摘要
目的:探讨加速康复外科(FTS)护理联合激励式护理对甲状腺癌手术患者的影响。方法:选取2021年6月—2022年6月厦门大学附属第一医院收治的76例甲状腺癌手术患者为研究对象。根据摸球法将其分为对照组(n=38)和观察组(n=38)。对照组给予常规围手术期护理,观察组在对照组基础上给予FTS护理联合激励式护理。比较两组护理前后自我效能感、焦虑情况、生存质量、希望水平、幸福水平及并发症。结果:护理后,观察组一般自我效能感量表(GSES)评分高于对照组,差异有统计学意义(P<0.05)。护理后,两组汉密尔顿焦虑量表(HAMA)、焦虑自评量表(SAS)评分均下降,观察组HAMA评分、SAS评分均低于对照组,差异有统计学意义(P<0.05)。护理后,两组功能领域评分升高,症状领域评分降低,观察组功能领域评分高于对照组,症状领域评分低于对照组,差异有统计学意义(P<0.05)。护理后,两组整体幸福感量表(GWB)、Herth希望指数(HHI)评分均升高,观察组HHI评分、GWB评分均高于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:针对甲状腺癌手术患者实施FTS护理联合激励式护理,可有效提升患者自我效能感,改善心理状态,提升希望水平及幸福水平,优化术后生存质量,降低并发症发生率。
Objective:To investigate the effects of fast-track surgery(FTS)nursing combined with incentive nursing on patients undergoing thyroid cancer surgery.Method:A total of 76 patients undergoing thyroid cancer surgery treated in the First Affiliated Hospital of Xiamen University from June 2021 to June 2022 were selected as the study objects.They were divided into control group(n=38)and observation group(n=38)according to ball-touching method.The control group was given routine perioperative nursing,and the observation group was given FTS nursing combined with incentive nursing on the basis of the control group.Self-efficacy,anxiety condition,quality of life,hope level,happiness level before and after nursing and complications were compared between the two groups.Result:After nursing,the general self-efficacy scale(GSES)score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the scores of Hamilton anxiety scale(HAMA)and self-rating anxiety scale(SAS)decreased in both groups,and the HAMA score and SAS score in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,functional field scores increased and symptom field scores decreased in both groups,functional field score in the observation group was higher than that in the control group,and symptom field score was lower than that in the control group,the differences were statistically significant(P<0.05).After nursing,the overall well-being scale(GWB)and Herth hope index(HHI)scores of both groups were increased,and the HHI score and GWB score of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:FTS nursing combined with incentive nursing for thyroid cancer surgery patients can eff
作者
梁爽
周淑玫
LIANG Shuang;ZHOU Shumei(The First Affiliated Hospital of Xiamen University,Xiamen 361000,China;不详)
出处
《中外医学研究》
2023年第34期99-103,共5页
CHINESE AND FOREIGN MEDICAL RESEARCH
