手术室综合护理在甲状腺切除手术患者中的应用  

Application of comprehensive nursing in operating room in patients undergoing thyroidectomy

作　　者：殷婷[1] 包磊 徐志鹏 Yin Ting;Bao Lei;Xu Zhipeng(Operating Room,Affiliated Hospital of Jiangsu University,Zhenjiang 212000,China)

机构地区：[1]江苏大学附属医院手术室,镇江212000

出　　处：《国际护理学杂志》2023年第24期4499-4503,共5页international journal of nursing

基　　金：2021年度镇江市"金山英才"高层次领军人才培养计划科研项目(YLJ202115)。

摘　　要：目的探讨手术室综合护理在甲状腺切除手术患者中的应用效果。方法选取江苏大学附属医院2021年3月1日至2021年9月30日收治的甲状腺切除手术患者298例为研究对象,以随机数字表法分为对照组与观察组各149例。对照组采取常规护理,观察组采取手术室综合护理。比较两组护理干预下应激反应、术后疼痛及不良反应发生情况。结果术后1 h、术后3 h观察组与对照组数字分级法(Numerical Rating Scale,NRS)评分差异无统计学意义(P>0.05)。术后6 h、术后12 h观察组低于对照组,差异有统计学意义(P<0.05)。手术前两组心率(Heart Rate,HR)、平均动脉压(Mean Arterial Pressure,MAP)及静脉血氧饱和度(SvO_(2))变化差异无统计学意义(P>0.05),术后1 h上述指标均优于干预前,且观察组优于对照组,差异有统计学意义(P<0.05)。观察组术后不良反应发生率1.34%低于对照组6.04%,差异有统计学意义(P<0.05)。结论手术室综合护理对预防甲状腺切除手术患者疼痛效果显著,可降低术后应激反应的发生。Objective To explore the effect of comprehensive nursing in operating room in patients undergoing thyroidectomy.Methods A total of 298 patients with thyroidectomy admitted to the Affiliated Hospital of Jiangsu University from March 1,2021 to September 30,2021 were selected as the study objects,and were divided into control group(149 cases)and observation group(149 cases)by random number table method.The control group received routine nursing,while the observation group received comprehensive nursing in operating room.The stress reaction,postoperative pain and adverse reactions were compared between the two groups.Results There were no significant differences in Numerical Rating Scale(NRS)scores between the observation group and the control group at 1 hour and 3 hours after operation(P>0.05).The NRS scores of the observation group were lower than those of the control group at 6 hours and 12 hours after operation,and the differences were statistically significant(P<0.05).There were no statistically significant differences in heart rate(HR),mean arterial pressure(MAP)and venous oxygen saturation(SvO_(2))between the two groups before operation(P>0.05),and the above indexes at 1 hour were better than those before intervention,and the observation group was better than that of the control group,and the differences were statstically significant(P<0.05).The incidence of postoperative adverse reactions in the observation group was(1.34%)lower than that in the control group(6.04%),and the difference was statistically significant(P<0.05).Conclusions Comprehensive nursing in the operating room is effective in preventing pain in patients undergoing thyroidectomy,and can reduce the occurrence of postoperative stress reaction.

关 键 词：手术室综合护理 甲状腺切除手术 体位综合征 伤口恢复 

分 类 号：R473.6[医药卫生—护理学]