认知护理对甲状腺瘤手术患者应激反应的影响

Effect of cognitive nursing on stress response of patients undergoing thyroid tumor surgery

目的探讨认知护理对甲状腺瘤手术患者应激反应的影响.方法选取于本院接受甲状腺瘤手术的68例患者为研究对象,随机分为对照组和观察组,每组34例.对照组实施常规护理,观察组在此基础上实施认知护理.观察比较两组患者护理前、后各项应激反应指标的变化.结果术前30min,观察组患者的收缩压、舒张压、心率、皮质醇水平、血管紧张素Ⅱ水平、SAS评分、SDS评分均低于对照组,差异均具有统计学意义（P〈0.05）.观察组护理满意度显著高于对照组（P〈0.05）.结论对甲状腺瘤手术患者行认知护理,可使患者应激反应得到有效改善,缓解其不良情绪,同时可提高患者的护理满意度,具有一定推广应用价值.

Objective To explore effect of cognitive nursing on stress response of patients undergoing thyroid tumor surgery. Methods Sixty-eight cases of patients undergoing thyroid tumor surgery in our hospital were divided into control group and observation group, with 34 cases in each group. Patients in the control group were treated with routine nursing, and patients in the observation group were treated with cognitive nursing bases on routine nursing. Stress reaction index of the two groups after nursing were compared. Results After 30 min before operation, the blood pressure, pulse, cortisol, angiotensin Ⅱ,anxiety and depression scores of the observation group were significantly lower than those of the control group （P〈0.05）, nursing satisfaction of the observation group was significantly higher than that of the control group （P〈0.05）. Conclusion The cognitive nursing has remarkable application effect on patients undergoing thyroid tumor surgery, which can effectively improve stress reaction and nursing satisfaction of patients, it has a certain application value.