围手术期护理对甲状腺手术患者的预后效果的影响  

The Impact of Perioperative Nursing on the Prognosis of Patients Undergoing Thyroid Surgery

作　　者：陈小媚 CHEN Xiaomei(Department of General Surgery,Xinglin Branch,The First Affiliated Hospital of Xiamen University,Xiamen 361022,China)

机构地区：[1]厦门大学附属第一医院杏林院区,厦门361022

出　　处：《中国医药指南》2024年第19期119-121,共3页Guide of China Medicine

摘　　要：目的 分析围手术期护理对甲状腺手术患者的预后效果的影响。方法 从2021年12月至2023年12月厦门大学附属第一医院杏林分院收治的所有诊断需实施甲状腺手术治疗的患者中选取120例为研究对象,再按照简单随机化方法将之分为对照组(60例)和观察组(60例),对照组实施常规护理,观察组实施围手术期护理,比较两种护理模式下的护理效果。结果 干预后,观察组住院时间、引流管的留置时间、首次下床时间、术后肛门排气时间、术后疼痛评分等围手术期指标均优于对照组(P<0.05);两组SAS、SDS评分均较干预前降低,且观察组SAS、SDS评分均低于对照组(P<0.05);两组BI评分均较干预前升高,且观察组BI评分较对照组高(P<0.05)。观察组并发症总发生率低于对照组(3.33%vs.16.67%,χ^(2)=9.886,P=0.002);护理总满意度高于对照组(95.00%vs.75.00%,χ^(2)=15.686,P<0.001)。结论 手术期护理可缩短甲状腺手术患者住院时间,缓解术后疼痛,还能够改善心理状态和生活质量,降低并发症率,可促进预后改善,是一种切实有效的护理模式。Objective To analyze the impact of perioperative nursing on the prognosis of patients undergoing thyroid surgery.Methods From December 2021 to December 2023,Xinglin Branch,The First Affiliated Hospital of Xiamen University admitted all the diagnosis of the need to implement thyroid surgery treatment of 120 cases for the study,and then in accordance with a simple randomization method will be divided into the control group (n=60) and the observation group (n=60),the control group to implement routine care,the observation group to implement perioperative care,to compare the two modes of nursing care under the control group implemented conventional nursing care and the observation group implemented perioperative nursing care,comparing the nursing effect under the two nursing modes.Results After the intervention,perioperative indicators such as hospitalization time,retention time of drainage tube,first time out of bed,postoperative anal defecation time,postoperative pain score and so on were better in the observation group than in the control group (P<0.05);SAS and SDS scores of the two groups were lower than those before the intervention,and SAS and SDS scores of the observation group were lower than those of the control group (P<0.05);BI scores of the two groups were elevated compared to the pre-intervention period,and observation group BI score was higher than the control group(P<0.05).The total complication rate of the observation group was lower than that of the control group (3.33%vs.16.67%,χ^(2)=9.886,P=0.002);and the total satisfaction of nursing care was higher than that of the control group (95.00%vs.75.00%,χ^(2)=15.686,P<0.001).Conclusions Perioperative care can shorten the hospitalization time of patients undergoing thyroid surgery,relieve postoperative pain,and also improve psychological status and quality of life,reduce the rate of complications,and can promote the improvement of prognosis,which is a practical and effective model of care.

关 键 词：甲状腺 围手术期护理 护理模式 预后效果 

分 类 号：R581[医药卫生—内分泌] R473.6[医药卫生—内科学]