无充气腋窝腔镜下甲状腺术的手术室强化护理配合效果  

Effect of Intensive Nursing Cooperation in Operating Room for Non-inflatable Axillary Endoscopic Thyroidectomy

作　　者：江畅生 陈窈丽[1] JIANG Changsheng;CHEN Yaoli(the First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,福建厦门361000

出　　处：《中国医药指南》2022年第26期146-148,152,共4页Guide of China Medicine

摘　　要：目的分析无充气腋窝腔镜下甲状腺术的手术室强化护理配合方法及效果。方法选取2021年1月至2022年1月本院收治的80例行无充气腋窝腔镜下甲状腺手术患者,根据不同手术室护理方案将患者分为常规组、强化组,各40例。常规组按照手术室常规标准护理,强化组采用手术室强化护理配合干预,对比两组的护理干预效果。结果强化组心率、呼吸、舒张压、收缩压均低于常规组,差异有统计学意义(P<0.05);强化组患者术后不同时段VAS评分均低于常规组(P<0.05);强化组护理后GSES评分(29.70±3.80)分高于常规组(24.50±2.90)分,SAS评分(41.60±2.10)分、SDS评分(43.00±2.40)分均低于常规组(46.90±3.50)分、(45.20±3.10)分,差异均有统计学意义(t=6.8800、8.2124、3.5491,P<0.05);强化组并发症发生率(5.00%)低于的常规组(22.50%),护理满意度(97.50%)明显高于常规组(80.00%),差异均有统计学意义(χ^(2)=5.1647、6.1346,P<0.05)。结论手术室强化护理能让甲状腺手术患者术中保持良好的心理状态,稳定其生命体征,提高无充气腋窝腔镜手术配合度,降低患者疼痛感及并发症发生率,优化手术效果。Objective To analyze the method and effect of intensive nursing cooperation in the operating room of non inflatable axillary endoscopic thyroidectomy.Methods From January 2021 to January 2022,80 patients with non inflatable axillary endoscopic thyroid surgery were selected.According to different operating room nursing schemes,the patients were divided into routine group and intensive group,with 40 cases in each group.The routine group received routine nursing according to the standard of the operating room,and the intensive group received intensive nursing in the operating room with intervention.The effects of nursing intervention between the two groups were compared.Results The heart rate,respiration,diastolic blood pressure and systolic blood pressure in the intensive group were lower than those in the routine group(P<0.05).The VAS scores of patients in the intensive group were lower than those in the routine group(P<0.05).The GSEs score(29.70±3.80)in the intensive group was higher than that in the routine group(24.50±2.90),and the SAS score(41.60±2.10)and SDS score(43.00±2.40)in the intensive group were lower than those in the routine group(46.90±3.50)and(45.20±3.10),the differences were statistically significant(t=6.8800,8.2124,3.5491,P<0.05).The incidence of complications in the intensive group(5.00%)was lower than that in the routine group(22.50%),and the nursing satisfaction in the intensive group(97.50%)was significantly higher than that in the routine group(80.00%),the differences were statistically significant(χ^(2)=5.1647,6.1346,P<0.05).Conclusion Intensive nursing in the operating room can keep patients in good psychological state,stabilize vital signs,improve the cooperation degree of non inflatable axillary endoscopy,reduce the incidence of pain and complications,and optimize the operation effect.

关 键 词：腔镜下甲状腺手术 手术室强化护理 生命体征 无充气腋窝入路 心理状态 

分 类 号：R472.3[医药卫生—护理学]