综合护理对甲状腺手术全身麻醉患者不良情绪及疼痛影响研究

Study on the Effect of Comprehensive Nursing on Adverse Mood and Pain of Patients Under General Anesthesia in Thyroid Surgery

目的探讨综合护理对甲状腺手术全身麻醉患者不良情绪及疼痛的影响。方法选择2020年1月至2021年4月期间在本院行甲状腺手术(全身麻醉)的73例患者,随机分为对照组(36例)和观察组(37例)。对照组按甲状腺切除术及全身麻醉要求实施围手术期护理,观察组增加综合护理干预,对比两组干预后不良情绪改善效果,并对比两组术后疼痛及并发症情况。结果观察组术后24 h、48 h、72 h、5 dVAS评分均显著低于对照组(P<0.05)。观察组出院时SDS、SAS评分显著低于对照组(P<0.05)。观察组术后并发症发生率(10.81%,4/37)显著低于对照组(25.00%,9/36)(P<0.05)。结论根据甲状腺手术全身麻醉特征,对患者实施综合护理干预,可有效纠正患者不良情绪,同时可减轻患者疼痛感,有助于降低患者并发症,临床应用价值较高。

Objective To explore the effect of comprehensive nursing on the adverse mood and pain of patients undergoing thyroid surgery under general anesthesia.Methods Seventy-three patients who underwent thyroid surgery(general anesthesia)in our hospital from January 2020 to April 2021 were selected and randomly divided into control group(36 cases)and observation group(37 cases).The control group received perioperative nursing according to the requirements of thyroidectomy and general anesthesia,and the observation group added comprehensive nursing intervention.The improvement effect of bad mood after intervention was compared between the two groups,and the postoperative pain and complications were compared between the two groups.Results The scores of 24 h,48 h,72 h and 5 d VAS in the observation group were significantly lower than those in the control group(P<0.05).The scores of SDS and SAS in the observation group were significantly lower than those in the control group(P<0.05).The incidence of postoperative complications in the observation group(10.81%,4/37)was significantly lower than that in the control group(25.00%,9/36)(P<0.05).Conclusion According to the characteristics of general anesthesia in thyroid surgery,comprehensive nursing intervention for patients can effectively correct the adverse mood of patients,reduce the pain of patients,help to reduce the complications of patients,and has high clinical application value.