人文关怀理念精细化护理干预在甲状腺肿瘤腔镜微创手术患者中的应用  

Application of refined nursing intervention based on the concept of humanistic care in patients undergoing minimally invasive endoscopic surgery for thyroid tumors

作　　者：陈代娣[1] 司会丽 张莹莹 李帅[1] CHEN Daidi;SI Huili;ZHANG Yingying;LI Shuai(The First Affiliated Hospital of Henan University,Kaifeng,Henan 475001,China)

机构地区：[1]河南大学第一附属医院,河南开封475001

出　　处：《现代医药卫生》2025年第1期117-120,共4页Journal of Modern Medicine & Health

基　　金：河南省开封市科技发展计划项目(2206003)。

摘　　要：目的探讨基于人文关怀理念的精细化护理应用于甲状腺肿瘤腔镜微创手术患者的效果。方法将该院2022年3月至2024年3月的300例接受腔镜微创治疗的甲状腺肿瘤患者分为对照组150例与试验组150例,对照组采用常规护理干预,试验组采用基于人文关怀理念的精细化护理。比较2组患者心理状态、疼痛、并发症发生情况、心理弹性与护理满意度。结果术前、术后试验组焦虑自评量表、抑郁自评量表评分均低于对照组(P<0.05);试验组术后6、12、24、48 h的疼痛数字评分法评分均低于对照组(P<0.05);试验组术后并发症发生率低于对照组[2.67%(4/150)vs.9.33%(14/150)],差异有统计学意义(P<0.05);试验组心理弹性[(84.72±5.92)分vs.(77.43±6.08)分]与护理满意度评分[(91.77±5.70)分vs.(83.64±6.28)分]均高于对照组(P<0.05)。结论基于人文关怀理念的精细化护理应用于甲状腺肿瘤腔镜微创手术患者能有效改善其心理状态,减轻术后疼痛与并发症发生率。Objective To explore the effect of refined nursing based on the concept of humanistic care in patients undergoing laparoscopic minimally invasive surgery for thyroid tumors.Methods A total of 300 thyroid tumor patients who received laparoscopic minimally invasive treatment at the hospital from March 2022 to March 2024 were divided into two groups:the control group(150 patients)and the experimental group(150 patients).The control group received conventional nursing interventions,while the experimental group received refined nursing based on the concept of humanistic care.The psychological status,pain levels,incidence of complications,psychological resilience,and nursing satisfaction of the two groups were compared.Results Before and after surgery,the anxiety and depression self-rating scale scores of the experimental group were lower than those of the control group(P<0.05).The pain scores at 6,12,24,and 48 hours post-surgery in the experimental group were all lower than those in the control group(P<0.05).The incidence of postoperative complications in the experimental group was lower than in the control group[2.67%(4/150)vs.9.33%(14/150)],with a statistically significant difference(P<0.05).The psychological resilience[(84.72±5.92)vs.(77.43±6.08)]and nursing satisfaction scores[(91.77±5.70)vs.(83.64±6.28)]in the experimental group were higher than those in the control group(P<0.05).Conclusion Refined nursing based on the concept of humanistic care can effectively improve the psychological status,reduce postoperative pain,and lower the incidence of complications in patients undergoing laparoscopic minimally invasive surgery for thyroid tumors.

关 键 词：精细化护理 人文关怀 腔镜微创手术 甲状腺肿瘤 焦虑自评量表 抑郁自评量表 

分 类 号：R736.1[医药卫生—肿瘤]