改良型胸带对甲状腺肿瘤患者术后舒适度的影响  

Effect of a modified chest belt on postoperative comfort in patients with thyroid tumors

作　　者：曾安娜[1] 许倩倩[1] 蒋倩 张仑[1] ZENG Anna;XU Qianqian;JIANG Qian(Department of Comprehensive Surgery/Special Surgery,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang,Urumqi 830000,China)

机构地区：[1]新疆医科大学第一附属医院综合外科/特需外科,乌鲁木齐市830000

出　　处：《河北医药》2024年第19期2985-2988,共4页Hebei Medical Journal

基　　金：自治区科技支疆项目计划(指令性)项目(编号:2020E0285)。

摘　　要：目的分析甲状腺肿瘤患者术后应用改良胸带对患者术后舒适度的影响,为患者术后症状改善和舒适度提升提供一定指导。方法选取2020年4月至2022年7月140例接受手术治疗的甲状腺肿瘤患者,按照患者术后胸带使用情况将其分成2组,其中常规组60例,术后采用的是传统胸带,改良组80例,采用的是改良胸带,对比2组患者手术前后舒适度评分、疼痛以及抑郁和焦虑评分,并观察记录2组术后不良反应发生情况。结果2组手术前的舒适度评分、疼痛评分以及抑郁和焦虑评分组间对比均无明显差异(P>0.05);手术后2组的生理、心理、社会文化、环境及GCQ总分均较同组手术前下降,改良组各维度评分及舒适度总分均高出常规组(P<0.05);手术后2组的NRS评分较同组手术前明显升高,改良组低于常规组(P<0.05),手术后2组的SAS和SDS评分均较同组手术前下降,且改良组低于常规组(P<0.05);改良组的术后不良反应发生率明显低于常规组(P<0.05)。结论在甲状腺肿瘤患者围术期护理干预中,相较于传统胸带,冰袋组件可固定的改良胸带能够促进患者术后舒适度提升,并且有助于改善患者不良身体状况和负性情绪,同时能够降低术后不良反应发生风险,对于患者术后恢复具有重要意义。Objective To analyze the effect of a modified chest belt on postoperative comfort in patients with thyroid tumors,thus providing guidance for improving postoperative symptoms and comfort.Methods A total of 140 surgically treated patients with thyroid tumors from April 2020 to July 2022 were selected and divided into two groups according to the use of postoperative chest straps,including 60 cases in the control group(use of a conventional chest belt),and 80 cases in the modified group(use of a modified chest belt).The comfort,pain,depression and anxiety scores of the two groups before and after surgery were compared.The incidence of postoperative adverse events in the two groups was calculated.Results There were no significant differences in the comfort scores,pain scores,depression and anxiety scores between the two groups before surgery(P>0.05),and the scores of physical,psychological,sociocultural,and environmental dimensions and the total General Comfort Questionnaire(GCQ)scores of the two groups significantly decreased compared with those before surgery,which were significantly higher in the modified group than the control group(P<0.05).The Numerical Rating Scale(NRS)score postoperatively in both groups significantly decreased than preoperative values,which was significantly lower in the modified group than the control group(P<0.05).The Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores postoperatively in both groups significantly decreased than preoperative values,which were significantly lower in the modified group than the control group(P<0.05).The incidence of postoperative adverse events was significantly lower in the modified group than that of the control group(P<0.05).Conclusion Compared with the conventional chest belt,the modified chest belt with a fixable ice pack can promote the postoperative comfort of patients with thyroid tumors,alleviate adverse physical condition and negative mood,and reduce the risk of postoperative adverse events,which is of great significance for the

关 键 词：甲状腺肿瘤 手术治疗 改良型胸带 冰袋组件 舒适度 

分 类 号：R473.73[医药卫生—护理学]