医护患协同模式下精细化护理对甲状腺手术患者术后恢复及咽喉疼痛的影响

Effect of Fine Nursing on Postoperative Recovery and Throat Pain in Patients Undergoing Thyroid Surgery Under the Cooperative Mode of Medical Care and Patient

目的:探讨医护患协同模式下精细化护理在甲状腺手术患者中的应用效果。方法:选取2021年12月—2022年12月郑州大学第一附属医院收治的150例甲状腺手术患者作为研究对象,依据随机信封法将其分为观察组(75例)和常规组(75例)。常规组接受常规护理,观察组在常规护理基础上予以医护患协同模式下精细化护理。统计对比两组患者并发症发生情况、住院时间、护理满意度[纽卡斯尔护理服务满意度量表(NSNS)评分]、咽喉疼痛[疼痛程度数字评估量表(NRS)评分]、心理状况[贝克焦虑量表(BAI)、贝克抑郁量表(BDI)评分]、生活质量[世界卫生组织生活质量测定量表简表(WHOQOL-BREF)评分]。结果:观察组患者并发症发生率(4.00%)低于常规组(13.33%),差异有统计学意义(χ^(2)=4.127,P<0.05);护理后,观察组患者BAI、BDI评分低于常规组,WHOQOL-BREF评分高于常规组,差异均有统计学意义(t=7.442、5.920、5.768,P<0.05);观察组患者术后NRS评分低于常规组,差异有统计学意义(t=9.432,P<0.05);观察组患者住院时间短于常规组,差异有统计学意义(t=5.342,P<0.05);观察组患者护理满意度(98.67%)高于常规组(88.00%),差异有统计学意义(χ^(2)=6.857,P<0.05)。结论:医护患协同模式下精细化护理可有效减少甲状腺手术患者术后疼痛感,改善其心理状况,促进术后恢复,提升生活质量。

Objective:To explore the effect of fine nursing in patients with thyroid surgery under the collaborative model of medical care and patient care.Methods:A total of 150 thyroid surgery patients admitted to the hospital from December 2021 to December 2022 were selected as the study objects,and were divided into observation group(75 cases)and routine group(75 cases)according to random envelope method.The routine group received routine nursing,and the observation group received intensive nursing under the cooperative mode of medical care and patient based on the routine group.Complications,length of stay,nursing satisfaction[Newcastle Satisfaction with Nursing Scale(NSNS)],sore throat[numerical rating scale(NRS)],psychological status[Beck Anxiety Inventory(BAI),Beck Depression Inventory(BDI)],and quality of life[World Health Organization Quality of Life-BREF(WHOQOL-BREF)]were statistically compared between the two groups.Results:The complication rate of observation group(4.00%)was lower than that of conventional group(13.33%),with statistically significant difference(χ^(2)=4.127,P<0.05).After nursing,the BAI and BDI scores of observation group were lower than those of conventional group,and the WHOQOL-BREF scores were higher than those of conventional group(t=7.442,5.920,5.768;P<0.05).The NRS score of the observation group was lower than that of the conventional group(t=9.432,P<0.05).The hospitalization time of observation group was shorter than that of conventional group(t=5.342,P<0.05).The nursing satisfaction rate of observation group(98.67%)was higher than that of conventional group(88.00%),with statistically significant difference(χ^(2)=6.857,P<0.05).Conclusion:Fine nursing under the cooperative mode of medical care and patient can effectively reduce the postoperative pain of patients with thyroid surgery,improve their psychological status,promote postoperative recovery,and enhance the quality of life.