术前体位训练联合围术期优质护理在老年甲状腺肿瘤患者中的应用探讨

Application of Preoperative Postural Training Combined With Perioperative Nursing in Elderly Patients With Thyroid Neoplasms

目的分析术前体位训练对老年甲状腺肿瘤患者甲状腺肿瘤切除术的术后影响。方法选取2015年9月—2016年10月在我院进行甲状腺癌切除术老年患者120例为研究对象,将120例老年患者分为普通护理组和体位训练组,每组60例患者。普通护理组患者给予围术期优质护理措施,体位训练组患者在普通护理组的基础上给予体位训练护理,观察两组患者术后不良反应发生率、患者对护理满意度情况。结果普通护理组患者术后不良反应发生率为35.0%,体位训练组不良反应发生率为5.0%,体位训练组患者术后不良反应出现情况要少于普通护理组患者,两组数据之间进行比较,差异有统计学意义(P<0.05)。体位训练组患者对护理满意度为90.0%,高于普通护理组患者的60.0%,差异有统计学意义(P<0.05)。两组患者生活质量情况观察,普通护理组患者的生活质量评分为(82.6±6.3)分,体位训练组患者的生活质量评分为(60.8±2.6)分,两组之间数据比较,差异有统计学意义(P<0.05)。结论甲状腺肿瘤切除术采用术前体位训练护理,能够有效降低患者术后并发症发生情况,提高患者对护理满意度,促进患者术后恢复,提高临床治疗效果。

Objective To evaluate the effect of preoperative posture training on thyroid tumor resection in elderly patients with thyroid neoplasms. Methods 120 patients with thyroid cancer resection were enrolled in our hospital from September 2015 to October 2016. 120 elderly patients were divided into general nursing group and postural training group, 60 patients in each group. The patients in the general nursing group were given perioperative quality nursing measures. The patients in the postoperative training group were given posture training on the basis of the general nursing group. The incidence of adverse reactions and the satisfaction of the patients were observed. Results The incidence of adverse reactions was 35.0% in the general nursing group and 5.0% in the postoperative training group. The postoperative adverse reactions were lower in the postoperative training group than in the general nursing group. The satisfaction degree of the patients in the postural training group was 90.0%, higher than that of the ordinary nursing group （60.0%）, the difference was statistically significant （P 〈 0.05）. The quality of life of the patients in the general nursing group was （82.6 ± 6.3）, and the quality of life of the patients in the post training group was （60.8 ± 2.6）. The data were statistically different between the two groups. （P 〈 0.05）. Conclusion Thoracic tumor resection with preoperative postural training can effectively reduce the incidence of postoperative complications, improve patients’satisfaction with care, promote patients’postoperative recovery, improve clinical treatment.