放松训练联合疼痛护理干预在腔镜甲状腺癌术后患者中的应用  

Application of Relaxation Training Combined With Pain Nursing Intervention in Patients With Endoscopic Thyroid Cancer After Surgery

作　　者：黄晓凤 骆献阳[1] 陈素玲 HUANG Xiaofeng;LUO Xianyang;CHEN Suling(Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of Xiamen University,Xiamen Fujian 361000,China)

机构地区：[1]厦门大学附属第一医院耳鼻咽喉头颈外科,福建厦门361000

出　　处：《中国卫生标准管理》2025年第2期187-190,共4页China Health Standard Management

基　　金：福建省自然科学基金资助项目(2021J011358)。

摘　　要：目的 探讨放松训练联合疼痛护理干预在腔镜甲状腺癌术后患者中的应用效果。方法 选择厦门大学附属第一医院于2021年1月—2022年12月收治的行腔镜手术治疗的96例甲状腺癌患者。依照护理方案不同分为对照组与研究组,各48例。对照组术后实施常规护理,研究组在此基础上采用放松训练联合疼痛护理干预。比较2组患者护理前后心理状态评分,伤口疼痛状况评分及睡眠质量评分。结果 护理后,研究组焦虑自评量表评分(self-rating anxiety scale score,SAS)为(38.43±3.37)分,抑郁自评量表评分(self-rating depression scale score,SDS)为(39.81±3.40)分,均低于对照组的(44.70±3.47)分、(45.71±3.54)分,差异有统计学意义(P <0.001)。术后第1、3、7天,研究组视觉模拟评分法(visual analog scale,VAS)评分分别为(4.61±0.87)分、(3.21±0.59)分、(2.05±0.52)分,均低于对照组的(5.61±0.96)分、(4.03±0.71)分、(2.81±0.66)分,差异有统计学意义(P <0.001)。研究组匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)各维度评分及总分均低于对照组,差异有统计学意义(P <0.001)。结论 放松训练联合疼痛护理干预对腔镜甲状腺癌术后患者的应用效果显著,能有效缓解患者术后的焦虑抑郁情绪,减轻患者身体疼痛程度,改善患者的睡眠质量,有助于促进患者术后恢复。Objective To explore the application of relaxation training combined with pain nursing intervention methods in patients with endoscopic thyroid cancer after surgery.Methods A total of 96 patients with thyroid cancer who underwent endoscopic surgery in the First Affiliated Hospital of Xiamen University from January 2021 to December 2022 were selected.According to the different nursing plan,they were divided into control group and study group,48 cases in each group.The control group was given routine nursing after operation,on this basis,the study group was given relaxation training combined with pain nursing intervention.Mental state scores,wound pain scores and sleep quality scores were compared between the two groups before and after nursing.Results After nursing,the self-rating anxiety scale(SAS)score of the study group was(38.43±3.37)points,and the self-rating depression scale(SDS)score was(39.81±3.40)points,which were lower than(44.70±3.47)points and(45.71±3.54)points of the control group,the differences were statistically significant(P<0.001).The visual analog scale(VAS)scores of the study group were(4.61±0.87)points,(3.21±0.59)points and(2.05±0.52)points,respectively,on the 1st,3rd and 7th day after surgery,which were lower than(5.61±0.96)points,(4.03±0.71)points and(2.81±0.66)points of the control group,and the differences were statistically significant(P<0.001).The Pittsburgh sleep quality index(PSQI)scores and total scores of the study group were lower than those of the control group,the differences were statistically significant(P<0.001).Conclusion Relaxation training combined with pain nursing intervention has a significant effect on patients with endoscopic thyroid cancer after surgery,which can effectively relieve the anxiety and depression of patients after surgery,reduce the degree of physical pain of patients,improve the sleep quality of patients,help promote the postoperative recovery of patients.

关 键 词：放松训练 腔镜手术 甲状腺癌 疼痛护理 心理状态 睡眠质量 

分 类 号：R473[医药卫生—护理学]