综合护理干预在结节性甲状腺肿切除术中的应用  

Application of Comprehensive Nursing Intervention in Resection of Nodular Goiter

作　　者：庄莉莉 ZHUANG Lili(Liaoyang Central Hospita,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32期1-5,共5页Guide of China Medicine

摘　　要：目的总结对结节性甲状腺肿患者通过切除术实施治疗同期配合综合护理实施干预所发挥的护理作用。方法本文的84例结节性甲状腺肿患者均在2018年4月至2019年4月入我院接受手术切除治疗,根据护理方法不同分为观察组和对照组,其中通过综合护理进行干预的42例患者为观察组,经过常规护理实施干预的42例患者为对照组,评价两组患者经过不同护理以后疼痛、甲状腺功能、并发症概率、负面心理、生活质量和满意度等统计学差异性。结果①观察组和对照组在开展护理以前疼痛差异无统计学意义(P>0.05),经过护理后,评价12 h、3 d、1周的疼痛,观察组相比对照组都明显减轻,差异有统计学意义(P<0.05)。②观察组和对照组在实施护理之前,检查FT3与FT4差异无统计学意义(P>0.05),实施护理之后再次对FT_(3)与FT_(4)实施检查,观察组的改善优势比对照组更大,差异有统计学意义(P<0.05)。③观察组(1例,占比为2.38%)的并发症出现概率明显比对照组(9例,占比为21.43%)偏低,差异有统计学意义(P<0.05)。④开展护理之前观察组和对照组在焦虑和抑郁心理以及生活质量方面的差异无统计学意义(P>0.05),但开展护理之后观察组在此方面的改善相比对照组更为显著,差异有统计学意义(P<0.05)。⑤观察组(41例,占比为97.62%)患者对护理满意度的评价水平比对照组(36例,占比为85.71%)更高,差异有统计学意义(P<0.05)。结论针对手术切除治疗的结节性甲状腺肿患者以综合护理方法进行配合减轻患者因手术和疾病等产生的疼痛,实现对甲状腺功能的恢复,降低并发症出现的概率,改善患者的负面心理,使患者的生活质量和对护理的满意度均得到提高。Objective To summarize the nursing effect of combined comprehensive nursing intervention on patients with nodular goiter treated by resection.Methods All 84 patients with nodular goiter were admitted to our hospital from April 2018 to April 2019 for surgical resection,and were divided into observation group and control group according to different nursing methods,of which 42 patients were intervened by comprehensive nursing as observation group,and 42 patients were intervened by routine nursing as control group.The statistical differences of pain,thyroid function,probability of complications,negative psychology,quality of life and satisfaction between the two groups were evaluated.Results(1)There was no significant difference in pain between the observation group and the control group before nursing(P>0.05).After nursing,the pain of the observation group was significantly reduced compared with the control group after 12 hours,3 days and 1 week,and there was significant difference(P<0.05).(2)There was no difference in FT_(3) and FT_(4) between the observation group and the control group before nursing(P>0.05).After the implementation of nursing,FT_(3) and FT_(4) were checked again,and the improvement advantage of the observation group was greater than that of the control group,with statistical difference(P<0.05).(3)The incidence of complications in the observation group(1 case,accounting for 2.38%)was significantly lower than that in the control group(9 cases,accounting for 21.43%),with statistical difference(P<0.05).(4)There was no significant difference in anxiety,depression and quality of life between the observation group and the control group before nursing(P>0.05),but after nursing,the improvement in anxiety,depression and quality of life in the observation group was more significant than that in the control group(P<0.05).(5)Patients in the observation group(41 cases,97.62%)were more satisfied with nursing than those in the control group(36 cases,85.71%),with statistical difference(P<0.05).Conclusion For pat

关 键 词：综合护理干预 结节性甲状腺肿 切除术 甲状腺功能 并发症 生活质量 

分 类 号：R473.6[医药卫生—护理学]