甲状腺癌病人围手术期集束化护理干预30例
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摘要
目的探讨集束化护理干预在甲状腺癌病人围手术期舒适护理中的应用价值。方法将宣城市人民医院胸心外科2016年1月至2018年10月60例行患侧甲状腺全切除术加中央组淋巴结清扫的甲状腺癌病人按照随机数字表法分为干预组和对照组,每组各30例。对照组给予常规护理,干预组则在常规护理基础上同时给予集束化护理干预,比较两组的护理效果。结果干预组在心理、生理、环境、社会生活的舒适度评分分别为(96.5±7.92)分,(93.5±8.22)分,(96.9±9.23)分和(93.3±7.12)分,高于对照组的(66.5±6.51)分,(71.7±8.12)分,(81.2±8.92)分和(70.3±7.11)分,均差异有统计学意义(均P<0.05)。干预组满意度为96.66%,高于对照组的73.33%,差异有统计学意义(χ~2=4.71,P=0.03)。干预组病人生理机能、生理职能、机体疼痛、总体健康、活力状态、社会职能、情感状态、精神健康8个维度评分分别为(79.14±1.26)分,(89.72±2.25)分,(90.55±2.39)分,(87.52±1.15)分,(97.66±3.86)分,(96.22±2.02)分,(95.61±2.89)分和(98.69±3.02)分,高于对照组的(57.18±2.21)分,(55.49±3.12)分,(56.42±3.36)分,(50.22±2.18)分,(51.11±2.02)分,(53.76±3.15)分,(54.12±2.54)分和(57.78±2.31)分,均差异有统计学意义(均P<0.05)。结论集束化护理干预在甲状腺癌病人围手术期护理中的作用显著,能够提高病人的舒适度、护理满意度以及生活质量。
Objective To explore the value of cluster nursing intervention in perioperative comfort nursing of patients with thyroid cancer.Methods From January 2016 to October 2018,60 patients with thyroid cancer who underwent total thyroidectomy plus lymph node dissection in Department of Cardiothoracic Surgery,Xuancheng People's Hospital,were randomly divided into the intervention group and the control group according to random number table method,with 30 patients in each group.Routine care was given to the control group,and cluster nursing intervention was given to the intervention group on the basis of routine nursing care.The nursing effects between the two groups were compared.Results The scores of psychology,physiology,environment and comfort of social life of the intervention group were(96.5±7.9),(93.5±8.2),(96.9±9.23) and(93.3±7.12),respectively,which were higher than those of the control group,which were(66.5±6.51),(71.7±8.12),(81.2±8.9) and(70.3±7.11),respectively.The differences had statistical significance(all P<0.05).The satisfaction rate of the intervention group was 96.66%,higher than 73.33% of the control group.The difference was statistically significant(χ~2=4.71,P=0.03).The scores of physiological function,physiological function,body pain,general health,vitality state,social function,emotional state and mental health in the intervention group were(79.14±1.26),(89.72±2.25),(90.55±2.39),(87.52±1.15),(97.66±3.86),(96.22±2.02),(95.61±2.8) and(98.69±3.02),respectively,which were higher than those in the control group,which were(57.18±2.21),(55.49±3.12),(56.42±3.36),(50.22±2.18),(51.11±2.02),(53.76±3.1),(54.12±2.54) and(57.78±2.31),respectively.All the P values were less than 0.05,with statistical significance.Conclusion Cluster nursing intervention plays an important role in perioperative nursing of thyroid patients and can improve patients' comfort level,nursing satisfaction and life quality.
Objective To explore the value of cluster nursing intervention in perioperative comfort nursing of patients with thyroid cancer.Methods From January 2016 to October 2018,60 patients with thyroid cancer who underwent total thyroidectomy plus lymph node dissection in Department of Cardiothoracic Surgery,Xuancheng People's Hospital,were randomly divided into the intervention group and the control group according to random number table method,with 30 patients in each group.Routine care was given to the control group,and cluster nursing intervention was given to the intervention group on the basis of routine nursing care.The nursing effects between the two groups were compared.Results The scores of psychology,physiology,environment and comfort of social life of the intervention group were(96.5±7.9),(93.5±8.2),(96.9±9.23) and(93.3±7.12),respectively,which were higher than those of the control group,which were(66.5±6.51),(71.7±8.12),(81.2±8.9) and(70.3±7.11),respectively.The differences had statistical significance(all P<0.05).The satisfaction rate of the intervention group was 96.66%,higher than 73.33% of the control group.The difference was statistically significant(χ~2=4.71,P=0.03).The scores of physiological function,physiological function,body pain,general health,vitality state,social function,emotional state and mental health in the intervention group were(79.14±1.26),(89.72±2.25),(90.55±2.39),(87.52±1.15),(97.66±3.86),(96.22±2.02),(95.61±2.8) and(98.69±3.02),respectively,which were higher than those in the control group,which were(57.18±2.21),(55.49±3.12),(56.42±3.36),(50.22±2.18),(51.11±2.02),(53.76±3.1),(54.12±2.54) and(57.78±2.31),respectively.All the P values were less than 0.05,with statistical significance.Conclusion Cluster nursing intervention plays an important role in perioperative nursing of thyroid patients and can improve patients' comfort level,nursing satisfaction and life quality.
