关于心理调护与饮食护理对甲状腺手术患者情绪及生命体征的影响研究

A Study on the Influence of Psychological Nursing and Dietary Nursing on the Emotions and Vital Signs of Patients with Thyroid Surgery

目的 研究对甲状腺手术患者采取心理调护及饮食护理的临床效果及对其情绪、生命体征的相关性影响。方法 方便选取2019年5月—2020年5月该院收治的62例甲状腺手术患者为研究对象,按照简单分样法分组为对照组(n=31)和研究组(n=31)。接受一般护理者纳入对照组,基于此,接受心理调护与饮食护理者纳入研究组,对比两组护理效果。结果 干预后,研究组焦虑自评量表(SAS)评分为(35.80±4.70)分,低于对照组的(42.97±4.96)分,差异有统计学意义(t=5.842,P<0.001);研究组抑郁自评量表(SDS)评分为(33.35±5.81)分,低于对照组的(44.74±4.33)分,差异有统计学意义(t=8.752,P<0.001)。研究组心率、舒张压、收缩压分别为(84.55±9.46)次/min、(72.29±6.56)mmHg、(110.16±9.55)mmHg,均低于对照组的(97.81±10.15)次/min、(81.67±8.17)mmHg、(120.87±10.14)mmHg,差异有统计学意义(t=5.321、4.984、4.281,P<0.001)。相较于对照组的25.81%(8/31),研究组不良反应发生率3.23%(1/31)更低,差异有统计学意义(χ^(2)=4.679,P=0.031)。研究组满意度为96.77%(30/31),较对照组的74.19%(23/31)高,差异有统计学意义(χ^(2)=4.679,P=0.031)。结论 甲状腺手术患者采取心理调护及饮食护理效果确切,可舒缓其不良情绪,稳定生命体征,且有益于规避不良反应,安全性较高。

Objective To study the clinical effect of psychological nursing and dietary nursing in patients with thyroid surgery and the correlation effect on their emotions and vital signs.Methods A total of 62 patients with thyroid surgery who were treated in the hospital from May 2019 to May 2020 were conveniently selected as the study objects,and were divided into control group(n=31)and study group(n=31)according to the simple sampling method.Those who received general nursing were included in the control group.Based on this,those who received psychological care and dietary care were included in the research group,and the nursing effects of the two groups were compared.Results After the intervention,the self-rating anxiety scale(SAS)score of the study group was(35.80±4.70)points,which was lower than that of the control group(42.97±4.96)points,and the difference was statistically significant(t=5.842,P<0.001).The self-rating depression scale(SDS)score of the study group was(33.35±5.81)points,which was lower than that of the control group(44.74±4.33)points,and the difference was statistically significant(t=8.752,P<0.001).The heart rate,diastolic blood pressure and systolic blood pressure of the study group were(84.55±9.46)times/min,(72.29±6.56)mmHg,and(110.16±9.55)mmHg,respectively,which were lower than those of the control group(97.81±10.15)times/min,(81.67±8.17)mmHg,(120.87±10.14)mmHg,the difference was statistically significant(t=5.321,4.984,4.281,P<0.001).Compared with 96.77%(30/31)in the control group,the incidence of adverse reactions in the study group was 25.81%(8/31),and the difference was statistically significant(χ^(2)=4.679,P=0.031).The satisfaction rate of the study group was 3.23%(1/31),which was higher than that of the control group, which was 74.19% (23/31), and the difference was statistically significant (χ^(2)=4.679, P=0.031). Conclusion Psychological nursing and dietary nursing for thyroid surgery patients are effective, can relieve their negative emotions, stabilize their vital signs, and help avoid adverse reactions.