康复计划护理对甲状腺切除术后患者的干预效果

Intervention effect of rehabilitation plan nursing on patients after thyroidectomy

目的探讨康复计划护理对甲状腺切除术后患者的干预效果。方法选取我院2016年3月至2019年3月收治的78例甲状腺切除术患者为研究对象,根据入院单双号将其分为对照组和研究组,各39例。对照组给予常规护理,研究组在对照组的基础上给予康复计划护理。比较两组患者干预前、后的心理状态、干预效果、术后并发症发生情况、干预前、后的生活质量、护理满意度。结果干预前,两组的SAS、SDS评分比较,差异无统计学意义(P>0.05);干预后,两组的SAS、SDS评分均明显降低,且研究组低于对照组(P<0.05)。研究组的住院时间短于对照组,住院费用少于对照组,Ⅱ、Ⅲ级疼痛的占比均低于对照组(P<0.05)。研究组的术后并发症总发生率低于对照组(P<0.05)。干预前,两组的各项生活质量评分比较,差异无统计学意义(P>0.05);干预后,两组的各项生活质量评分均明显提高,且研究组高于对照组(P<0.05)。研究组的护理满意度高于对照组(P<0.05)。结论康复计划护理可有效改善患者的心理状态,缓解疼痛,减少术后并发症的发生,缩短住院时间,提高患者的生活质量及护理满意度,值得临床推广应用。

Objective To explore the intervention effect of rehabilitation plan nursing on patients after thyroidectomy.Methods A total of 78 patients with thyroidectomy admitted in our hospital from March 2016 to March 2019 were selected as the study objects, and they were divided into control group and study group according to the admission form and double number, with 39 cases in each group. The control group was given routine nursing, and the study group was given rehabilitation plan nursing on the basis of the control group. The psychological state before and after intervention,intervention effect, postoperative complications, quality of life before and after intervention and nursing satisfaction were compared between the two groups. Results Before intervention, there were no significant difference in the scores of SAS and SDS between the two groups(P>0.05);after intervention, the scores of SAS and SDS in the two groups significantly deceased, and those in the study group were lower than the control group(P<0.05). The hospitalization time in the study group was shorter than that in the control group, the hospitalization cost was less than that in the control group, and the proportion of grade Ⅱ and Ⅲ pain were lower than those in the control group(P <0.05). The total incidence of postoperative complications in the study group was lower than that in the control group(P<0.05). Before intervention, there were no significant difference in the quality of life scores between the two groups(P>0.05);after intervention, the quality of life scores in the two groups were significantly increased, and those in the study group were higher than the control group(P <0.05). The nursing satisfaction of the study group was higher than that of the control group(P <0.05). Conclusion Rehabilitation plan nursing can effectively improve patients’ psychological state, relieve pain, reduce postoperative complications, shorten the hospitalization time, improve patients’ quality of life and nursing satisfaction, which is worthy of clinical promotion and application.