摘要
目的：探讨术前系统护理干预应用于甲状腺患者对其生理应激指标及焦虑、抑郁情感状况的影响。方法选取我院2014年10月至2015年10月收治的行手术治疗甲状腺疾病患者86例，按随机数字表法分为研究组和对照组各43例。其中，对照组开展常规护理干预，研究组则在对照组基础上引入术前系统护理干预。比较两组患者在入院时、干预后第2天以及术后第2、4天的收缩压、舒张压、心率值、数字等级评分法（ NRS ）、焦虑自评量表（ SAS）评分和抑郁自评量表（ SDS）评分。结果两组患者在入院时的收缩压、舒张压及心率值比较，差异无统计学意义（ P﹥0.05）；干预后第2天以及术后第2、4天，研究组患者的收缩压、舒张压及心率值均低于对照组，差异有统计学意义（ P〈0.05）。两组患者入院时的NRS评分比较，差异无统计学意义（ P﹥0.05）；术后第2、4天，研究组NRS评分均低于对照组，差异有统计学意义（ P〈0.05）。两组患者在入院时的SAS和SDS评分比较，差异无统计学意义（ P﹥0.05）；研究组患者干预后第2天以及术后第2、4天的SAS和SDS评分均低于对照组，差异有统计学意义（ P〈0.05）。结论行手术治疗的甲状腺患者引入术前系统化护理干预模式，有助于降低其生理应激状态，且能改善其负性情感状况，值得在临床上推广应用。
Objective To explore the effect of systematic nursing intervention on physiological stress index, anxiety and depression of patients with thyroid. Methods A total of 86 cases of patients with thyroid disease who received operation in our hospital from October 2014 to October 2015 were selected as the research objects and were divided into study group and control group according to the random number table, 43 cases in each group. In the control group, rou-tine nursing intervention was carried out, and the research group was introduced into preoperative systematic nursing inter-vention on the basis of the control group. The systolic blood pressure, diastolic blood pressure, heart rate, numeric rating scales （ NRS） , self rating Anxiety Scale （ SAS） score and self rating Depression Scale （ SDS） score of the two groups at admission, after the intervention of 2 days and the 2nd, 4th after the operation were recored. Results There were no sig-nificant differences in systolic blood pressure, diastolic blood pressure and heart rate between the two groups （P﹥0. 05） at the beginning. The results showed that the systolic blood pressure, diastolic blood pressure and heart rate of the patients in the study group were lower than those in the control group after 2 days and the 2nd, 4th, and the difference was statisti-cally significant （P〈0. 05） . There was no significant difference in the NRS score between the two groups （P﹥0. 05）. Af-ter the operation 2nd and 4th, the NRS score of the study group was lower than that of the control group, and the differ-ence was statistically significant （P〈0. 05） . There was no significant difference in the SAS and SDS scores between the two groups （P﹥0. 05）. The SAS and SDS scores of the study group were significantly lower than that of the control group （2D） after the 2nd and 4th of the operation, and the difference was statistically significant （P〈0. 05） . Conclusions The systematic nursing intervention mode for patients with thyroid surgery is helpful to reduce the physiological stress, and it can improve the negative emotional state of the patients, so it is worth to be further promoted in clinical practice.
作者
尹萍
孙萍
李莲
Yin Ping Sun Ping Li Lian(Surgical Department, JiangYuan Hospital Affiliated to Jiangsu Institute Of Nuclear Medicine, WuXi 214063：, China)
出处
《国际护理学杂志》
2016年第21期2963-2967,共5页
international journal of nursing
关键词
系统护理
甲状腺手术
生理应激
负性情感
Systematic nursing
Thyroid surgery
Physiological stress
Negative emotion
