摘要
目的:分析手术室个性化舒适护理对甲状腺癌根治术患者围手术期生命体征、焦虑和抑郁情绪、疼痛与睡眠质量的影响。方法:选取2019年1月至2022年1月于阜阳市人民医院接受根治术治疗的120例甲状腺癌患者。通过随机数字表法分为对照组(n=60)和观察组(n=60)。对照组给予常规护理,观察组给予手术室个性化舒适护理,比较2组围术期生命体征[心率(heart rate,HR)、收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)]、焦虑、抑郁情绪[由汉密尔顿焦虑量表(Hamilton Anxiety Scale,HAMA)、汉密尔顿抑郁量表(Hamilton Depression Scale,HAMD)测评]、疼痛[由视觉模拟评分法(Visual Analogue Scale,VAS)测评]与睡眠质量[由匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)测评]情况。结果:术前15 min,观察组HR、SBP、DBP均低于对照组,差异均有统计学意义(均P<0.05)。护理后,观察组HAMA、HAMD评分低于对照组,差异有统计学意义(P<0.05)。观察组VAS评分:护理前和术后3 d<术后2 d<术后1 d;术后1、2 d,观察组VAS评分较对照组更低,差异均有统计学意义(均P<0.05)。观察组PSQI评分:护理前>术前1 d>术后2 d>术后3 d;术前1 d、术后2 d、术后3 d观察组PSQI评分低于对照组,差异均有统计学意义(均P<0.05)。结论:手术室个性化舒适护理在稳定甲状腺癌根治术患者围手术期生命体征、缓解焦虑、抑郁情绪方面效果较好,同时还可减轻疼痛,改善睡眠质量。
Objective:To analyze the effect of personalized comfort nursing in operating room on perioperative vital signs,anxiety and depression,pain,and sleep quality in patients with radical thyroidectomy.Methods:A total of 120 patients with thyroid cancer who received radical thyroidectomy in Fuyang People’s Hospital from January 2019 to January 2022 were selected for inclusion in the study.They were divided into 2 groups by random number table method:a control group(n=60)and an observation group(n=60).The control group received routine nursing in the operating room,and the observation group received personalized comfort care in the operating room.Perioperative vital signs[heart rate(HR),systolic blood pressure(SBP),diastolic blood pressure(DBP)],anxiety and depression[assessed by Hamilton Anxiety Scale(HAMA),Hamilton Depression Scale(HAMD)],pain[assessed by Visual Analogue Scale(VAS)],and sleep quality[assessed by Pittsburgh Sleep Quality Index(PSQI)]were compared between the 2 groups.Results:At 15 min before the surgery,HR,SBP and DBP in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After nursing,compared with the control group,the HAMA and HAMD scores of the observation group were lower,the differences were statistically significant(P<0.05).The VAS score of observation group was as follows:before nursing,and 3 days after operation<2 days after the operation<1 day after operation,the differences were statistically significant(P<0.05).At 1 and 2 days after the operation,compared with the control group,the VAS score of the observation group was lower,the differences were statistically significant(P<0.05).The PSQI score of the observation group was as follows:before nursing>1 day before the operation>2 days after the operation>3 days after the operation,the differences were statistically significant(P<0.05).At 1 day before the operation,2 and 3 days after the operation,the PSQI scores of the observation group were lower than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Personalized and comfortable nursing care in the operating room is effective on stabilizing perioperative vital signs and relieving anxiety and depression of radical thyroid cancer patients,and can also reduce pain and improve sleep quality.
作者
章永铭
ZHANG Yongming(Southern Operating Room,Fuyang People’s Hospital,Fuyang Anhui 236000,China)
出处
《临床与病理杂志》
CAS
2023年第3期597-603,共7页
Journal of Clinical and Pathological Research
关键词
甲状腺癌根治术
手术室个性化舒适护理
生命体征
焦虑和抑郁
疼痛
睡眠质量
radical thyroidectomy
personalized comfort care in operating room
vital signs
anxiety and depression
pain
sleep quality
