摘要
目的探讨快速康复外科结合临床护理路径对日间甲状腺乳头状癌患者围术期的影响。方法选取2018年6月~2019年3月我科收治的120例甲状腺乳头状癌患者为研究对象,所有研究对象按入院顺序结合随机数字表法分为观察组(n=59)和对照组(n=61)。对照组采用常规护理,观察组应用快速康复外科和临床护理路径结合模式。比较两组患者术前焦虑水平、术后疼痛水平、术后生理功能恢复情况及对护理工作满意度。结果观察组患者术前焦虑水平低于对照组,差异有统计学意义(P<0.05);观察组患者在术后24h内疼痛VAS最大值、VAS均值、最大VAS值的持续时间及VAS值>3分的持续时间上均低于对照组,差异有统计学意义(P<0.05);观察组患者首次下床活动时间低于对照组,术后24h内睡眠时长高于对照组,差异有统计学意义(P<0.05);观察组患者对护理工作满意度优于对照组,差异有统计学意义(P<0.05)。结论快速康复外科结合临床路径应用于日间甲状腺手术可以优化围术期临床指标,降低患者术前焦虑水平和术后疼痛水平,有利于患者术后生理功能的恢复,提高患者对护理工作的满意度。
Objective To investigate the effect of fast track surgery(FTS)combined with clinical nursing pathways(CNP)on the perioperative period of patients with daytime papillary thyroid carcinoma(PTC).Methods 120 patients with PTC admitted to our department from June 2018 to March 2019 were selected as the study subjects.They were randomly divided into the observation group(n=59)and the control group(n=61)according to the admission order and random number table method.The control group received conventional nursing,and the observation group applied a combination of FTS and CNP.The preoperative anxiety level,postoperative pain level,postoperative physiological function recovery and nursing satisfaction were compared between the two groups.Results The preoperative anxiety level in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).The maximum VAS within 24 hours after surgery,mean VAS,duration of maximum VAS value,and duration of VAS value>3 points in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05);The first time of getting out of bed in the observation group was shorter than that in the control group,and the sleep duration was higher than that of the control group within 24 hours after operation,and the differences were statistically significant(P<0.05);The satisfaction in the observation group was better than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of FTS combined with CNP in daytime PTC can optimize the perioperative clinical indicators,reduce the preoperative anxiety level and postoperative pain level.It is conducive to the recovery of postoperative physiological functions of patients and improves the nursing satisfaction of patients.
作者
许盼盼
李芳芳
张淼
XU Panpan;LI Fangfang;ZHANG Miao(The First Affiliated Hospital of Anhui Medical University,Anhui,Hefei 230022,China)
出处
《中国医药科学》
2020年第9期107-111,共5页
China Medicine And Pharmacy
关键词
快速康复外科
临床护理路径
日间手术
甲状腺乳头状癌
Fast track surgery
Clinical nursing pathway
Daytime surgery
Papillary thyroid carcinoma
