑郁心理、生活质量评分和满意度评价等进行统计对比。结果①两组患者在开展护理工作之前经疼痛评估,评分差异不具有显著性(P>0.05),护理之后的12 h、3 d和1周,观察组疼痛评分减轻程度明显比对照组更大,具有统计学差异(P<0.05)。②两组患者开展护理之前甲状腺功能(检查FT_(3)与FT_(4))差异不太显著(P>0.05),经过护理后,观察组患者的甲状腺功能改变比对照组更大,具有统计学差异(P<0.05)。③在并发症上,观察组(4例,占比为8.70%)所出现的概率明显比对照组(15例,占比为32.61%)更小,具有统计学差异(P<0.05)。④开展护理之前两组患者在焦虑抑郁心理和生活质量评分方面没有表现出较大的差异(P>0.05),而护理以后观察组的焦虑和抑郁心理与生活质量评分均比对照组改善更显著,具有统计学差异(P<0.05)。⑤在护理满意度上,观察组(45例,占比为97.83%)所获得的认可情况比对照组(38例,占比为82.61%)具有更高水平,具有统计学差异(P<0.05)。结论甲状腺全切术治疗结节性甲状腺合并甲状腺癌时提供综合性护理措施可有效的减轻患者的疼痛,可以实现甲状腺功能的改进,能控制严重并发症的发生,使患者的心理状态调整得更好,提升了患者的生活质量和满意度。Objective To study the effect of comprehensive nursing in the nursing of patients with goiter and thyroid cancer who underwent total thyroidectomy.Methods A total of 92 patients with goiter and thyroid cancer who were treated by total thyroidectomy in our hospital from April 2018 to April 2019 were randomly divided into an observation group and a control group,with an average of 46 cases.The control group was given routine nursing intervention,and the observation group was given comprehensive nursing.The pain scores,thyroid function status,complications,anxiety and depression,quality of life scores and satisfaction evaluation after different nursing were statistically compared.Results(1)The pain scores of the patients in the two groups were evaluated before the nursing work,and there was no significant difference in the scores(P>0.05).At 12 h,3 d,and 1 week after the nursing,the pain scores of the observation group were significantly reduced than those of the control group,and the pain scores were significantly reduced,with a statistically significant difference(P<0.05).(2)The difference in thyroid function(FT_(3) and FT_(4))before nursing was not significant between the two groups(P>0.05).After nursing,the thyroid function of the observation group changed more than the control group,with a statistically significant difference(P<0.05).(3)In terms of complications,the incidence of complications in the observation group(4 cases,accounting for 8.70%)was significantly smaller than that in the control group(15 cases,accounting for 32.61%),there was a statistical difference(P<0.05).(4)Before the nursing,the two groups of patients showed no significant difference in the scores of anxiety and depression and quality of life(P>0.05).The quality of life scores were improved more significantly than those in the control group,with a statistical difference(P<0.05).(5)In terms of nursing satisfaction,the observation group(45 cases,accounting for 97.83%)was more recognized than the control group(38 cases).cases,accounting for 82

关 键 词：甲状腺肿合并甲状腺癌 甲状腺全切术 甲状腺功能 并发症 负面心理 

分 类 号：R581.3[医药卫生—内分泌] R736.1[医药卫生—内科学]