Chen Dan, Yang Fan, Xing Shao-Ling, Liu Chun-Zi
Dan Chen, Department of Oncology, Interventional Ultrasound, The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, P. R. China.
Fan Yang, Department of Oncology, Seventh Ward, The Fifth Medical Center of Chinese PLA General Hospital, Beijing 100039, P. R. China.
Pak J Med Sci. 2024 Mar-Apr;40(4):663-668. doi: 10.12669/pjms.40.4.7616.
To evaluate the effects of comprehensive nursing intervention on the quality of life and clinical outcomes of patients with thyroid nodules treated by ultrasound-guided microwave ablation.
This was a prospective study conducted from December 2020 to December 2022 at The Fifth Medical Center of Chinese PLA General Hospital. One hundred and twenty patients with benign thyroid nodules undergoing microwave ablation were included. Patients were randomly divided into control group and experimental group. Patients in the control group were given conventional intervention mode during the perioperative period, while those in the experimental group were given comprehensive nursing intervention mode on the basis of the control group. The differences in quality of life, cognitive level before and after intervention and satisfaction between the two groups were compared and analyzed.
The SF-36 scores in the experimental group were significantly higher than that in the control group after intervention. After the intervention, the SAS and SDS scores in the experimental group were significantly lower than those in the control group, with a statistically significant difference. The VAS scores in the experimental group were better than those in the control group at six, twelve and twenty four hour after operation, with statistically significant differences. After the intervention, the cognitive score of the experimental group was significantly higher than that of the control group.
Comprehensive nursing intervention is worthy of clinical promotion in the treatment of patients with thyroid nodules treated by ultrasound-guided microwave ablation, leading to various benefits such as effectively improving patients' quality of life and relieving pain.
评估综合护理干预对超声引导下微波消融治疗甲状腺结节患者生活质量及临床结局的影响。
这是一项于2020年12月至2022年12月在中国人民解放军总医院第五医学中心进行的前瞻性研究。纳入120例行微波消融治疗的良性甲状腺结节患者。患者随机分为对照组和实验组。对照组患者在围手术期给予常规干预模式，而实验组患者在对照组基础上给予综合护理干预模式。比较并分析两组干预前后生活质量、认知水平及满意度的差异。
干预后实验组的SF-36评分显著高于对照组。干预后，实验组的SAS和SDS评分显著低于对照组，差异有统计学意义。实验组术后6小时、12小时及24小时的VAS评分均优于对照组，差异有统计学意义。干预后，实验组的认知评分显著高于对照组。
综合护理干预在超声引导下微波消融治疗甲状腺结节患者中值得临床推广，可有效改善患者生活质量、缓解疼痛等诸多益处。
