Maraş Baydoğan Gülseren, Sürme Yeliz, Kütük Karasungur Songül
Erciyes University, Faculty of Health Sciences, Surgery Nursing, Kayseri, Türkiye.
Erciyes University, Medical Faculty Hospital, Otorhinolaryngology Clinic Nurse, Kayseri, Türkiye.
Support Care Cancer. 2025 May 1;33(5):438. doi: 10.1007/s00520-025-09483-w.
Thyroidectomy, a standard surgical procedure, can lead to various postoperative issues that can significantly affect a patient's sleep quality. This study, addressing a topic of significant importance to thyroid surgery and patient care, engages healthcare professionals, researchers, and academics, providing crucial insights into the challenges faced by patients in the early period after thyroidectomy and their effects on sleep quality.
The primary aim of this study was to investigate the prevalence of postoperative issues experienced by patients in the early period after thyroidectomy and their influence on sleep quality.
This descriptive and prospective study, conducted with a sample of 104 thyroidectomy patients hospitalized in a university's Ear, Nose, and Throat clinic between 2021 and 2023, employed a comprehensive set of tools for data collection. These tools included a questionnaire, Visual Analog Scale for pain and nausea, Symptom Severity Scale, and Richard Campbell Sleep Scale, ensuring a thorough investigation into the prevalence of postoperative issues and their influence on sleep quality.
The most frequently reported postoperative issues were pain, difficulty swallowing, sore throat, dry mouth, nausea-vomiting, tingling, hoarseness, Chvostek's sign, tremors (tetany), Trousseau's sign, and bleeding. Analysis of the pre-and postoperative Richard Campbell Sleep Scale scores revealed a significant decrease in sleep quality post-surgery, particularly in patients experiencing sore throat, difficulty swallowing, pain, Chvostek's sign, and Trousseau's sign.
Our study has revealed that patients' three most commonly reported problems after thyroidectomy are pain, difficulty swallowing, and sore throat. Importantly, these issues significantly impact sleep quality, underscoring the need for effective management to improve patient recovery. This study enhances our understanding of postoperative issues after thyroidectomy and inspires improved clinical practices in managing these challenges.
甲状腺切除术是一种标准的外科手术,可能导致各种术后问题,这些问题会显著影响患者的睡眠质量。本研究针对甲状腺手术和患者护理中一个极其重要的课题,吸引了医疗保健专业人员、研究人员和学者参与,为了解甲状腺切除术后早期患者所面临的挑战及其对睡眠质量的影响提供了关键见解。
本研究的主要目的是调查甲状腺切除术后早期患者经历的术后问题的发生率及其对睡眠质量的影响。
这项描述性前瞻性研究对2021年至2023年期间在某大学耳鼻喉科诊所住院的104例甲状腺切除患者进行了抽样,采用了一套全面的数据收集工具。这些工具包括一份问卷、疼痛和恶心视觉模拟量表、症状严重程度量表以及理查德·坎贝尔睡眠量表,以确保对术后问题的发生率及其对睡眠质量的影响进行全面调查。
最常报告的术后问题是疼痛、吞咽困难、喉咙痛、口干、恶心呕吐、刺痛、声音嘶哑、陶瑟征、手足搐搦、抽搐(手足搐搦症)、特鲁索征和出血。对术前和术后理查德·坎贝尔睡眠量表得分的分析显示,术后睡眠质量显著下降,尤其是在出现喉咙痛、吞咽困难、疼痛、陶瑟征和特鲁索征的患者中。
我们的研究表明,甲状腺切除术后患者最常报告的三个问题是疼痛、吞咽困难和喉咙痛。重要的是,这些问题会显著影响睡眠质量,突出了有效管理以改善患者康复的必要性。本研究增进了我们对甲状腺切除术后问题的理解,并激发了在应对这些挑战方面改进临床实践的灵感。