激励式护理模式在经口入路机器人辅助甲状腺全麻手术患者中的实施及影响

Implementation and effect of incentive-based intervention for patients undergoing robot-assisted transoral thyroid surgery with general anesthesia

目的:分析激励式护理模式在经口入路机器人辅助甲状腺全麻手术患者中的应用效果。方法:选取2022年7月—2023年11月于空军军医大学第二附属医院行经口入路机器人辅助甲状腺全麻手术的患者102例,以随机数表法将其分为对照组(51例,进行常规围甲状腺手术护理)和研究组(51例,进行激励式护理模式管理)。比较两组患者临床指标、干预不同时间段自我效能感量表(GSES)评分、干预前后汉密尔顿焦虑量表(HAMA)及抑郁量表(HAMD)评分、治疗依从性、护理满意度差异。结果:与对照组相比,研究组术后48 h疼痛评分更低,首次下床时间、住院时间更短,住院费用更少,术前1 d、术后1 d、术后3 d GSES评分更高,干预后HAMA评分、HAMD评分更低,总依从率、总满意度更高。两组并发症发生率比较无显著差异。结论:激励式护理模式可提高经口入路机器人辅助甲状腺全麻手术患者康复效率与自我效能、治疗依从性及护理满意度,改善负性情绪。

Objective:To analyze the application effect of incentive-based intervention in patients undergoing robot-assisted transoral thyroid surgery with general anesthesia.Methods:102 patients who were scheduled to undergo robot-assisted transoral thyroid surgery with general anesthesia at the Second Affiliated Hospital of Air Force Medical University from July 2022 to November 2023 were selected and randomly divided into the control group(n=51)and the study group(n=51)using a random number table.The control group received routine thyroid surgery nursing care and patients in the study group were given incentive nursing management.The clinical indicators,General Self Efficacy Scale(GSES)scores at different time points of intervention of patients in the two groups were compared.Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)scores,treatment compliance,and nursing satisfaction before and after intervention were compared between the two groups of patients.Results:Compared with the control group,the study group had lower pain score at 48 h after surgery,shorter first off-bed time and hospital stay,less hospital cost,higher 1 d before surgery,1 d and 3 d after surgery GSES,lower HAMA and HAMD scores after intervention,and higher total compliance rate and total satisfaction.There was no significant difference in the complication rates between the two groups of patients.Conclusion:The incentive-based intervention could improve the rehabilitation efficiency and self-efficacy,treatment compliance,and nursing satisfaction of patients undergoing robot-assisted transoral thyroid surgery with general anesthesia,and alleviate negative emotions.