综合性护理干预在甲状腺癌根治术患者中的应用效果(1)
[摘要] 目的 分析综合性护理干预在甲状腺癌根治術患者中的应用效果。 方法 选取2015年1月～2016年12月北京协和医院收治的甲状腺癌患者80例为研究对象，根据患者的入院时间将患者分为两组：将2015年1～12月收治的40例患者作为对照组，将2016年1～12月收治的40例患者作为研究组。两组患者均给予根治术治疗，术后均给予常规护理，观察组患者在此基础上给予综合性护理干预。出院时采用视觉模拟评分法(VAS)评估两组患者的术后疼痛程度；采用焦虑自评量表(SAS)及抑郁自评量表(SDS)对患者的焦虑和抑郁状况进行评估；比较两组患者的护理满意度。 结果 术前1 d，研究组患者的SAS评分和SDS评分较入院时明显降低，差异有统计学意义(P < 0.05)；出院时，两组患者的SAS评分和SDS评分均较本组入院时明显降低，差异有统计学意义(P < 0.05)。研究组患者出院前VAS评分低于对照组，住院时间短于对照组，术后并发症总发生率低于对照组，差异有统计学意义(P < 0.05)。研究组患者的护理满意度明显高于对照组(P < 0.05)。 结论 综合性护理干预可有效缓解甲状腺癌根治术患者的焦虑和抑郁情况，减轻患者的术后疼痛，提高患者的护理满意度，值得临床推广应用。
[关键词] 综合护理；甲状腺癌；根治术；应用效果
[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210(2017)05(b)-0156-04
[Abstract] Objective To analyze the effect of comprehensive nursing intervention on postoperative recovery in patients with radical operation of thyroid cancer. Methods From January 2015 to December 2016， 80 patients with thyroid cancer in Peking Union Medical College Hospital were selected as the research object. According to the patientsˊ admission time， they were divided into two groups： 40 patients from January to December in 2015 were selected as control group， 40 patients from January to December in 2016 were selected as research group. Patients of the two groups were given to radical surgery and routine nursing， and the observation group was given to the comprehensive nursing intervention in addition. The VAS scale was used to evaluated the degree of pain when left the hospital， SAS and SDS scales were used to evaluated the anxiety and depression status. The nursing satisfaction of patients was compared between two groups. Results The scores of SAS and SDS of patients in the research group one day preoperative were lower than those at admission， with statistically significant difference (P < 0.05). SAS and SDS score of patients in the two groups when left the hospital were significantly lower than those on admission， with statistically significant difference (P < 0.05). VAS score of patients in the group when left the hospital was lower than that of the control group， the length of hospital stays was shorter than that of the control group， incidence of postoperative complications was lower than that of the control group， with statistically significant difference (P < 0.05). The nursing satisfaction of the research group was significantly higher than that of the control group， with statistically significant difference (P < 0.05). Conclusion Comprehensive nursing intervention can effectively relieve the anxiety and depression of patients with thyroid cancer radical， reduce the patientˊs postoperative pain， improve patient satisfaction with care， worthy of clinical popularization., http://www.100md.com(张雅琴 张谊 郝颖 马玉芬)
[关键词] 综合护理；甲状腺癌；根治术；应用效果
[中图分类号] R47 [文献标识码] A [文章编号] 1673-7210(2017)05(b)-0156-04
[Abstract] Objective To analyze the effect of comprehensive nursing intervention on postoperative recovery in patients with radical operation of thyroid cancer. Methods From January 2015 to December 2016， 80 patients with thyroid cancer in Peking Union Medical College Hospital were selected as the research object. According to the patientsˊ admission time， they were divided into two groups： 40 patients from January to December in 2015 were selected as control group， 40 patients from January to December in 2016 were selected as research group. Patients of the two groups were given to radical surgery and routine nursing， and the observation group was given to the comprehensive nursing intervention in addition. The VAS scale was used to evaluated the degree of pain when left the hospital， SAS and SDS scales were used to evaluated the anxiety and depression status. The nursing satisfaction of patients was compared between two groups. Results The scores of SAS and SDS of patients in the research group one day preoperative were lower than those at admission， with statistically significant difference (P < 0.05). SAS and SDS score of patients in the two groups when left the hospital were significantly lower than those on admission， with statistically significant difference (P < 0.05). VAS score of patients in the group when left the hospital was lower than that of the control group， the length of hospital stays was shorter than that of the control group， incidence of postoperative complications was lower than that of the control group， with statistically significant difference (P < 0.05). The nursing satisfaction of the research group was significantly higher than that of the control group， with statistically significant difference (P < 0.05). Conclusion Comprehensive nursing intervention can effectively relieve the anxiety and depression of patients with thyroid cancer radical， reduce the patientˊs postoperative pain， improve patient satisfaction with care， worthy of clinical popularization., http://www.100md.com(张雅琴 张谊 郝颖 马玉芬)