前馈控制护理模式在行腔镜下甲状腺癌根治术患者中的应用效果

Application effect of feedforward control nursing mode in patients undergoing endoscopic thyroidectomy for thyroid cancer

目的探讨前馈控制护理模式在行腔镜下甲状腺癌根治术患者中的应用效果。方法回顾性分析2020年10月至2021年12月于华中科技大学同济医学院附属同济医院行腔镜下甲状腺癌根治术的110例患者的一般资料,根据不同的护理方法分为对照组(55例)和观察组(55例)。对照组予以常规护理,观察组基于对照组的干预方式实施前馈控制护理模式。比较2组的康复效果。结果术后3 d和7 d,2组的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均低于术前,恶性肿瘤特异生长因子、甲状腺球蛋白和血管内皮生长因子水平均低于术前(P均<0.05),且观察组的视觉模拟评分法(VAS)、SAS和SDS评分,以及上述实验室指标水平均低于同期对照组(P均<0.05)。术后3个月和6个月,2组的癌症患者生活质量测定量表各功能领域评分均高于术前(P均<0.05),且观察组均较同期对照组更高(P均<0.05)。与对照组比较,观察组的手足抽搐、声音嘶哑等并发症的总发生率更低(P<0.05)。结论前馈护理控制模式可有效降低行腔镜下甲状腺癌根治术的患者的并发症发生率,缓解术后疼痛和不良情绪,改善实验室指标水平,提高生活质量。

Objective To explore the application effect of feedforward control nursing mode in patients undergoing endoscopic thyroidectomy for thyroid cancer.Methods A retrospective analysis was conducted on the general data of 110 patients who underwent endoscopic thyroidectomy for thyroid cancer at Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology from October 2020 to December 2021.They were divided into a control group(55 cases)and an observation group(55 cases)based on different nursing methods.The control group received routine nursing,while the observation group carried out feedforward control nursing mode based on the intervention method of the control group.The rehabilitation effect of the two groups was compared.Results On the 3rd and 7th day after surgery,the scores of the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)in both groups were lower than those before surgery,and the levels of tumor specific growth factor,thyroglobulin,and vascular endothelial growth factor were lower than those before surgery(all P<0.05).Additionally,the VAS,SAS,SDS scores,and the laboratory indicator levels in the observation group were lower than those in the control group(all P<0.05).At 3 and 6 months after surgery,the functioning scores of the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire in both groups were higher than those before surgery(all P<0.05),and the scores of the observation group were higher than those of the control group(all P<0.05).Compared with the control group,the total incidence of complications such as tetany and hoarseness was lower in the observation group(P<0.05).Conclusion Feedforward control nursing mode for patients undergoing endoscopic thyroidectomy for thyroid cancer can effectively reduce the incidence of complications,alleviate the postoperative pain and negative emotions,and improve the laboratory indicators and quality of life.