护理干预对减轻甲状腺手术患者术后疼痛、舒适度以及不良反应的效果探讨

Effect of Nursing Intervention on Relieving Postoperative Pain, Comfort and Adverse Reactions in Patients with Thyroid Surgery

目的观察进行甲状腺手术治疗的患者实施护理干预后,对其术后疼痛与舒适度以及不良反应方面存在的影响。方法将2016年3月—2018年6月期间64例于该院进行甲状腺切除手术的患者作为主要研究对象,按照随机分配的原则平均划分为实验组与对照组。其中,对照组患者采用常规护理干预措施,实验组则在对照组的基础上给予针对性的护理干预方案。对两组患者术后疼痛、舒适度以及不良反应等方面进行观察与综合性的对比分析。结果经过不同的护理干预后,两组患者在疼痛与舒适度以及不良反应方面,均存在一定程度的差异。其中,实验组与对照组患者除在Ⅰ级疼痛方面差异无统计学意义(χ~2=0.30,P>0.05)。在0级、Ⅱ级、Ⅲ级与Ⅳ级,其他各疼痛级别方面,实验组均较对照组更为优良,差异有统计学意义(χ~2=7.71、5.29、3.51、3.29,P<0.05)。在舒适度方面,对照组不舒适患者共计7例(21.9%),实验组含有2例(6.3%),差异有统计学意义(χ~2=4.47,5.13,P<0.05)。在不良反应方面,对照组术后12 h出血量明显高于实验组(t=8.59,P<0.05),同时其血压(舒张压/收缩压)与心率也均较实验组高,差异有统计学意义(t=3.92、4.55、4.59,P<0.05)。结论通过实施针对性的护理干预,对甲状腺手术患者术后具有积极的意义。不仅仅可改善患者的疼痛,提高舒适度,降低术后出血量,同时对于其血压以及心率的稳定存在重要作用,具有较好的临床推广以及应用价值。

Objective To observe the effects of postoperative pain and comfort and adverse reactions in patients undergoing thyroid surgery. Methods A total of 64 patients who underwent thyroidectomy in the hospital from March 2016 to June 2018 were enrolled in the study. The patients were divided into experimental group and control group according to the principle of randomization. Among them, the control group used routine nursing interventions, and the experimental group gave targeted nursing interventions based on the control group. The postoperative pain, comfort and adverse reactions of the two groups were observed and comprehensively analyzed. Results After different nursing interventions,there were some differences in pain and comfort and adverse reactions between the two groups. Among them, the experimental group and the control group had less difference in grade Ⅰ pain(χ^2=0.30, P >0.05). In the 0, Ⅱ, Ⅲ and Ⅳ grades, the experimental group was better than the control group, The difference is statistically significant(χ^2=7.71,5.29,3.51,3.29). In terms of comfort, 7 patients(21.9%) were uncomfortable in the control group, and 2 patients(6.3%) in the experimental group, and the difference was statistically significant(χ^2=4.47、5.13,P<0.05). In terms of adverse reactions, the blood pressure of the control group was significantly higher than that of the experimental group(t=8.59, P<0.05), and the blood pressure(diastolic pressure/systolic blood pressure) and heart rate were also higher than the experimental group(t=3.92, 4.55, 4.59, P<0.05). Conclusion Targeted nursing interventions have a positive impact on postoperative thyroid surgery. It not only improves the patient’s pain, improves comfort, reduces the amount of postoperative bleeding, but also plays an important role in the stability of blood pressure and heart rate. It has good clinical promotion and application value.