基于时效性激励理论的快速康复外科护理对甲状腺癌手术患者疼痛和舒适度的影响  

Effect of enhanced recovery after surgery under the guidance of time-sensitive incentive theory on pain and comfort of thyroid cancer patients

作　　者：李欢[1] 马从忆 陈关凤 梁骊敏[2] Li Huan;Ma Congyi;Chen Guanfeng;Liang Limin(Department of Thyroid and Breast Surgery,Third Affiliated Hospital of Sun Yat-sen University,Guangzhou,510630,China;Department of Cardio-Thoracic surgery,Third Affiliated Hospital of Sun Yat-sen University,Guangzhou,510630,China)

机构地区：[1]中山大学附属第三医院甲状腺乳腺外科,广东广州510630 [2]中山大学附属第三医院心胸外科,广东广州510630

出　　处：《现代临床护理》2023年第2期40-45,共6页Modern Clinical Nursing

基　　金：中山大学护理青年人才培育基金项目,项目编号为N2019Y08。

摘　　要：目的评价基于时效性激励理论的快速康复外科(Enhanced recovery after surgery,ERAS)护理对甲状腺癌手术患者疼痛、舒适度和治疗费用的影响。方法根据入院时间先后次序,选取2021年6月至9月在本院住院行甲状腺癌切除术患者80例设为对照组,实施ERAS;选取2021年10月至12月在本院住院行甲状腺癌切除术患者80例设为试验组,实施基于时效性激励理论的ERAS。比较术后两组患者疼痛、舒适度及住院费用的差异。结果试验组患者疼痛得分及其程度低于对照组,两组比较,差异均有统计学意义(均P<0.01)。试验组患者舒适度得分及其程度高于对照组,两组比较,差异均有统计学意义(均P<0.001)。试验组治疗费用低于对照组,两组比较,差异有统计学意义(P<0.05)。结论基于时效性激励理论的ERAS可降低甲状腺癌术后患者疼痛程度及治疗费用并提高其舒适度,值得在临床推广。Objective To evaluate the effect of enhanced recovery after surgery under the guidance of time-sensitive incentive theory on pain and comfort of thyroid cancer patients.Methods According to the time of admission,80 patients who accept thyroid surgery in our hospital from June to September 2021 were assigned as control group,where ERAS was given.Eighty patients who accept thyroid surgery in our hospital from October to December 2021 were assigned as trial group,where ERASunder the guidance of time-sensitive incentive theory was given.The two groups were compared the differences in pain,comfort and treatment cost.Results The pain score and degree of the patients in the trial group were lower than those in the control group,and there were significant differences between the two groups(all P<0.01).The score of comfort degree in the trial group was higher than that in the control group,and the degree of comfort degree in the trial group was higher than that in the control group(all P<0.01).The treatment cost of the trial group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion ERAS based on time-sensitive incentive theory can reduce the pain degree,treatment cost and improve the comfort level of postoperative patients with thyroid cancer,and is worthy of clinical promotion.

关 键 词：加速康复外科 时效性激励理论 甲状腺癌 围术期护理 疼痛 舒适度 治疗费用 

分 类 号：R473.6[医药卫生—护理学]