腔镜下甲状腺手术围术期的个性化护理体会

Experience of individualized nursing care in perioperative period of thyroid surgery under endoscope

目的讨论分析临床上对甲状腺疾病患者开展腔镜手术在术前、术后进行针对性个性化系统护理的具体要点和操作方法,为进一步对甲状腺疾病患者实施合理有效的护理提供科学依据。方法随机选取2013年10月至2016年3月在本院择期行腔镜下甲状腺手术的86例患者作为研究对象,采用随机数字表的方法将研究对象分为观察组(43例)和对照组(43例),对照组采用常规普外科护理,观察组采用个性化系统护理干预,观察分析两组患者的护理满意度及术后并发症的发生情况。结果观察组围术期的护理满意度为93.02%,显著高于对照组的76.74%,差异具有统计学意义(P<0.05)。观察组术后并发症的发生率为23.26%,显著低于对照组的81.40%,差异具有统计学意义(P<0.05)。结论临床上对开展腔镜手术的甲状腺疾病患者进行针对术前、术后的个性化护理,患者的护理满意度高,术后的并发症少,有助于患者治愈,值得进一步的推广和应用。

Objective To discuss the specific points and methods of operation in patients with thyroid diseases undergoing perioperative,intraoperative and postoperative perioperative nursing of patients with thyroid diseases,to provide scientific basis for the rational and effective nursing care of patients with thyroid disease.Methods Thirty-six patients undergoing elective laparoscopic thyroidectomy were randomly selected from October,2013 to March,2016. The subjects were divided into observation group（ 43 cases） and control group（ 43 cases）. The patients in the control group were treated with conventional general surgery care and the observation group was treated with individualized nursing intervention. The nursing satisfaction and postoperative complications of the two groups were observed and analyzed. Results The perioperative nursing satisfaction of the observation group was 93.02%,which was significantly higher than that of the control group 76.74%（ P〈0.05）.The incidence of postoperative complications in the observation group was 23,26%,which was significantly lower than that in the control group 81. 40%（ P〈0. 05）. Conclusions Patients with thyroid diseases undergoing endoscopic surgery should be treated with preoperative,intraoperative and postoperative individualized nursing care. The patients＇ nursing satisfaction is high and the postoperative complications are less,which is helpful for the patients to be cured,worthy of further promotion and application.