甲状腺手术患者护理干预对焦虑及疼痛不适的影响

Effect of nursing intervention on anxiety and pains of patients undergone thyroid operation

目的 观察甲状腺手术患者应用护理干预对焦虑及疼痛不适的影响。方法 选取2012年2月~2014年2月于内蒙古医科大学附属医院诊治的96例甲状腺行手术治疗患者,按照随机双盲法分为两组,对照组48例患者行常规护理,研究组48例患者在对照组基础上行护理干预,分析两组患者护理前后心理、疼痛及并发症情况。结果 研究组患者护理后焦虑量表（SAS）、抑郁量表（SDS）评分[（24.84±2.32）、（28.62±2.90）分]比对照组[（34.75±3.53）、（37.83±3.87）分]低,术后0级疼痛患者[28例（58.33%）]多于对照组[11例（22.92%）],出现并发症[8例（18.67%）]少于对照组[23例（47.92%）],差异均有统计学意义（均P〈0.05）。结论 甲状腺手术患者应用护理干预对焦虑及疼痛不适效果显著,有效改善患者术后疼痛情况的同时缓解患者不良情绪,降低术后并发症发生率,对患者的预后效果影响较好。

Objective To observe the effect of nursing intervention on the anxiety and pains in patients with thyroid operation. Methods 96 cases undergone thyroid surgical operation in Affiliated Hospital of Inner Mongolia Medical U- niversity from February 2012 to February 2014 were randomly selected and then according to the randomized double blind method they were divided into two groups. While routine nursing was performed in 48 patients of the control group, 48 patients in the study group were given nursing intervention on basis of the control group. The psychological state, pains and complications of the two groups of patients before and after nursing were analyzed. Results After given nursing, scores of SAS and SDS of study group were respectively （24.84±2.32） points and （28.62±2.90） points, lower than those of the control group, which were （34.75±3.53） points and （37.83±3.87） points. 28 patients in the study group experienced O-level of pains （58.33%） after nursing, higher than that in the control group [11 cases （22.92%）], and 8 cases （18.67%） in the study group experienced complications, less than the control group [23 cases （47.92%）], the com- parative differences were all statistically significant （P 〈 0.05）. Conclusion Nursing intervention for patients undergone thyroid operation is of significant effect on patients＇ anxiety and pains, which can effectively improve the postoperative pains of patients and relieve their negative emotions. Besides, nursing intervention can reduce the incidence of postop- erative complications, with better effect on the prognosis of patients.