精细化护理用于甲状腺手术患者术后改善负性情绪和睡眠的效果研究

Study on the Effect of Refined Nursing on Improving Negative Emotion and Sleep in Patients Undergoing Thyroid Surgery

目的:探究精细化护理对甲状腺手术患者术后负性情绪及睡眠质量的改善效果。方法:选取2022年2月至2023年2月厦门大学附属第一医院收治的甲状腺手术患者102例作为研究对象,按照随机数字表法分为对照组和观察组,每组51例。对照组行常规护理,观察组在对照组基础上实施精细化护理干预。比较经不同护理方式干预下2组患者相关情况。结果:负性情绪,护理后焦虑、抑郁评分,观察组均小于对照组,差异均有统计学意义(均P<0.05)。睡眠质量,护理后睡眠质量、睡眠时间、入睡时间、睡眠障碍、睡眠效率、日间功能、安眠药物评分,观察组小于对照组,差异均有统计学意义(均P<0.05)。切口美学评分,切口色泽、血液循环、柔软性、厚度、疼痛、瘙痒评分,观察组均小于对照组,差异均有统计学意义(均P<0.05)。护理满意度,观察组为96.08%,对照组为82.35%,观察组大于对照组,差异有统计学意义(P<0.05)。结论:经精细化护理干预,甲状腺手术患者术后负性情绪改善情况理想,睡眠质量及护理满意度提升,且切口美学效果好,效果确切,值得在临床中使用。

Objective:To explore the effect of refined nursing on the improvement of negative emotions and sleep quality in patients with thyroid surgery.Methods:A total of 102 patients with thyroid surgery were selected from February 2022 to February 2023 in our hospital.The enrolled patients were divided into the control group and the observation group according to the ratio random number table method,with 51 cases in each group.The control group received routine nursing,and the observation group implemented refined nursing intervention based on the control group.The relevant situation of the two groups of patients under different nursing intervention was compared.Results:The scores of negative emotion,anxiety and depression after nursing were lower in the observation group than in the control group(P s<0.05).The score of sleep quality,sleep time,fall asleep time,sleep disorder,sleep efficiency,daytime function and sleep medication after nursing were lower in the observation group than in the control group(P s<0.05).Incision color,blood circulation,softness,thickness,pain and itch scores were all lower in observation group than in control group(P s<0.05).In terms of nursing satisfaction,the observation group was 96.08%,the reference group was 82.35%,and the observation group was higher than the control group(P<0.05).Conclusion:After refined nursing intervention,the patients with thyroid surgery can improve their negative emotions,sleep quality and nursing satisfaction,and the aesthetic effect of incision is good and accurate,which is worthy of clinical use.