基于互动达标理论的护理干预在甲状腺癌手术患者护理中的应用

Application of interactive standard theory-based nursing intervention in patients undergoing thyroid cancer surgery

目的分析基于互动达标理论的护理干预在甲状腺癌手术患者护理中的应用效果。方法选取辽阳市某医院2018年9月—2020年9月收治的甲状腺癌手术患者80例为研究对象。根据患者入院顺序随机分为对照组(37例)和观察组(43例)。对照组患者接受常规护理干预,观察组患者接受基于互动达标理论的护理干预,2组患者均持续干预2个月。比较2组患者术前1 d及干预2个月时的心率、心理状态[焦虑自评量表(SAS)和抑郁自评量表(SDS)]、服务满意度评分(健康教育、沟通交流、功能锻炼评分)、应激反应。结果干预后,2组患者心率均高于干预前,差异均有统计学意义(P<0.05)。干预后,观察组患者心率低于对照组,差异有统计学意义(P<0.05)。干预后,2组患者SAS评分和SDS评分均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。干预后,2组患者健康教育、沟通交流、功能锻炼评分均高于干预前,且观察组高于对照组,差异均有统计学意义(P<0.05)。干预后,2组患者皮质醇和血管紧张素Ⅱ水平均低于干预前,且观察组低于对照组,差异均有统计学意义(P<0.05)。结论基于互动达标理论的护理干预能有效改善甲状腺癌手术患者生理和心理状态,减少应激反应,提升护理服务满意度,值得在临床上推广使用。

Objective To analyze the effect of interactive standard theory-based nursing intervention in patients undergoing thyroid cancer surgery.Methods A total of 80 patients with thyroid cancer who underwent surgery from September 2018 to September 2020 in a hospital in Liaoyang were selected as the subjects,who were randomly assigned to the control group(n=37)and the observation group(n=43)in accordance with admission order.Patients in the control group received routine nursing intervention and patients in the observation group interactive standard theory-based nursing intervention.Patients in both groups received continuous intervention for 2 months.Heart rate,psychological status[Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)],service satisfaction score(health education,communication,and functional exercise scores),and stress response were compared between the 2 groups 1 d before surgery and at 2 months of intervention.Results After the intervention,heart rate in the two groups were higher than those before the intervention,and the differences were statistically significant(P<0.05).Heart rate in the observation group after the intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).The SAS and SDS scores in the two groups after the intervention were lower than those before the intervention,with the observation group lower than the control group,and the differences were statistically significant(P<0.05).The scores for health education,communication,and functional exercise in the two groups after the intervention were higher than those before the intervention,with the observation group higher than the control group,and the differences were statistically significant(P<0.05).The cortisol and angiotensin II levels in the two groups after the intervention were lower than those before the intervention,with the observation group lower than the control group,and the differences were statistically significant(P<0.05).Conclusion The interactive standard theory-based nursing intervention can effectively improve the physical and psychological status of patients underwent thyroid cancer surgery,reduce stress response,and improve the satisfaction with nursing services.These benefits justify a wider application of this technique in clinical practice.