引文
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[10]王家成,孙琳,丁玉珍,等.集束化护理改善胃癌术后患者肠内营养耐受性的效果研究[J].中华现代护理杂志,2017,23(30):3821-3826.
[11]周大新,周丽,黄健康.分化型甲状腺癌两种手术方式的临床分析[J].安徽医药,2016,20(5):961-962.
[12]何细飞,张利娟,张子云.集束化护理干预措施对类风湿关节炎患者生活质量的影响[J].实用临床护理学电子杂志,2017,2(52):34,36.DOI:10.3969/j.issn.2096-2479.2017.52.023.
[13]张振华,苏自杰,阚云珍,等.全腔镜下甲状腺癌根治术对甲状腺癌疗效及术后并发症的影响[J].安徽医药,2017,21(11):2009-2012.
[14]张丽萍,秦丰明.集束化护理在冠心病介入治疗患者二级预防中的效果[J]心脑血管病防治,2015,15(5):430-432.
[15]夏莹.舒适护理在甲状腺手术患者中的应用[J].齐鲁护理杂志,2014(16):57-59.
[16]王德志,夏飞,吴宝潮.甲状腺全切术后甲状旁腺功能减退的防治体会[J].安徽医学,2016,37(9):1114-1115.
[2]赛恒,吴岩,李炳尧,等.甲状腺肿瘤的流行现状及危险因素研究新进展[J].中国民康医学,2015,27(12):76-78,97.
[3]MIYAUCHI A,MASUOKA H,TOMODA C,et al.Laryngeal approach to the recurrent laryngeal nerve involved by thyroid cancer at the ligament of Berry[J].Surgery,2012,152(1):57-60.
[4]肖鑫和.腹式呼吸养生益寿的医学基础[J].按摩与导引,1996,4(4):41-43.
[5]汤苏成,王跃建,陈伟雄,等.声带息肉和小结术后发声障碍患者嗓音训练疗效观察[J].听力学及言语疾病杂志,2017,25(2):200-202.
[6]俞茗文,万萍.脑损伤后咽期吞咽障碍的康复治疗研究进展[J].中国康复,2017,32(6):518-521.
[7]朱丽霞,高凤莉,罗虹辉,等.舒适状况量表的信效度测试研究[J].中国实用护理杂志,2006,22(13):57-59.
[8]李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2002,36(2):109-113.
[9]李谆,夏茜.集束化护理干预在食管癌患者中的应用[J].齐鲁护理杂志,2017,23(20):65-66.
[10]王家成,孙琳,丁玉珍,等.集束化护理改善胃癌术后患者肠内营养耐受性的效果研究[J].中华现代护理杂志,2017,23(30):3821-3826.
[11]周大新,周丽,黄健康.分化型甲状腺癌两种手术方式的临床分析[J].安徽医药,2016,20(5):961-962.
[12]何细飞,张利娟,张子云.集束化护理干预措施对类风湿关节炎患者生活质量的影响[J].实用临床护理学电子杂志,2017,2(52):34,36.DOI:10.3969/j.issn.2096-2479.2017.52.023.
[13]张振华,苏自杰,阚云珍,等.全腔镜下甲状腺癌根治术对甲状腺癌疗效及术后并发症的影响[J].安徽医药,2017,21(11):2009-2012.
[14]张丽萍,秦丰明.集束化护理在冠心病介入治疗患者二级预防中的效果[J]心脑血管病防治,2015,15(5):430-432.
[15]夏莹.舒适护理在甲状腺手术患者中的应用[J].齐鲁护理杂志,2014(16):57-59.
[16]王德志,夏飞,吴宝潮.甲状腺全切术后甲状旁腺功能减退的防治体会[J].安徽医学,2016,37(9):1114-1115.