摘要
目的 探讨个性化优质护理对甲状腺癌切除术患者围术期的影响。方法 选取2019年3月至2021年3月间上海中医药大学附属曙光医院收治的113例甲状腺癌切除术患者,采用抛硬币随机法分为观察组57例和对照组56例。对照组患者采用常规护理干预,观察组患者采用个性化优质护理干预,比较两组患者干预前后对疾病知识的了解程度、负性情绪、疼痛、并发症和生存质量。结果 观察组患者甲状腺癌知识了解程度为96.5%,高于对照组的82.1%,差异有统计学意义(P<0.05)。治疗后,两组患者SAS评分均降低,且观察组低于对照组,差异均有统计学意义(均P<0.05)。术后12h后各时点,两组患者NRS评分均低于术后即刻,且观察组均低于对照组,差异均有统计学意义(均P<0.05)。观察组患者术后并发症总发生率为5.3%,低于对照组的17.9%,差异有统计学意义(P<0.05)。治疗后,观察组患者角色功能、整体功能、认知功能、躯体功能、情感功能评分均高于对照组,差异均有统计学意义(均P<0.05)。结论 甲状腺癌切除术围术期采用个性化优质护理,可有效提高患者对甲状腺癌知识的了解程度,缓解患者焦虑,减轻疼痛,降低并发症发生率,提高生活质量。
Objective To explore the effects of personalized high quality nursing on postoperative rehabilitation of patients undergoing resection surgery for thyroid cancer. Methods A total of 113 patients undergoing resection surgery for thyroid cancer were selected at Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine between March 2019 and March 2021. They were divided into an observation group(57 patients) and a control group(56 patients) using random toss of a coin method. The observation group received personalized high quality nursing and the control group received routine nursing intervention. The patients’ knowledge of disease, negative moods, complications and quality of life were compared between the two groups before and after the nursing. Results Patients’ knowledge of thyroid was 96.5% in observation group which was higher than 82.1% of the control group(P<0.05). After the intervention, the self-rating anxiety scale(SAS) score was low in both groups compared with those before the intervention and it was lower in observation group than that in control group(all P<0.05). Numeric rating scale(NRS) score was low for each time point at 12 h after the operation compared with those immediately after the operation with the observation group lower than the control group(all P<0.05). The overall incidence of postoperative complications was 5.3% in observation group which was significantly lower than 17.9% in control group(P<0.05). The scores of role function, overall function, cognitive function, physical function and emotional function were significantly higher in the observation group after intervention than in the control group(all P<0.05). Conclusion Personalized high-quality nursing during perioperative period of resection for thyroid cancer can effectively improve patients’ knowledge of thyroid cancer, relieve anxiety and pain, reduce the incidence of complications and improve quality of life.
作者
卫婷
王煜
赵伊丽
WEI Ting;WANG Yu;ZHAO Yi-li(Department of Surgery,Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)
出处
《中国肿瘤临床与康复》
2022年第8期985-989,共5页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
上海中医药大学预算内科研项目(2020HL161)。
关键词
个性化优质护理
甲状腺癌切除术
围术期
焦虑
疼痛
Personalized high quality nursing
Resection surgery for thyroid cancer
Perioperative period
Anxiety
Pain
