AIDET沟通模式对甲状腺手术患者的影响

Effect of AIDET Communication Mode on Patients Undergoing Thyroid Surgery

目的:分析AIDET沟通模式对甲状腺手术患者的影响。方法:选取2019年12月—2021年9月合肥市第二人民医院收治的80例甲状腺手术患者。根据掷硬币法随机将其分为观察组和对照组,各40例。对照组采用常规护理,观察组在对照组的基础上采用AIDET沟通模式。比较两组护理满意度,术后6 h、24 h疼痛程度,并发症,护理前后生活质量、心理状态。结果:观察组护理总满意度明显高于对照组,差异有统计学意义(P<0.05)。观察组术后6 h、术后24 h视觉模拟评分法(VAS)评分均明显低于对照组,差异有统计学意义(P<0.05)。观察组并发症发生率明显低于对照组,差异有统计学意义(P<0.05)。护理后,观察组生理职能评分、一般健康状况评分、生理机能评分、躯体疼痛评分、社会职能评分、精力评分、精神健康评分及情感职能评分均明显高于对照组,差异有统计学意义(P<0.05)。护理后,观察组焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,差异有统计学意义(P<0.05)。结论:AIDET沟通模式能有效减轻甲状腺手术患者的焦虑抑郁情绪,减轻患者的术后疼痛程度,降低并发症的发生率,促进患者术后康复,提高患者的生活质量和护理满意度。

Objective:To analyze the effect of AIDET communication mode on patients undergoing thyroid surgery.Method:A total of 80 patients underwent thyroid surgery admitted to the Second People's Hospital of Hefei from December 2019 to September 2021 were selected.They were randomly divided into observation group and control group according to the coin toss method,with 40 cases in each group.The control group received routine nursing,and the observation group received AIDET communication mode based on the control group.Nursing satisfaction,pain degree 6 h and 24 h after surgery,complications,quality of life and psychological state before and after nursing were compared between the two groups.Result:The total nursing satisfaction of the observation group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The visual analogue scale(VAS)scores of the observation group at 6 h and 24 h after surgery were significantly lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complications of the observation group was significantly lower than that of the control group,and the difference was statistically significant(P<0.05).After nursing,the physiological function scores,general health status scores,physiological function scores,physical pain scores,social function scores,energy scores,mental health scores and emotional function scores of the observation group were significantly higher than those of the control group,the differences were statistically significant(P<0.05).After nursing,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).Conclusion:AIDET communication mode can effectively reduce anxiety and depression mood in patients undergoing thyroid surgery,reduce the degree of postoperative pain and the incidence of complications,promote postoperative rehabilitation of patients,and improve the quality of life and nursing satisfaction of patients.