甲状腺肿瘤患者术前焦虑的护理干预研究

Nursing Intervention Study on Preoperative Anxiety of Patients with Thyroid Tumor

目的甲状腺肿瘤患者术前焦虑的护理干预研究。方法纳入2018年1月-2019年1月间在该院确诊为甲状腺肿瘤拟行手术的84例患者,采用电脑随机法将其划分为观察组与对照组,各42例,观察组采用综合护理,对照组采用常规护理,评价两组患者焦虑情绪、满意度、护理依从率。结果干预前观察组23.81%患者为轻度焦虑;47.62%患者为中度焦虑;28.57%患者为重度焦虑;干预前组对照组21.43%患者为轻度焦虑;45.24%患者为中度焦虑;33.33%患者为重度焦虑;干预前两组患者均以中度焦虑、重度焦虑例数所占百分比较高。干预后观察组59.52%为无焦虑;35.71%为轻度焦虑;4.76%为中度焦虑;干预后对照组28.57%为无焦虑;14.29%为轻度焦虑;57.14%为中度焦虑;干预后观察组无焦虑与轻度焦虑百分比均高于对照组(P<0.05)。观察组患者满意度95.24%,高于对照组66.67%(χ^2=26.471,P<0.05)。观察组患者护理依从率97.62%,高于对照组71.43%(χ^2=26.220,P<0.05)。结论甲状腺肿瘤患者采取综合护理干预可有效改善患者术前焦虑情绪,提高患者满意度与护理依从率。

Objective Nursing intervention study on preoperative anxiety in patients with thyroid tumors.Methods A total of 84 patients who were diagnosed with thyroid tumors in the hospital from January 2018 to January 2019 were planned to undergo surgery.They were divided into observation group and control group by computer random method,each with 42 cases.The observation group was treated with comprehensive nursing and the control group was treated with routine nursing,evaluation of anxiety,satisfaction and nursing compliance rate in two groups of patients.Results Before the intervention,23.81%of patients in the observation group were mildly anxious;47.62% of patients were moderately anxious;28.57% of patients were severely anxious;21.43% of patients in the control group were mildly anxious;45.24%of patients were moderately anxious;33.33%of patients were severe anxiety;the percentage of patients with moderate anxiety and severe anxiety was higher in the two groups before intervention.After the intervention,59.52% of the observation group was anxiety-free;35.71%was mild anxiety;4.76% was moderate anxiety the control group after intervention was 28.57% non-anxious;14.29% was mild anxiety;57.14%was moderate anxiety observation after intervention of the percentages of no anxiety and mild anxiety in the group were higher than those in the control group(P<0.05).Patient satisfaction in the observation group was 95.24%,which was higher than that in the control group by 66.67%(χ^2=26.471,P<0.05).The compliance rate of patients in the observation group was 97.62%which was higher than the control group 71.43%(χ^2=26.220,P<0.05).Conclusion The comprehensive nursing intervention for patients with thyroid tumor can effectively improve the preoperative anxiety of patients,and improve the patient satisfaction and nursing compliance.