身心抚触护理模式在女性甲状腺手术患者中的应用效果

Application effect of physical and mental touch nursing mode in female thyroid surgery patients

目的探讨身心抚触护理模式在女性甲状腺手术患者中的应用效果。方法选取2021年12月至2022年12江苏省淮安市人民医院接受甲状腺手术的女性患者80例,采取随机数字表法将其分为对照组和研究组,各40例。两组均实施常规护理,研究组同时联合身心抚触护理干预。采用医学应对方式问卷(MCMQ)、视觉模拟评分法(VAS)及应激感受量表-10(PSS-10)评估患者干预前后的应对方式、疼痛及应激反应程度。结果干预后,两组MCMQ中面对应对方式维度评分高于干预前,回避和屈服应对方式维度评分低于干预前,且研究组面对应对方式维度评分高于对照组,回避和屈服应对方式维度评分低于对照组,差异有统计学意义(P<0.05);两组VAS评分及PSS-10评分低于干预前,且研究组低于对照组,差异有统计学意义(P<0.05)。结论在女性甲状腺手术患者围手术期采取身心抚触护理模式,可有效提高患者的术后应对能力,改善机体应激反应,并在一定程度上缓解术后疼痛感。

Objective To explore the application effect of physical and mental touch nursing mode in female thyroid surgery patients.Methods A total of 80 female patients who underwent thyroid surgery in the Huaian People’s First Hospital of Jiangsu Province from December 2021 to December 2022 were selected.They were divided into control group and study group by random number table method,with 40 cases in each group.Both groups received routine nursing,and the study group combined with physical and mental touch nursing intervention.Medical coping modes questionnaire(MCMQ),visual analogue scale(VAS),and perception stress scale 10(PSS-10)were used to evaluate the coping style,pain and stress response of the patients before and after the intervention.Results After intervention,the face coping style dimension scoring of MCMQ of the two groups were higher than before intervention,and the scores of avoidance and submission coping styles dimension were lower than before intervention,and the scores of the study group were higher than the control group,and the scores of avoidance and submission coping styles were lower than those of the control group,the differences were statistically significant(P<0.05).VAS scores and PSS-10 scores of the two groups were lower than before intervention,and the study group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Physical and mental touch nursing mode after female thyroid surgery can effectively improve the coping ability and stress response of patients,and improve the degree of pain to a certain extent.