心理护理对老年女性甲状腺手术患者围术期基础体征的影响

Efficacy of psychological nursing on basic signs during perioperative period in elderly female with thyroid surgery

目的:研究心理护理对老年女性甲状腺手术患者围术期基础体征的影响。方法:选择2014年4月-2015年4月来我院行甲状腺手术的80例老年女性患者作为研究对象,随机分为两组,每组40例。对照组给予常规围术期护理,观察组在常规护理基础上联合心理护理。观察两组护理效果及患者血压、心率等基本生命体征变化情况。结果:观察组心理护理干预后手术总有效率为97.5%,显著高于对照组的85.0%,差异具有统计学意义(P<0.05)。观察组术中和术后1d心率、血压与术前比较,差异无统计学意义(P>0.05),对照组术中与术后1d心率和血压显著高于本组术前1d和观察组同期水平,差异均具有统计学意义(P<0.05)。结论:在老年女性甲状腺手术中,心理护理有利于维持患者基本生命体征的稳定,使患者积极配合手术操作,提高手术疗效。

Objective： To observe efficacy of psychological nursing on basic signs during perioperative period in elderly female with thyroid surgery. Methods： 80 cases were divided into two groups, 40 cases in each group. The control group was given conventional nursing; the observed group took psychological nursing more. Results： The total efficiency was 97.5% in the observed group, better than 85.0% in the control group （P〈0.05）. Differences of heart rate and blood pressure between before treatment and after treatment were not statistically significant in the observed group. Heart rate and blood pressure were higher during operation and in 1 day in the control group than those in the observed group （P〈0.05）. Conclusion： During thyroid surgery, psychological nursing was conducive to maintain stability of basic vital signs, actively cooperated with the surgical procedure, and improved efficacy.