Zhang Yi, Liu Fang, Wang Ling, Chen Shuguang, Xu Xiequn, Zhang Yaqin, Guo Shuli, Lv Chengshuai, Shi Xiaoyan, Shi Donglei, Zhang Zhiyuan, Liu Weinan, Huo Xiaopeng
Department of General Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100730, China.
Sci Rep. 2025 Aug 10;15(1):29235. doi: 10.1038/s41598-025-06419-6.
Female patients with thyroid cancer have a greater desire for not only curing the disease but also leaving an inconspicuous scar. Systematic nursing has a comprehensive effect on reducing scar formation. However, comprehensive nursing guidance for postoperative scar management are not usually available for patients with thyroid cancer. This study aimed to compare the comprehensive effect of systematic nursing compared to traditional nursing measures on postoperative scar management in patients with thyroid cancer. One hundred patients who underwent radical thyroidectomy between January 2019 and June 2019 were selected and randomly assigned to two groups. Patients in the experimental group (n = 50) received nursing care under systematic nursing guidance, while those in the control group (n = 50) received traditional nursing care. In the 3rd, 6th, and 12th months after surgery, all patients returned to the general surgery department for scar evaluation. Scarring was evaluated using the Vancouver Scar Scale (VSS). Patients' self-evaluated satisfaction scores for scar appearance and nursing guidance were also collected. Compared with the control group, scars in the experimental group were less inconspicuous. At the 6th and 12th months after surgery, the total VSS score in the experimental group was significantly lower than that in the control group (P < 0.001). By the 12th month after surgery, patients in the experimental group were more satisfied with the final scar appearance (experimental group: 4.69 ± 0.48; control group: 4.06 ± 0.57; P < 0.01) and nursing care (experimental group: 4.88 ± 0.34; control group: 4.50 ± 0.52; P < 0.05). Systematic nursing guidance had positive effects on reducing scar formation and enhancing patient satisfaction.
患有甲状腺癌的女性患者不仅渴望治愈疾病，还希望留下不明显的疤痕。系统护理对减少疤痕形成具有综合作用。然而，甲状腺癌患者通常无法获得关于术后疤痕管理的全面护理指导。本研究旨在比较系统护理与传统护理措施对甲状腺癌患者术后疤痕管理的综合效果。选取2019年1月至2019年6月期间接受甲状腺根治术的100例患者，并随机分为两组。实验组（n = 50）的患者在系统护理指导下接受护理，而对照组（n = 50）的患者接受传统护理。在术后第3、6和12个月，所有患者返回普通外科进行疤痕评估。使用温哥华疤痕量表（VSS）评估疤痕情况。还收集了患者对疤痕外观和护理指导的自我评估满意度得分。与对照组相比，实验组的疤痕不那么明显。术后第6和12个月，实验组的VSS总分显著低于对照组（P < 0.001）。到术后第12个月，实验组患者对最终疤痕外观（实验组：4.69 ± 0.48；对照组：4.06 ± 0.57；P < 0.01）和护理（实验组：4.88 ± 0.34；对照组：4.50 ± 0.52；P < 0.05）更满意。系统护理指导对减少疤痕形成和提高患者满意度有积极作用。
