[1]金 磊.临床护理干预化方案对甲状腺肿物切除术效果及并发症的影响[J].医学信息,2022,35(02):181-183.[doi:10.3969/j.issn.1006-1959.2022.02.048]
　JIN Lei.Effect of Clinical Nursing Intervention on Thyroidectomy and Complications[J].Medical Information,2022,35(02):181-183.[doi:10.3969/j.issn.1006-1959.2022.02.048]
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临床护理干预化方案对甲状腺肿物切除术效果及并发症的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年02期
页码:
181-183
栏目:
护理研究
出版日期:
2022-01-15

文章信息/Info

Title:
Effect of Clinical Nursing Intervention on Thyroidectomy and Complications
文章编号:
1006-1959（2022）02-0181-03
作者:
金 磊
庄河市中医医院外科，辽宁 庄河 116400
Author(s):
JIN Lei
Department of Surgery,Zhuanghe Hospital of Traditional Chinese Medicine,Zhuanghe 116400,Liaoning,China
关键词:
临床护理路径; 甲状腺肿物切除术; 甲状腺功能
Keywords:
Clinical nursing pathway; Thyroidectomy; Thyroid function
分类号:
R473
DOI:
10.3969/j.issn.1006-1959.2022.02.048
文献标志码:
A
摘要:
目的 观察临床护理干预化方案对甲状腺肿物切除术效果及并发症的影响。方法 选取2018年5月-2019年5月我院50例行甲状腺肿物切除术患者为研究对象，采用随机数字表法分为对照组和观察组，各25例。对照组实施常规护理干预，观察组实施临床护理干预化方案，比较两组不同时间点疼痛评分、生命体征情况、术后甲状腺功能指标[三碘甲腺原氨酸（FT3）、游离甲状腺素（FT4）、促甲状腺激素（TSH）]、护理满意度以及并发症发生率。结果 观察组手术时、术后1 d疼痛评分低于对照组，差异有统计学意义（P＜0.05）；观察组手术时、术后1 d心率、收缩压均小于对照组，差异有统计学意义（P＜0.05）；观察组FT3、FT4、TSH低于对照组，差异有统计学意义（P＜0.05）；观察组护理满意度为96.00%，高于对照组的84.00%，差异有统计学意义（P＜0.05）；观察组并发症发生率为12.00%，低于对照组的24.00%，差异有统计学意义（P＜0.05）。结论 临床护理干预化方案可减轻甲状腺肿物切除术患者疼痛，促进术后甲状腺功能恢复，降低并发症发生率，且护理满意度较高。
Abstract:
Objective To observe the effect of clinical nursing intervention on thyroid tumor resection and complications.Methods 50 patients who underwent thyroidectomy in our hospital from May 2018 to May 2019 were selected as the study subjects. They were divided into control group and observation group by random number table method, with 25 cases in each group. The control group received routine nursing intervention, while the observation group received clinical nursing intervention. The pain score and vital signs at different time points, postoperative thyroid function indexes [triiodothyronine (FT3), free thyroxine (FT4), thyroid stimulating hormone (TSH)], nursing satisfaction and incidence of complications were compared between the two groups.Results The pain scores at operation time and 1 d after operation in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). The heart rate and systolic blood pressure at operation time and 1 d after operation in the observation group were lower than those in the control group, and the difference was statistically significant (P<0.05). The levels of FT3 and FT4 and TSH were lower than that in the control group, the difference was statistically significant (P<0.05). The nursing satisfaction of the observation group was 96.00%, which was higher than 84.00% of the control group, and the difference was statistically significant (P<0.05). The incidence of complications in the observation group was 12.00%, which was lower than 24.00% in the control group, and the difference was statistically significant (P<0.05).Conclusion The clinical nursing intervention program can reduce the pain of patients with thyroid tumor resection, promote the recovery of postoperative thyroid function, reduce the incidence of complications, and the nursing satisfaction is higher.

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更新日期/Last Update: 1900-01-01