摘要
目的研究对于通过甲状腺肿切除术治疗的结节性甲状腺肿患者实施精细化护理的效果。方法将2018年4月至2019年4月到我院治疗的92例结节性甲状腺肿患者分为观察组和对照组,平均为46例。所有患者常规使用甲状腺肿切除术治疗,对照组按常规护理予以护理,观察组则按精细化护理予以护理。对不同护理之后的甲状腺功能、并发症发生率、负面心理、睡眠质量、满意度等进行统计学分析和对比。结果①护理开展之前对患者的疼痛情况进行评分统计,两组患者均未表现出明显差异(P>0.05);经过护理之后的12 h、3 d、1周再次对患者的疼痛评分进行统计,观察组的疼痛相比对照组均做出了明显的改善,具有统计学差异性(P<0.05)。②护理之前统计所有患者的FT3与FT4指标,观察组和对照组之间没有明显的差异性(P>0.05);护理以后再次对患者的上述指标进行统计发现,虽然两组患者都有明显改善,但观察组患者的改善效果更为理想,具有统计学差异性(P<0.05)。③观察组[4例(8.70%)]在并发症发生率方面所占的优势相比对照组[14例(30.43%)]明显更高,具有统计学差异性(P<0.05)。④护理开展前对所有患者的焦虑情绪、抑郁情绪、生活质量进行评价,发现患者在相关评分方面没有明显差异(P>0.05);护理之后,再次对上述评分进行评价后,发现两组患者都有改进,但观察组的改进效果更加理想,具有统计学差异性(P<0.05)。⑤在护理满意度上观察组[45例(97.83%)]所获得的评价效果比对照组[38例(82.61%)]更为可观,具有统计学差异性(P<0.05)。结论对结节性甲状腺肿按照甲状腺切除术实施治疗之后,以精细化护理方法进行护理干预,可以使患者术后疼痛得到明显减轻,有助于调整患者的FT_(3)与FT_(4)水平,减少出现并发症的概率,还能调节患者的负面心理和生活质量,得到患者的接受与认可,值得推荐。
Objective To study the effect of meticulous nursing on patients with nodular goiter treated by goiterectomy.Methods A total of 92 patients with nodular goiter who were treated in our hospital from April 2018 to April 2019 were divided into an observation group and a control group,with an average of 46 cases.All patients were routinely treated with goiterectomy,the control group was treated with routine nursing care,and the observation group was treated with fine nursing care.Statistical analysis and comparison of thyroid function,complication rate,negative psychology,sleep quality and satisfaction after different nursing care.Results(1)The pain scores of the patients were counted before the nursing,and there was no significant difference between the two groups of patients(P>0.05);the pain scores of the patients were counted again at 12 h,3 d,and 1 week after nursing,and the pain in the observation group was significantly improved compared with the control group,and the difference was statistically significant(P<0.05).(2)The FT3 and FT4 indexes of all patients were counted before nursing,and there was no significant difference between the observation group and the control group(P>0.05),after nursing,the above indicators of the patients were counted again,and it was found that although the two groups of patients had obvious improvement,the improvement effect of the observation group was more ideal,with statistical difference(P<0.05).(3)Compared with the control group[14 cases(30.43%)],the observation group[4 cases(8.70%)]had a significantly higher advantage in the incidence of complications(P<0.05).(4)Before nursing,the anxiety,depression and quality of life of all patients were evaluated,and it was found that there was no significant difference in the related scores of patients(P>0.05);After nursing,the above scores were evaluated again,and it was found that both groups of patients had improved,but the improvement effect of the observation group was more ideal,with statistical difference(P<0.05).(5)In terms of nur
作者
王丽红
WANG Lihong(Liaoyang Central Hospital,Liaoyang 111000,China)
出处
《中国医药指南》
2022年第27期45-48,共4页
Guide of China Medicine
