以循证医学指导的临床护理路径对腔镜下甲状腺切除术患者的影响  

Effect of an evidence-based medicine-guided clinical care pathway on patients undergoing endoscopic thyroidectomy

作　　者：陈锦蓉 严瑾 徐静 刘小岳 马欣妍 CHEN Jinrong;YAN Jin;XU Jing;LIU Xiaoyue;MA Xinyan(Department of Thyroid Gland Breast Surgery,Huaian First People’s Hospital,Jiangsu Province,Huaian223003,China)

机构地区：[1]江苏省淮安市第一人民医院甲乳外科,江苏淮安223003

出　　处：《中国医药导报》2024年第14期125-127,共3页China Medical Herald

基　　金：江苏省科技计划(青年基金)项目(BK20211076)。

摘　　要：目的分析以循证医学指导的临床护理路径对腔镜下甲状腺切除术患者的影响。方法选取2021年1月至2023年9月江苏省淮安市第一人民医院甲乳外科行腔镜下甲状腺肿瘤切除术患者94例为研究对象,采取奇偶法将其分为对照组和观察组,各47例。对照组采用传统方式护理,观察组予以循证医学指导的临床护理路径干预。比较两组干预前后焦虑、抑郁、生活质量及自我效能情况。结果干预后,两组焦虑和抑郁评分低于干预前,且观察组低于对照组(P<0.05);干预后,两组生活质量评分高于干预前,且观察组高于对照组(P<0.05);干预后,两组自我效能评估量表评分高于干预前,且观察组高于对照组(P<0.05)。结论行腔镜下甲状腺切除术的患者开展临床护理路径干预,改善患者心理焦虑和抑郁情绪,增强自我对疾病康复的认知与行为的自我效能,进而提高患者生活质量,适用于临床推广应用。Objective To analyze the effect of an evidence-based medicine-guided clinical care pathway on patients undergoing endoscopic thyroidectomy.Methods A total of 94 patients undergoing endoscopic thyroidectomy in the Department of Thyroid and Breast Surgery,Huaian First People’s Hospital,Jiangsu Province from January 2021 to September 2023 were selected as the study objects.They were divided into control group and observation group by odd-even method,with 47 cases in each group.The control group received traditional nursing,and observation group received evidence based medicine guided clinical nursing path intervention.The anxiety,depression,quality of life,and self-efficacy of two groups were compared before and after intervention.Results After intervention,the scores of anxiety and depression in two groups were lower than those before intervention,and those in observation group were lower than those in control group(P<0.05).After intervention,the quality of life scores of the two groups were higher than those before intervention,and those in observation group were higher than those in control group(P<0.05).After intervention,the scores of self-efficacy assessment scale in the two groups were higher than those before intervention,and those in observation group were higher than those in control group(P<0.05).Conclusion Clinical care pathway intervention for patients undergoing endoscopic thyroidectomy can improve psychological anxiety and depression,enhance self-cognition and behavioral self-efficacy for disease rehabilitation,and thus improve the quality of life of patients,which is suitable for clinical promotion and application.

关 键 词：循证医学 临床护理路径 腔镜下甲状腺切除术 

分 类 号：R473[医药卫生—护理学]