循证护理对甲亢患者的干预效果研究(1)
【摘要】 目的：分析循证护理对甲亢患者的干预效果。方法：选取2016年2月-2018年2月本院收治的甲亢患者106例。按照就诊顺序将其随机平均分为观察组和对照组，各53例。对照组接受常规护理，观察组在对照组基础上接受循证护理。比较两组护理前后的抑郁(SDS评分)、焦虑(SAS评分)、生活质量(SF-36量表)及满意度情况。结果：护理后，两组SAS、SDS评分均低于护理前，且观察组均低于对照组，比较差异均有统计学意义(P<0.05);护理后，两组SF-36量表各维度评分均高于护理前，且观察组均高于对照组，比较差异均有统计学意义(P<0.05);观察组总满意度为98.11%，高于对照组的84.92%(P<0.05)。结论：甲亢属于一种身心疾病，除对患者开展行之有效的治疗外，对其实施循证护理，能够全面改善患者心境，提升生活质量以及护理满意度，减少并发症发生率，可促进患者疾病转归，值得进一步在临床中推广使用。
【关键词】 循证护理; 甲亢患者; 心理; 生活质量
【Abstract】 Objective：To analyze the intervention effect of evidence-based nursing on hyperthyroidism patients.Method：A total of 106 patients with hyperthyroidism admitted to our hospital from February 2016 to February 2018 were selected.According to the order of treatment，they were randomly divided into observation group and control group，53 cases in each group.The control group received routine nursing，while observation group received evidence-based nursing on the basis of control group.The depression(SDS score)，anxiety(SAS score) and quality of life(SF-36 scale) before and after nursing，and the satisfaction of two groups were compared.Result：After nursing，the scores of SAS and SDS in two groups were lower than those of before nursing，and observation group were lower than those of control group，the difference were statistically significant(P<0.05).After nursing，the scores of each dimension of SF-36 scale in two groups were higher than those of before nursing，and observation group were higher than those of control group，the difference were statistically significant(P<0.05).The total satisfaction rate of observation group was 98.11%，which was higher than 84.92% of control group(P<0.05).Conclusion：Hyperthyroidism is a kind of physical and mental disease.Besides effective treatment for patients，evidence-based nursing can improve patients’ mood，improve their quality of life and nursing satisfaction，reduce the incidence of complications，and promote the prognosis of patients’ diseases.It is worth further popularizing in clinical practice.
【Key words】 Evidence-based nursing; Patients with hyperthyroidism; Psychology; Quality of life
First-author’s address：Xinhua Hospital of Ili Kazak Autonomous Prefecture，Yining 835000，China
doi：10.3969/j.issn.1674-4985.2019.01.026
甲狀腺功能亢进症(简称甲亢)为临床常见内分泌疾病，该疾病有着起病隐匿的特征。疾病发生和感染、遗传、精神状态以及劳累等存在相关性。高代谢以及神经系统兴奋为疾病的主要临床表现，患者多合并、躁动、多言多语、焦虑、抑郁以及暴怒等不良心理，严重影响其自身生活质量。除对患者开展有效治疗外，实施具有针对性的护理，能够进一步改善患者生活质量，缓解不良心理[1-2]。当前循证护理在临床工作中备受重视，其能够全面提升护理人员的批判思维，令护理变得更为有效优质，进而全面改善改善患者临床症状，可促进疾病转归。为了探讨循证护理对于甲亢患者的干预效果，结合实际情况本研究选取2016年2月-2018年2月本院收治的106例甲亢患者为研究对象，并对部分患者开展了循证护理。现报道如下。, http://www.100md.com(何海荣)
【关键词】 循证护理; 甲亢患者; 心理; 生活质量
【Abstract】 Objective：To analyze the intervention effect of evidence-based nursing on hyperthyroidism patients.Method：A total of 106 patients with hyperthyroidism admitted to our hospital from February 2016 to February 2018 were selected.According to the order of treatment，they were randomly divided into observation group and control group，53 cases in each group.The control group received routine nursing，while observation group received evidence-based nursing on the basis of control group.The depression(SDS score)，anxiety(SAS score) and quality of life(SF-36 scale) before and after nursing，and the satisfaction of two groups were compared.Result：After nursing，the scores of SAS and SDS in two groups were lower than those of before nursing，and observation group were lower than those of control group，the difference were statistically significant(P<0.05).After nursing，the scores of each dimension of SF-36 scale in two groups were higher than those of before nursing，and observation group were higher than those of control group，the difference were statistically significant(P<0.05).The total satisfaction rate of observation group was 98.11%，which was higher than 84.92% of control group(P<0.05).Conclusion：Hyperthyroidism is a kind of physical and mental disease.Besides effective treatment for patients，evidence-based nursing can improve patients’ mood，improve their quality of life and nursing satisfaction，reduce the incidence of complications，and promote the prognosis of patients’ diseases.It is worth further popularizing in clinical practice.
【Key words】 Evidence-based nursing; Patients with hyperthyroidism; Psychology; Quality of life
First-author’s address：Xinhua Hospital of Ili Kazak Autonomous Prefecture，Yining 835000，China
doi：10.3969/j.issn.1674-4985.2019.01.026
甲狀腺功能亢进症(简称甲亢)为临床常见内分泌疾病，该疾病有着起病隐匿的特征。疾病发生和感染、遗传、精神状态以及劳累等存在相关性。高代谢以及神经系统兴奋为疾病的主要临床表现，患者多合并、躁动、多言多语、焦虑、抑郁以及暴怒等不良心理，严重影响其自身生活质量。除对患者开展有效治疗外，实施具有针对性的护理，能够进一步改善患者生活质量，缓解不良心理[1-2]。当前循证护理在临床工作中备受重视，其能够全面提升护理人员的批判思维，令护理变得更为有效优质，进而全面改善改善患者临床症状，可促进疾病转归。为了探讨循证护理对于甲亢患者的干预效果，结合实际情况本研究选取2016年2月-2018年2月本院收治的106例甲亢患者为研究对象，并对部分患者开展了循证护理。现报道如下。, http://www.100md.com(何海荣)