临床护理路径对甲状腺恶性肿瘤患者的影响

Effect of clinical nursing pathway on patients with thyroid malignant tumor

目的探讨甲状腺恶性肿瘤患者实施临床护理路径的效果,为甲状腺恶性肿瘤的临床护理提供帮助。方法选择2022年1月—2023年3月天津医科大学朱宪彝纪念医院收治的84例甲状腺恶性肿瘤患者纳入研究,由计算机随机对患者进行编号,按照奇偶数分为对照组和观察组各42例。对照组实施常规护理,观察组实施临床护理路径。比较两组患者的住院时间、负性情绪评分、并发症发生率以及护理满意率。结果观察组住院时间短于对照组,SAS和SDS评分低于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率为2.38%,低于对照组的19.05%,差异有统计学意义(χ^(2)=6.098,P<0.05)。观察组护理总满意率为97.62%,高于对照组的78.57%,差异有统计学意义(χ^(2)=6.222,P<0.05)。结论对甲状腺恶性肿瘤患者应用临床护理路径能够有效减轻患者围术期负性情绪,预防术后并发症,缩短患者住院时间,提高护理满意率,具有重要的临床应用价值。

Objective To explore the effect of clinical nursing pathway for patients with thyroid malignant tumor,and to provide assistance for clinical nursing of thyroid malignant tumors.Methods A total of 84 patients with thyroid malignant tumor admitted to Tianjin Medical University Chu Hsien-I Memorial Hospital from January 2022 to March 2023 were included in the study.The patients were randomly numbered by computer and divided into control group and observation group according to odd and even numbers,with 42 cases in each group.The control group received routine nursing and the observation group received clinical nursing pathway.The length of hospital stay,negative emotion score,incidence of complications and nursing satisfaction rate were compared between the two groups.Results The length of hospital stay of the observation group was shorter than that of the control group,the scores of SAS and SDS were lower than those of the control group,and the differences were statistically significant(P<0.05).The incidence of complication of the observation group was 2.38%,which was lower than 19.05%of the control group,and the difference was statistically significant(χ^(2)=6.098,P<0.05).The nursing satisfaction rate of the observation group was 97.62%,which was higher than 78.57%of the control group,and the difference was statistically significant(χ^(2)=6.222,P<0.05).Conclusion The application of clinical nursing pathway on patients with thyroid malignant tumor could effectively reduce the negative emotions of patients in perioperative period,prevent postoperative complications,shorten the length of hospital stay,improve nursing satisfaction rate,which had important clinical application value.