摘要
目的探讨情绪晴雨表联合吞咽训练对甲状腺根治术患者吞咽功能、自我形象、述情障碍的影响。方法选择80例甲状腺根治术患者作为研究对象,采用随机数字表法分为观察组和对照组,各40例。对照组术后给予常规吞咽训练及护理管理。观察组在对照组的基础上增加情绪晴雨表护理干预。比较两组住院时间、进食时间,术后24h、48h采用疼痛视觉模拟评分表(VAS)评价疼痛情况;采用洼田饮水试验评价吞咽功能;随访1个月采用抑郁自评量表(SDS)评价抑郁状态,采用焦虑自评量表(SAS)评价焦虑状态;采用自制满意度量表评价自我形象的美学满意度;采用多伦多述情障碍量表(TAS-20)评价述情障碍。结果观察组进食时间及住院时间短于对照组(P<0.05)。观察组术后24h、48h VAS评分及洼田饮水试验评分低于对照组(P<0.05)。观察组干预后述情障碍评分、SAS评分及SDS评分均低于对照组(P<0.05)。观察组美容总满意率高于对照组(P<0.05)。结论情绪晴雨表联合吞咽训练能促进甲状腺根治术后吞咽功能的恢复,降低述情障碍及不良情绪,提高自我形象满意度。
Objective To explore the effect of emotional barometer combined with swallowing training on swallowing function,self-image and alexithymia in patients undergoing radical thyroidectomy.Methods Eighty patients with radical thyroidectomy were selected as the research objects,and they were divided into observation group and control group with 40 cases each by random number method.The control group was given routine swallowing training and nursing management after operation,and the observation group added emotional barometer nursing intervention on the basis of the control group.The hospitalization time and eating time were compared between the two groups;the pain visual analog scale(VAS)was used to evaluate the pain at 24h and 48h after the operation,the swallowing function was evaluated by the Watian drinking test;the depression self-rating scale(SDS)was used to evaluate depression Status,using the Anxiety Self-Rating Scale(SAS)to evaluate the anxiety state,using the self-made satisfaction scale to evaluate the aesthetic satisfaction of self-image,and using the Toronto Alexithymia Scale(TAS-20)to evaluate alexithymia.Results The eating time and hospitalization time of the observation group were lower than those of the control group(P<0.05).As time went on,the VAS scores and Watian drinking test scores of the two groups gradually decreased after surgery(P<0.05);the VAS scores and Watian drinking test scores of the observation group were lower than those of the control group at 24 and 48h after surgery(P<0.05)).The scores of describing emotions,recognizing emotions,and extroverted thinking of the two groups of patients after the intervention were improved compared with those before the intervention(P<0.05).After the intervention,the scores of describing emotions,recognizing emotions,and extroverted thinking of the observation group were lower than those of the control group(P<0.05)).After the intervention,the SAS score and SDS score of the two groups were lower than those before the intervention(P<0.05);after the intervention,the SAS score and SDS score of the observation group were lower than those of the control group(P<0.05).The overall satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion Emotional barometer combined with swallowing training can better promote the recovery of swallowing function after radical thyroidectomy,reduce alexithymia and bad emotional state,and increase self-image satisfaction.
作者
王旋
李红卫
张昆
李晓雨
王彦芳
WANG xuan;LI Hong-wei;ZHANG Kun;LI Xiao-yu;WANG Yan-fang(Department of Thyroid and Breast Surgery,Nanyang Second People's Hospital,Nanyang,Henan,473000)
出处
《临床护理杂志》
2021年第1期26-29,共4页
Journal of Clinical Nursing
基金
河南省医学科技攻关计划项目(2018072342)。
关键词
甲状腺根治术
吞咽训练
情绪晴雨表
radical thyroidectomy
deglutition training
mood barometer
