心理调护联合饮食护理对甲状腺手术患者情绪及护理满意度的影响

Influences of psychological nursing combined with diet nursing on mood and nursing satisfaction of patients undergoing thyroid surgery

目的分析心理调护联合饮食护理对甲状腺手术患者情绪及护理满意度的影响。方法将我院收治的106例甲状腺手术患者根据随机数字表法分为对照组(常规护理)和观察组(心理调护联合饮食护理),各53例。比较两组的干预效果。结果护理后,观察组的SAS、SDS、DCL-90、PSQI评分低于对照组(P<0.05)。术后12、24 h,观察组的VAS评分低于对照组(P<0.05);随访结束后,观察组的GQOL-74评分高于对照组(P<0.05)。术后1 d,观察组的COR、E、hs-CRP、IL-6水平低于对照组(P<0.05)。观察组的护理满意度高于对照组(P<0.05)。结论心理调护联合饮食护理能有效改善甲状腺手术患者的心理状态,减轻疼痛程度,降低应激反应指标及炎性指标水平,提高睡眠质量、生活质量及护理满意度。

Objective To analyze the influences of psychological nursing combined with diet nursing on the mood and nursing satisfaction of patients undergoing thyroid surgery.Methods According to the random number table method,106 thyroid surgery patients admitted in our hospital were divided into control group(routine nursing)and observation group(psychological nursing combined with diet nursing),with 53 cases in each group.The intervention effects of the two groups were compared.Results After nursing,the scores of SAS,SDS,DCL-90 and PSQI in the observation group were lower than those in the control group(P<0.05).At 12,24 h after operation,the VAS score of the observation group was lower than that of the control group(P<0.05);after the follow-up,the GQOL-74 score of the observation group was higher than that of the control group(P<0.05).One day after operation,the levels of COR,E,hs-CRP and IL-6 in the observation group were lower than those in the control group(P<0.05).The nursing satisfaction of the observation group was higher than that of the control group(P<0.05).Conclusion Psychological nursing combined with diet nursing can effectively ameliorate the psychological state,alleviate the degree of pain,reduce the levels of stress response indexes and inflammatory indexes,and improve the quality of sleep,quality of life and nursing satisfaction of patients undergoing thyroid surgery.