ACE-Star模型下循证护理临床路径在经腋窝无充气腔镜下甲状腺手术患者中的应用效果

Effectiveness of the Application of Evidence-based Nursing Clinical Pathways under the ACE-Star Model in Patients Undergoing Transaxillary Noninflatable Lumpectomy for Thyroid Surgery

目的:探讨ACE-Star模型下循证护理临床路径在经腋窝无充气腔镜下甲状腺手术患者中的应用效果。方法:选取2022年1—12年于广州医科大学附属清远医院(清远市人民医院)行经腋窝无充气腔镜下甲状腺手术的60例患者为研究对象,随机分为ACE-Star组(n=30,ACE-Star模型下循证护理临床路径干预)与常规组(n=30,常规护理干预)。比较两组患者切口疼痛程度、上肢功能、并发症发生率及护理满意度。结果:术后12、24 h,ACE-Star组静息、活动状态下视觉模拟评分法评分均低于常规组(P<0.05);术后24、48 h,ACE-Star组上肢动作研究量表评分高于常规组(P<0.05);ACE-Star组术后并发症发生率低于常规组(P=0.044);ACE-Star组护理满意度高于常规组(P=0.015)。结论:ACE-Star模型下循证护理临床路径用于经腋窝无充气腔镜下甲状腺手术患者中,可以减轻患者术后疼痛程度,改善上肢功能,减少并发症并提高满意度。

Objective:To explore the application effect of evidence-based nursing clinical pathway under ACE-Star model in patients undergoing transaxillary noninflatable lumpectomy for thyroid surgery.Methods:Sixty patients who underwent transaxillary noninflatable luminal thyroid surgery in Qingyuan Hospital Affiliated to Guangzhou Medical University(Qingyuan People's Hospital)from January to December 2022 were selected as the study subjects,and randomly divided into the ACE-Star group(n=30,evidence-based nursing clinical pathway intervention under the ACE-Star model)and the conventional group(n=30,conventional nursing intervention).The degree of incision pain,upper limb function,complication rate and nursing satisfaction were compared between the two groups.Results:At 12 and 24 h postoperatively,the scores of visual analog scoring method at rest and in active state in ACE-Star group were lower than those of conventional group(P<0.05);at 24 and 48 h postoperatively,the scores of upper extremity movement study scale in ACE-Star group were higher than those of conventional group(P<0.05);the incidence of postoperative complications in ACE-Star group was lower than that of conventional group(P=0.044);nursing care satisfaction in the ACE-Star group was higher than that in the conventional group(P=0.015).Conclusion:The evidence-based nursing clinical pathway under the ACE-Star model used in patients undergoing transaxillary noninflatable lumpectomy for thyroid surgery can reduce the patients'postoperative pain level,improve the function of the upper limbs,reduce complications and increase satisfaction.