临床护理路径对结节性甲状腺肿护理后患者疼痛程度及生活质量的影响

Effect of Clinical Nursing Path on Patients with Nodular Goiter after Operation

目的探讨临床护理路径应用在结节性甲状腺肿患者中对患者手护理后疼痛和生活质量的影响。方法应用随机掷骰子的方法将2019年3月至2020年4月于我院进行治疗的76例结节性甲状腺肿患者随机分为观察组与对照组,每组38例。分别对两组患者配合临床护理路径和常规护理,比较两组患者护理后不同时间段的疼痛程度、护理前后的甲状腺功能、并发症发生率、负面心理、睡眠质量、满意度等。结果护理前,两组患者疼痛比较严重,且相互之间差异无统计学意义(P>0.05);护理后,观察组患者护理以后12 h、3 d、1周的疼痛程度均明显比护理前更轻,差异有统计学意义(P<0.05)。护理前,两组患者的FT_(3)与FT_(4)指标差异无统计学意义(P>0.05),护理后,两组患者的FT_(3)与FT_(4)指标都有明显的改善,观察组患者的改善效果更为理想,差异有统计学意义(P<0.05)。观察组(5例,占13.16%)相比对照组(16例,占42.11%)并发症发生率明显更低,差异有统计学意义(P<0.05)。护理前,两组患者的HAMA评分、HAMD评分、SF-36评分相对较高且差异无统计学意义(P>0.05),护理后,两组患者的上述评分均有改进,但观察组改进效果更为优越,差异有统计学意义(P<0.05)。观察组(38例,占100.00%)相比对照组(33例,占86.84%)具有更为理想的满意度,差异有统计学意义(P<0.05)。结论结节性甲状腺肿手术患者以临床护理路径实施干预可有效缓解患者的护理后疼痛,促进患者甲状腺功能的改善,减少并发症对机体产生的损害,缓解患者的负性心理,提高整体睡眠质量,使患者的满意度得到提高。

Objective To study the effect of clinical nursing pathway in patients with nodular goiter on postoperative pain and quality of life.Methods A total of 76 patients with nodular goiter who came to our hospital for treatment from March 2019 to April 2020 were randomly divided into observation group and control group by random method,with an average of 38 cases in each group.The two groups of patients were cooperated with clinical nursing pathway and routine nursing,and the pain,thyroid function,complication rate,negative psychology,sleep quality,satisfaction,etc.in different time periods after nursing were compared between the two groups.Results Before nursing,the pain of the patients in the two groups was more serious,and there was no significant difference between them(P>0.05).After nursing,the pain of the patients in the observation group 12 h,3 d,and 1 week after nursing was significantly higher than that of their own.Lighter,the data met the statistical difference standard(P<0.05).Before nursing,there was no significant difference between the FT_(3) and FT_(4) indexes of the two groups of patients(P>0.05),and after nursing,the FT_(3) and FT_(4) indexes of the two groups of patients were not significantly different.All of the patients were significantly improved,and the improvement effect was more ideal,and the difference met the statistical standard(P<0.05).The level of the incidence of the disease was significantly lower,and the difference met the statistical standard(P<0.05).Before nursing,the HAMA score,HAMD score and SF-36 score of the two groups of patients were relatively high and the difference was not significant(P>0.05).After nursing,the above scores of the two groups were improved,but the improvement effect of the observation group was more superior,and the difference met the statistical standard(P<0.05).The observation group(38 cases,accounting for 100.00%)compared with the control group(33 cases,accounting for 86.84%)had better satisfaction,and the difference met the statistical standard(P<0.05).Conclusion The clinical nursing path of intervention in patients with nodular goiter surgery can effectively relieve postoperative pain,promote the improvement of patients'thyroid function,reduce the damage caused by complications to the body,relieve patients'negative psychology,and improve overall sleep quality,to improve patient satisfaction.