手术室优质护理对甲状腺手术患者心理状态的影响

Effect of high⁃quality nursing in operating room on psychological state of patients undergoing thyroid surgery

目的 分析手术室优质护理对甲状腺手术患者应激反应的影响。方法 从2018年12月—2021年12月本院甲状腺手术患者中随机抽取60例,随机分为研究组和常规组,每组各30例,常规组采用常规护理,研究组在常规护理下进行手术室优质护理。对比2组围术期情况、焦虑与抑郁评分及应激反应。结果 研究组手术时间为(64.19±1.46)min,术中出血量为(122.35±12.46)mL,住院时间为(5.38±1.36)d,少于常规组的(78.57±6.82)min、(168.05±15.34)mL、(7.19±1.82)d(t=11.293、12.666、4.364,P均<0.001)。术后3 d,研究组焦虑评分为(36.62±3.68)分、抑郁评分为(38.05±3.09)分,低于常规组的(44.24±4.08)分、(46.73±4.44)分(t=7.596、8.789,P均<0.001)。术后1 h,研究组收缩压为(115.89±7.41)mmHg、舒张压为(75.99±7.52)mmHg、心率为(82.61±5.71)次/min,低于常规组的(124.05±7.33)mmHg、(89.42±7.19)mmHg、(93.55±6.01)次/min (t=4.288、7.070、7.228,P均<0.001)。结论 对甲状腺手术患者采取手术室优质护理,可改善围术期情况,调节负性心理,减轻应激反应,加快患者恢复。

Objective To analyze the effect of high⁃quality nursing in the operating room on the stress response of patients undergoing thyroid surgery.Methods A total of 60 patients undergoing thyroid surgery in our hospital from Decem⁃ber 2018 to December 2021 were randomly selected and randomly divided into a study group and a routine group,with 30 cases each,the routine group adopted routine care,and the study group received high⁃quality care in the operating room on the routine care basis.The two groups were compared with perioperative conditions,anxiety and depression scores,and stress response.Results The operation time of the study group was(64.19±1.46)min,the intraoperative blood loss was(122.35±12.46)mL,and the hospitalization time was(5.38±1.36)d,which were less than those of the routing group:(78.57±6.82)min,(168.05±15.34)mL,and(7.19±1.82)d(t=11.293,12.666,4.364,all P<0.001)respectively.In the 3 days after surgery,the anxiety score of the study group was(36.62±3.68)and the depression score was(38.05±3.09),which was lower than those of the routine group:(44.24±4.08)and(46.73±4.44)respectively(t=7.596,8.789,both P<0.001).One hour after surgery,the systolic blood pressure in the study group was(115.89±7.41)mmHg,diastolic blood pressure was(75.99±7.52)mmHg and heart rate was(82.61±5.71)beats/min,all of which were lower than those in the routine group:(124.05±7.33)mmHg,(89.42±7.19)mmHg,and(93.55±6.01)beats/min respectively(t=4.288,7.070,7.228,all P<0.001).Conclusion High⁃quality oper⁃ating room nursing for thyroid surgery patients can improve perioperative conditions,regulate negative psychology,reduce stress response,and accelerate recovery.