一病一优干预路径联合风险评估在超声引导下甲状腺良性结节射频消融围手术期中的应用

Application Effect of One-Condition-One-Optimal Intervention Pathway Combined with Risk Assessment in the Perioperative Period of Ultrasound-Guided Radiofrequency Ablation of Thyroid Nodules

目的 探讨一病一优干预路径联合风险评估在超声引导下甲状腺良性结节射频消融术围手术期中的应用效果。方法 选取2021年10月至2022年10月郑州大学第一附属医院收治的96例甲状腺良性结节患者,均行超声引导下射频消融术,按随机数字表法分为对照组和试验组,各48例。对照组患者接受常规护理干预,试验组患者接受一病一优干预路径联合风险评估干预。对比两组临床指标、干预前后心理状态评分、术后4、12 h疼痛评分、并发症发生率和护理满意度等。结果 试验组手术耗时、住院时间短于对照组,术中出血量、并发症发生率低于对照组(P<0.05)。干预后,两组患者焦虑、抑郁评分均降低,试验组低于对照组(P<0.05)。试验组患者术后4、12 h疼痛评分低于对照组(P<0.05)。试验组护理满意度高于对照组(P<0.05)。结论 一病一优干预路径联合风险评估可有效缩短超声引导下甲状腺良性结节射频消融术手术耗时、住院时间,减少术中出血量,改善患者心理状态,缓解术后疼痛,降低并发症发生率,提高护理满意度。

Objective To investigate the application effect of a one-condition-one-optimal intervention pathway combined with risk assessment in the perioperative period of ultrasound-guided radiofrequency ablation of thyroid nodules.Methods Ninety-six patients with thyroid nodules admitted to the First Affiliated Hospital of Zhengzhou University from October 2021 to October 2022 were selected and divided into a control group and an experimental group by the random number table method,with 48 cases each group.Patients in the control group received conventional nursing interventions,and patients in the experimental group received a one-condition-one-optimal intervention pathway combined with risk assessment intervention.The clinical indicators,psychological status scores before and after intervention,pain scores at 4 and 12 hours postoperatively,complication rates,and nursing satisfaction between the two groups were compared.Results The operative elapsed time,hospital stay of the experimental group were shorter than those of the control group,and intraoperative bleeding,complication rate of the experimental group were lower than those of the control group(P<0.05).After the intervention,anxiety and depression scores decreased in both groups,with the experimental group was lower than the control group(P<0.05).Patients in the experimental group had lower postoperative pain scores at 4 and 12 hours than the control group(P<0.05).Nursing satisfaction in the experimental group was higher than that in the control group(P<0.05).Conclusion The one-condition-one-optimal intervention pathway combined with risk assessment can effectively shorten the procedure time and hospital stay for ultrasound-guided radiofrequency ablation of thyroid nodules,reduce intraoperative bleeding,improve patients’psychological status,relieve postoperative pain,reduce the incidence of complications,and improve nursing satisfaction.