手术前后系统化护理干预对甲状腺切除术患者恢复情况的影响

The influence of systematic nursing intervention on the recovery of patients with thyroidectomy before and after surgery

目的 探讨手术前后系统化护理干预对实施甲状腺切除术患者恢复情况的影响.方法 将我院收治的拟行甲状腺切除手术患者按随机数字表法分为两组,对应偶数者为观察组,奇数者为对照组,每组45例.对照组围术期内给予常规护理,观察组围术期内给予系统化的护理干预.测定两组患者各时间段的收缩压及心率变化的情况,评定患者的术中疼痛程度,比较两组的住院情况、综合护理质量满意度及并发症发生情况.结果 观察组患者的平均住院天数及平均医疗费用明显短（或少）于对照组（P〈0.05）,此外围术期间观察组患者对综合护理质量总满意度明显高于对照组（P〈0.05）;手术前,两组患者的收缩压及心率比较差异均无统计学意义（P〉0.05）,观察组其他时间段的收缩压及心率均明显低于对照组（P〈0.05）;观察组患者0级疼痛的例数明显多于对照组（P〈0.05）,且Ⅲ级疼痛的例数明显少于对照组（P〈0.05）,两组Ⅰ级和Ⅱ级疼痛例数比较差异无统计学意义（P〉0.05）;观察组的并发症发生率明显低于对照组（P〈0.05）.结论 手术前后的系统化护理干预能有效缓解手术患者的紧张情绪,减小患者心率和血压的波动,有利于甲状腺切除手术的顺利进行,增加患者对护理工作的满意度,降低了患者治疗的成本,值得推广应用.

Objective To analyze the influence of systematic nursing intervention on the recovery of patients with thyroidectomy before and after surgery. Methods Patients with thyroidectomy in our hospital were divided into two groups according to the random number table method, and patients with the even numbers were taken as the observation group and patients with odd numbers were considered as the control group, 45 cases in each group. The control group were given the routine care during perioperative period, while the observation group was given systematic nursing inter-vention during perioperative period. The systolic blood pressure and change of heart rate at each period of the two groups were detected, besides, the intraoperative pain degree was evaluated. And the situation of hospitalization, satisfaction for the quality of comprehensive nursing care and the occurrence of complications of the two groups was compared. Re-sults The average length of stay and average medical expense of the observation group was shorter or less than that of the control group （P〈0. 05）, besides, the total satisfaction for the quality of comprehensive nursing during periopera-tive of the observation group were significantly higher than that of the control group （ P〈0. 05 ） . The differences in terms of preoperative systolic blood pressure and heart rate between the two groups were not significant （ P〉0. 05 ） . In other times, the systolic blood pressure and heart rate of the observation group were lower than that of the control group （ P〈0. 05 ） . The patients with level-0 pain of the observation group was obviously more than that of the control group （ P〈0. 05 ） and the patients with level-Ⅲ pain were significantly less than that of the control group （ P〈0. 05 ） . There was no significant differences in terms of the number of patients with levelⅠand levelⅡpain between the two groups （ P〉0. 05）. The incidence of complications of the observation group was obviously lower than that of the control group, and the difference was statistically significant （ P〈0. 05 ） . Conclusion The systematic nursing intervention before and after the surgery can effectively relieve the tension of the patients, and reduce the patients＇ heart rate and the fluctuations of blood pressure. Therefore, it is advantageous to the smooth thyroid gland surgery, and it can increase patients＇ satisfac-tion for nursing work and is worth clinical popularization.