快速康复外科理念在甲状腺乳头状癌根治术患者围术期护理中的应用分析  

Analysis of the Application of Enhanced Recovery After Surgery Concept in Perioperative Nursing of Patients undergoing Radical Thyroidectomy for Papillary Carcinoma

作　　者：刘春华 LIU Chunhua(Department of Nursing,Longkou People's Hospital,Yantai,Shandong Province,265711 China)

机构地区：[1]山东省烟台市龙口市人民医院护理部,山东烟台265711

出　　处：《中外医疗》2024年第15期144-147,共4页China & Foreign Medical Treatment

摘　　要：目的 分析甲状腺乳头状癌根治术(Papillary Thyroid Crcinoma,PTC)患者基于快速康复外科(Enhanced Recovery After Surgery,ERAS)进行围术期护理取得的效果。方法 随机选取2022年7月—2023年6月于山东省烟台市龙口市人民医院行PTC手术的90例患者为研究对象,按照随机数表法予以分组,每组45例。对照组接受常规围术期护理,研究组在对照组的基础上采用ERAS理念进行围术期护理。比较两组抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)、中文版舒适度状况量表(General Comfort Questionnaire,GCQ)评分、术后并发症与护理满意度。结果 护理后,研究组SAS、SDS分值均低于对照组,差异有统计学意义(P均<0.05)。研究组GCQ评分中心理精神、生理维度分值均高于对照组,差异有统计学意义(P均<0.05)。研究组术后并发症总发生率为4.44%,低于对照组的17.78%,差异有统计学意义(χ^(2)=4.050,P<0.05)。研究组护理总满意率为97.78%,高于对照组的82.22%,差异有统计学意义(χ^(2)=4.444,P<0.05)。结论 PTC患者采用ERAS理念进行围术期护理可以有效改善心理状况,提高舒适度与护理满意度,降低术后并发症发生风险。Objective To analyze the results of perioperative nursing based on enhanced recovery after surgery(ERAS)in patients with radical papillary thyroid carcinoma(PTC).Methods A total of 90 patients who underwent PTC operation in Longkou People's Hospital of Yantai City,Shandong Province from July 2022 to June 2023 were ran⁃domly selected as the study objects and divided into groups according to random number table method,with 45 pa⁃tients in each group.The control group received conventional perioperative nursing,and the study group adopted ERAS concept for perioperative nursing on the basis of the control group.The scores of Self-rating Sepression Scale(SDS),Self-rating Anxiety Scale(SAS),General Comfort Questionnaire(GCQ),postoperative complications and nurs⁃ing satisfaction were compared between the two groups.Results After nursing,the scores of SAS and SDS in the study group were lower than those in the control group,and the differences were statistically significant(both P<0.05).The psychological and physiological scores of GCQ in the study group were higher than those in the control group,and the differences were statistically significant(both P<0.05).The total incidence of postoperative complications in the study group was 4.44%,which was lower than that in the control group(17.78%),and the difference was statistically signifi⁃cant(χ^(2)=4.050,P<0.05).The total satisfaction rate of nursing in the study group was 97.78%,which was higher than that in the control group(82.22%),and the difference was statistically significant(χ^(2)=4.444,P<0.05).Conclusion Perioperative nursing of PTC patients using ERAS concept can effectively improve psychological status,increase comfort and nursing satisfaction, and reduce the risk of postoperative complications.

关 键 词：快速康复外科 甲状腺乳头状癌 甲状腺癌根治术 围术期护理 

分 类 号：R4[医药卫生—临床医学]