全面护理干预在甲状腺次全切术患者中的应用效果(1)
[摘要]目的 探讨全面护理干预在甲状腺次全切术患者中的应用效果。方法 选取2015年1月～2016年1月我院收治的94例甲状腺次全切术患者为观察对象，采用掷币法随机分为观察组与对照组，各47例，观察组给予全面护理干预，对照组给予常规护理措施，比较两组患者住院时间、焦虑抑郁水平、并发症发生率及护理满意度。结果 观察组患者住院时间[(5.2±0.5)d]短于对照组[(7.0±1.2)d]，SAS、SDS评分[(24.7±2.5)、(28.5±2.8)分]低于对照组[(33.9±3.6)、(37.1±3.7)分]，并发症发生率(10.64%)低于对照组(23.40%)，护理满意度(95.74%)高于对照组(85.11%)，差异有统计学意义(P<0.05)。结论 对甲状腺次全切术患者给予全面护理干预可以提高患者的护理满意度，减少并发症，帮助患者树立良好的心态，缩短住院时间。
[关键词]甲状腺次全切术；全面护理干预；护理满意度；并发症
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2017)07(c)-0153-03
Application effect of comprehensive nursing intervention on patients with subtotal thyroidectomy
SONG Cui-cui
Department of Nursing，Yingtan People′s Hospital in Jiangxi Province，Yingtan 335000，China
[Abstract]Objective To explore the application effect of comprehensive nursing intervention on patients with subtotal thyroidectomy.Methods 94 cases of subtotal resection patients in our hospital from January 2015 to January 2016 were selected in this reasearch and randomly divided into the observation group and the control group according to casting coins，with 47 cases in each group.The observation group was given comprehensive nursing intervention，while the control group was given routine nursing.The length of hospital stays，the levels of anxiety and depression，the incidence of complication and nursing satisfaction were compared between two groups.Results The length of hospital stays [(5.2±0.5) d] in the observation group was shorter than that in the control group [(7.0±1.2) d]，the scores of SAS，SDS [(24.7±2.5)，(28.5±2.8) points] were lower than those in the control group [(33.9±3.6)，(37.1±3.7) points]，the incidence of complication (10.64%) was lower than that in the control group (23.40%)，the nursing satisfaction (95.74%) was higher than that in the control group (85.11%)，and the differences were statistically significant (P<0.05).Conclusion For subtotal thyroidectomy patients，comprehensive nursing interventioncan can improve the satisfaction of patients，reduce complications，help patients to establish a good state of mind and also can shorten the length of hospital stay.
[Key words]Subtotal thyroidectomy；Comprehensive nursing intervention；Nursing satisfaction；Complication
甲狀腺疾病是临床常见疾病，发病率高，手术是最直接有效的治疗方法。甲状腺次全切术是临床用于单纯甲状腺肿、甲亢、巨大囊肿等疾病的主要手术方式，患者的痊愈率超过90%，疗效显著[1]。甲状腺结构复杂，血流丰富[2]，手术具有创伤性，术中容易损伤神经、血管。患者对手术存在恐惧、担忧等负面情绪会增加机体的应激反应，影响手术效果，加之麻醉药物的使用，术后并发症发生概率大，不利于患者的康复[3-4]。所以，在围术期给予患者全面护理干预对提高患者的依从性、降低并发症风险具有重要作用[5]。本文就甲状腺次全切术的有效护理方法及护理效果进行探讨，现报道如下。, http://www.100md.com(宋翠翠)
[关键词]甲状腺次全切术；全面护理干预；护理满意度；并发症
[中图分类号] R473.6 [文献标识码] A [文章编号] 1674-4721(2017)07(c)-0153-03
Application effect of comprehensive nursing intervention on patients with subtotal thyroidectomy
SONG Cui-cui
Department of Nursing，Yingtan People′s Hospital in Jiangxi Province，Yingtan 335000，China
[Abstract]Objective To explore the application effect of comprehensive nursing intervention on patients with subtotal thyroidectomy.Methods 94 cases of subtotal resection patients in our hospital from January 2015 to January 2016 were selected in this reasearch and randomly divided into the observation group and the control group according to casting coins，with 47 cases in each group.The observation group was given comprehensive nursing intervention，while the control group was given routine nursing.The length of hospital stays，the levels of anxiety and depression，the incidence of complication and nursing satisfaction were compared between two groups.Results The length of hospital stays [(5.2±0.5) d] in the observation group was shorter than that in the control group [(7.0±1.2) d]，the scores of SAS，SDS [(24.7±2.5)，(28.5±2.8) points] were lower than those in the control group [(33.9±3.6)，(37.1±3.7) points]，the incidence of complication (10.64%) was lower than that in the control group (23.40%)，the nursing satisfaction (95.74%) was higher than that in the control group (85.11%)，and the differences were statistically significant (P<0.05).Conclusion For subtotal thyroidectomy patients，comprehensive nursing interventioncan can improve the satisfaction of patients，reduce complications，help patients to establish a good state of mind and also can shorten the length of hospital stay.
[Key words]Subtotal thyroidectomy；Comprehensive nursing intervention；Nursing satisfaction；Complication
甲狀腺疾病是临床常见疾病，发病率高，手术是最直接有效的治疗方法。甲状腺次全切术是临床用于单纯甲状腺肿、甲亢、巨大囊肿等疾病的主要手术方式，患者的痊愈率超过90%，疗效显著[1]。甲状腺结构复杂，血流丰富[2]，手术具有创伤性，术中容易损伤神经、血管。患者对手术存在恐惧、担忧等负面情绪会增加机体的应激反应，影响手术效果，加之麻醉药物的使用，术后并发症发生概率大，不利于患者的康复[3-4]。所以，在围术期给予患者全面护理干预对提高患者的依从性、降低并发症风险具有重要作用[5]。本文就甲状腺次全切术的有效护理方法及护理效果进行探讨，现报道如下。, http://www.100md.com(宋翠翠)