基于“生物―心理―社会”的一体化护理干预对甲状腺切除术患者术后并发症及甲状腺功能的影响  

Effect of integrated nursing intervention based on“biological-psychological-social”model on postoperative complications and thyroid function of patients undergoing thyroidectomy

作　　者：周腼 张楠 ZHOU Mian;ZHANG Nan(Suqian First People's Hospital,Suqian,Jiangsu,223800,China)

机构地区：[1]宿迁市第一人民医院,江苏宿迁223800

出　　处：《中西医结合护理（中英文）》2023年第3期41-44,共4页Journal of Clinical Nursing in Practice

摘　　要：目的探析基于“生物―心理―社会”一体化护理干预在行甲状腺切除术患者中的实施效果和价值。方法选取2021年1月至2022年6月于宿迁市第一人民医院行甲状腺切除术的98例患者作为研究对象,并按简单随机抽样法分入对照组和观察组(各49例)。对照组采用常规护理,观察组采用基于“生物―心理―社会”一体化护理干预,比较2组的并发症发生率、颈前区功能评分和甲状腺功能指标。结果观察组的并发症总发生率为4.08%,较对照组的18.37%更低(P<0.05)。术后1周、术后1个月及术后3个月2组的欧洲五维度五水平健康评定量表(EQ-5D-5L)评分均较术前升高(P均<0.05),且观察组的EQ-5D-5L评分均较同期对照组更高(P均<0.05)。术后1周及术后3个月2组的游离甲状腺素水平均高于术前,游离三碘甲状腺原氨酸、促甲状腺激素和抗甲状腺过氧化物酶抗体水平均低于术前(P均<0.05),且观察组的上述指标水平均优于同期对照组(P均<0.05)。结论基于“生物―心理―社会”一体化护理干预对于行甲状腺切除术患者术后并发症发生率的降低、颈前区功能和甲状腺功能的改善均可产生积极影响。Objective To explore the implementation effect and value of integrated nursing intervention based on the“biological-psychological-social”model in patients undergoing thyroidectomy.Methods A total of 98 patients who underwent thyroidectomy at Suqian First People's Hospital from January 2021 to June 2022 were selected as study samples.They were divided into control and observation groups by simple random sampling,each with 49 cases.The control group adopted routine nursing,and the observation group adopted integrated nursing intervention based on the“biological-psychological-social”model.The incidence of complications,functional scores of anterior cervical region,and thyroid function indicators of the two groups were compared.Results The total incidence of complications in the observation group was 4.08%,which was lower than 18.37%in the control group(P<0.05).At 1 week,1 month,and 3 months after operation,the scores of the European Quality of Life Five-Dimension Five-Level Scale(EQ-5D-5L)in the two groups were improved compared with those before operation(all P<0.05),and the EQ-5D-5L scores in the observation group were higher than those in the control group(all P<0.05).At 1 week and 3 months after operation,the level of free thyroxine in the two groups was higher than that before operation,and the levels of free triiodothyronine,thyroid-stimulating hormone,and anti-thyroid peroxidase antibody were lower than those before operation(all P<0.05).The levels of the above indicators in the observation group were better than those in the control group(all P<0.05).Conclusion Integrated nursing intervention based on the“biological-psychological-social”model has a positive impact on the reduction of postoperative complications and improvement of anterior cervical function and thyroid function in patients undergoing thyroidectomy.

关 键 词：甲状腺切除术 生物―心理―社会模式 一体化护理 并发症 甲状腺功能 

分 类 号：R473.6[医药卫生—护理学]