围术期精细化护理干预对甲状腺瘤手术患者疼痛及应激反应的影响  

Effects of perioperative fine nursing intervention on pain and stress reaction of patients undergoing thyroid tumor surgery

作　　者：张婷 高扬 刘秀娟 ZHANG Ting;GAO Yang;LIU Xiujuan(Shangluo Traditional Chinese Medicine Hospital,Shangluo 726000,China)

机构地区：[1]商洛市中医医院,陕西商洛726000

出　　处：《临床医学研究与实践》2023年第2期140-142,共3页Clinical Research and Practice

摘　　要：目的 探讨围术期精细化护理干预对甲状腺瘤手术患者疼痛及应激反应的影响。方法 选取我院2020年1月至2021年2月收治的60例甲状腺瘤手术患者,随机将其分为对照组和观察组,各30例。对照组采用常规护理干预,观察组采用围术期精细化护理干预。比较两组的视觉模拟评分法(VAS)、急性应激反应量表(ASDS)、生活质量综合评定问卷-74(GQOLI-74)评分、去甲肾上腺素(NE)、皮质醇(Cor)、β-内啡肽(β-EP)、甲状腺素(T4)水平及并发症发生情况。结果 术后48 h,观察组的VAS评分低于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的ASDS评分低于对照组,GQOLI-74评分高于对照组,差异具有统计学意义(P<0.05)。干预后,观察组的NE、Cor、β-EP水平低于对照组,T4水平高于对照组,差异具有统计学意义(P<0.05)。观察组的并发症总发生率为6.67%,低于对照组的30.00%,差异具有统计学意义(P<0.05)。结论 围术期精细化护理干预在甲状腺瘤手术患者中的应用效果显著,可减轻疼痛程度及应激反应,提高患者的生活质量,进而降低并发症发生风险,值得临床推广和应用。Objective To explore the effects of perioperative fine nursing intervention on pain and stress reaction of patients undergoing thyroid tumor surgery. Methods A total of 60 patients with thyroid tumor surgery admitted in our hospital from January 2020 to February 2021 were selected and randomly divided into control group and observation group,with 30 cases in each group. The control group was treated with routine nursing intervention, while the observation group was treated with perioperative fine nursing intervention. The Visual Analogue Scale(VAS), Acute Stress Disorder Scale(ASDS),Generic Quality of Life Inventory-74(GQOLI-74) scores, norepinephrine(NE), cortisol(Cor), β-endorphine(β-EP),thyroxine(T4) levels and complications were compared between the two groups. Results At 48 h after operation, the VAS score in the observation group was lower than that in the control group, and the difference was statistically significant(P<0.05).After intervention, the ASDS score in the observation group was lower than that in the control group, the GQOLI-74 score was higher than that in the control group, and the differences were statistically significant(P<0.05). After intervention, the NE, Cor and β-EP levels in the observation group were lower than those in the control group, the T4level was higher than that in the control group, and the differences were statistically significant(P<0.05). The total incidence of complications in the observation group was 6.67%, which was lower than 30.00% in the control group, and the difference was statistically significant(P<0.05). Conclusion Perioperative fine nursing intervention for patients undergoing thyroid tumor surgery has a significant application effect, it can reduce the degree of pain and stress reaction, improve the quality of life of patients,and thus reduce the risk of complications, which is worthy of clinical promotion and application.

关 键 词：甲状腺瘤 手术 围术期精细化护理 应激反应 

分 类 号：R473.6[医药卫生—护理学]