分析临床路径护理对甲状腺癌手术患者睡眠及生命质量的影响

To Analyze the Effect of Clinical Pathway Nursing on Sleep and Quality of Life in Patients undergoing Thyroid Cancer Surgery

目的:分析临床路径护理对甲状腺癌手术患者睡眠及生命质量的影响。方法:选取2022年1月至2023年1月厦门大学附属第一医院收治的甲状腺癌手术患者98例作为研究对象,按照随机数字表法分为观察组和对照组,每组49例。对照组则给予常规围术期护理干预,观察组给予围术期临床路径护理干预。应用匹兹堡睡眠质量(PSQI)评估2组患者的睡眠质量,采用生命质量测定量表(QLQ-C30评分)对患者生命质量进行评估,比较2组康复期间出现并发症的概率,采用一般自我效能感量表(GSES)对2组患者的自我效能感进行评估。结果:干预后,观察组PSQI评分显著低于对照组,QLQ-C30评分显著高于对照组,并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:针对甲状腺癌术后患者,为其实施临床路径护理干预,不仅可以有效缓解患者因疾病而出现的睡眠问题,更能进一步提升患者群体的生命质量,加快康复进程,降低不良反应发生率,值得临床推广应用。

Objective:To analyze the effects of clinical pathway nursing on sleep and quality of life in patients undergoing thyroid cancer surgery.Methods:A total of 98 thyroid cancer patients admitted to the First Affiliated Hospital of Xiamen University from January 2022 to January 2023 were selected as research objects,and divided into observation group and control group according to the random number table method,with 49 cases in each group.The control group was given routine perioperative nursing intervention,and the observation group was given perioperative clinical route nursing intervention.Pittsburgh Sleep quality(PSQI)was used to evaluate the sleep quality of the 2 groups,and QLQ-C30 score was used to evaluate the quality of life between 2 groups.The probability of complications during rehabilitation was compared between the 2 groups,and the self-efficacy of the 2 groups was evaluated by the general self-efficacy scale(GSES).Results:After intervention,PSQI score,and complication rate of observation group were significantly lower than the control group,and QLQ-C30 score was significantly higher than the control group the difference between the 2 groups was statistically significant(P s<0.05).Conclusion:For patients with thyroid cancer after surgery,the implementation of clinical pathway nursing intervention not only can effectively alleviate the sleep problems caused by the disease,but also further improve the quality of life of patients,accelerate the rehabilitation process,reduce the incidence of adverse reactions,which is worthy of clinical application.