摘要
目的探讨全程护理干预在结节性甲状腺肿患者经腋窝入路腔镜下甲状腺切除术围手术期的应用效果。方法选取2019年1-12月在郑州大学第一附属医院接受经腋窝入路腔镜下甲状腺切除术治疗的90例结节性甲状腺肿患者,按入院时间分为对照组(2019年1-6月,43例)与研究组(2019年7-12月,47例)。对照组接受常规护理干预,研究组在对照组基础上接受全程护理干预。比较两组生理应激反应情况[术前、术后2 h、术后6 h收缩压(SBP)、舒张压(DBP)、心率(HR)水平]、心理应激反应情况[干预前后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分]、护理工作满意度。结果术前,两组SBP、DBP、HR比较,差异无统计学意义(P>0.05);术后2 h,研究组SBP、DBP、HR低于对照组,差异有统计学意义(P<0.05);术后6 h,两组SBP、DBP、HR比较,差异无统计学意义(P>0.05)。干预前,两组SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后,研究组SAS、SDS评分低于对照组,差异有统计学意义(P<0.05)。研究组护理工作满意度为97.87%(46/47),高于对照组的79.07%(34/43),差异有统计学意义(P<0.05)。结论全程护理干预在结节性甲状腺肿患者经腋窝入路腔镜下甲状腺切除术围手术期应用效果较好,可促进患者术后机体生理状态恢复,同时可改善患者不良心理状态,提高护理工作满意度。
Objective To investigate the effects of whole course nursing intervention in patients with nodular goiter during the perioperative period of laparoscopic thyroidectomy through axillary approach.Methods From January to December 2019,90 patients with nodular goiter who underwent transaxillary laparoscopic thyroidectomy at the First Affiliated Hospital of Zhengzhou University were selected and divided into control group(January to June 2019,43 cases)and study group(July to December 2019,47 cases)according to the time of admission.Control group received routine nursing,and study group received whole course nursing on the basis of control group.The physiological stress responses of the two groups were compared,including systolic blood pressure(SBP),diastolic blood pressure(DBP),and heart rate(HR)levels before surgery,2 hours after surgery,and 6 hours after surgery.The psychological stress response of the two groups was compared,including the scores of the self-rating anxiety scale(SAS)and the self-rating depression scale(SDS)before and after the intervention.Compare the two groups of nursing job satisfaction.Results Before the operation,there was no statistical difference between the two groups in SBP,DBP and HR(P>0.05).SBP,DBP,and HR in study group were lower than those in control group 2 hours after the operation(P<0.05).Six hours after the surgery,there was no statistical difference between the two groups in SBP,DBP,and HR(P>0.05).Before the intervention,there was no statistical difference in SAS and SDS scores between the two groups(P>0.05).After the intervention,the SAS and SDS scores of study group were lower than those of control group(P<0.05).The nursing satisfaction of study group was 97.87%(46/47),which was higher than 79.07%(34/43)of control group(P<0.05).Conclusion Whole course nursing intervention is effective in perioperative application of patients with nodular goiter through axillary laparoscopic thyroidectomy,which could promote the recovery of the patients’body after surgery,reduce the unhealthy me
作者
钱连连
潘晓培
李红强
苌群刚
殷德涛
QIAN Lianlian;PAN Xiaopei;LI Hongqiang;CHANG Qungang;YIN Detao(Department of Thyroid Surgery,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2021年第17期3241-3244,共4页
Henan Medical Research
