Pan Zhaoyan, Huang Qian, Jiang Liping, Li Minxiang, Liu Zan, Chen Xiuxiu, Zhuang Yufen
Department of Thyroid and Breast Surgery/Gastrointestinal Tumor Surgery, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan Province, China.
Department of General Surgery/Wound Stoma Nursing Clinic, The Second Affiliated Hospital of Hainan Medical University Haikou 570311, Hainan Province, China.
Am J Transl Res. 2021 Apr 15;13(4):2822-2830. eCollection 2021.
To explore the effectiveness of a targeted nursing model for patients undergoing thyroid surgery, and to analyse the influence of intervention on the negative emotions of patients.
Eighty patients who received thyroid surgery in our hospital were enrolled and divided into a study group (n=40, given targeted nursing) and a control group (n=40, given routine surgical nursing) according to the difference of intervention measures. The postoperative bed-leaving time, hospitalization time, medical expenses, drainage tube indwelling time and incidence of postoperative adverse reactions were compared between the two groups. The degree of pain, anxiety and depression was compared between the two groups at 1 d, 3 d, 5 d, and 7 d after surgery. The scales of voice handicap index (VHI-10) and standard swallowing assessment (SSA) were used to evaluate voice quality and swallowing function in the two groups.
The postoperative bed-leaving time, hospitalization time, medical expenses, drainage tube indwelling time and incidence of postoperative adverse reactions of patients in the study group were lower than those in the control group (<0.05). The scores of visual analogue scale (VAS), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the study group at 3 d, 5 d and 7 d after surgery were lower than those in the control group (<0.05). The scores of VHI-10 and SSA in the study group were lower than those in the control group at 7 d and 30 d after surgery (<0.05).
Targeted nursing for patients undergoing thyroid surgery can help accelerate the improvement of postoperative clinical symptoms, relieve the unhealthy emotions and pain of patients, and help improve their voice quality and swallowing function, which also has a positive effect on reducing postoperative complications. Therefore, it is worthy of clinical popularization and application.
探讨针对性护理模式对甲状腺手术患者的效果，并分析干预对患者负面情绪的影响。
选取我院接受甲状腺手术的80例患者，根据干预措施的不同分为研究组（n = 40，给予针对性护理）和对照组（n = 40，给予常规手术护理）。比较两组患者术后下床时间、住院时间、医疗费用、引流管留置时间及术后不良反应发生率。比较两组患者术后1 d、3 d、5 d和7 d时的疼痛程度、焦虑和抑郁程度。采用嗓音障碍指数（VHI - 10）量表和标准吞咽评估（SSA）量表评估两组患者的嗓音质量和吞咽功能。
研究组患者术后下床时间、住院时间、医疗费用、引流管留置时间及术后不良反应发生率均低于对照组（P<0.05）。研究组患者术后3 d、5 d和7 d时的视觉模拟评分（VAS）、自评焦虑量表（SAS）和自评抑郁量表（SDS）评分均低于对照组（P<0.05）。研究组患者术后7 d和30 d时的VHI - 10和SSA评分均低于对照组（P<
对甲状腺手术患者实施针对性护理有助于加快术后临床症状的改善，缓解患者的不良情绪和疼痛，有助于改善其嗓音质量和吞咽功能，对减少术后并发症也有积极作用。因此，值得临床推广应用。
