[1]程 成.集束化护理对甲状腺结节微波消融术患者甲状腺功能及满意度的影响[J].医学信息,2024,37(22):189-192.[doi:10.3969/j.issn.1006-1959.2024.22.047]
　CHENG Cheng.Effect of Cluster Nursing on Thyroid Function and Satisfaction of Patients with Thyroid Nodule Microwave Ablation[J].Journal of Medical Information,2024,37(22):189-192.[doi:10.3969/j.issn.1006-1959.2024.22.047]
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集束化护理对甲状腺结节微波消融术患者甲状腺功能及满意度的影响()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年22期
页码:
189-192
栏目:
护理研究
出版日期:
2024-11-15

文章信息/Info

Title:
Effect of Cluster Nursing on Thyroid Function and Satisfaction of Patients with Thyroid Nodule Microwave Ablation
文章编号:
1006-1959（2024）22-0189-04
作者:
程 成
万年县人民医院CT室，江西 万年 335599
Author(s):
CHENG Cheng
CT Room of Wannian County People’s Hospital,Wannian 335599,Jiangxi,China
关键词:
集束化护理; 甲状腺结节; 微波消融术; 甲状腺功能; 满意度
Keywords:
Cluster nursing; Thyroid nodule; Microwave ablation; Thyroid function; Satisfaction
分类号:
R473.6
DOI:
10.3969/j.issn.1006-1959.2024.22.047
摘要:
目的 研究集束化护理对甲状腺结节微波消融术患者甲状腺功能及满意度的影响。方法 选取2021年2月-2023年2月在我院行甲状腺结节微波消融术的64例患者为研究对象，采用随机数字表法分为对照组和观察组，各组32例。对照组采用常规护理，观察组应用集束化护理干预，比较两组患者手术和恢复指标（术中出血量、下床活动时间、住院时间、住院费用）、疼痛（NRS）评分、甲状腺功能指标[游离三碘甲状腺原氨酸（FT3）、游离甲状腺素（FT4）、促甲状腺激素（TSH）]、并发症发生率及护理满意度。结果 观察组术中出血量、下床活动时间、住院时间、住院费用均小于对照组（P＜0.05）；两组NRS评分均低于干预前，且观察组低于对照组（P＜0.05）；两组FT4均高于干预前，FT3、TSH均低于干预前，且观察组FT4高于对照组，FT3、TSH均低于对照组（P＜0.05）；观察组并发症发生率为6.25%，低于对照组的21.88%（P＜0.05）；观察组护理满意度为93.75%，高于对照组的81.25%（P＜0.05）。结论 集束化护理可促进甲状腺结节微波消融术患者术后甲状腺功能恢复，提高护理满意度，降低并发症发生率，减轻患者疼痛度，从而促进患者术后恢复快速恢复。
Abstract:
Objective To study the effect of cluster nursing on thyroid function and satisfaction of patients with thyroid nodule microwave ablation.Methods A total of 64 patients who underwent microwave ablation of thyroid nodules in our hospital from February 2021 to February 2023 were selected as the research objects. They were divided into control group and observation group by random number table method, with 32 patients in each group. The control group was treated with routine nursing, and the observation group was treated with cluster nursing intervention. The operation and recovery indexes (intraoperative blood loss, time to get out of bed, hospitalization time, hospitalization cost), pain (NRS) score, thyroid function indexes [free triiodothyronine (FT3), free thyroxine (FT4), thyroid stimulating hormone (TSH)], complication rate and nursing satisfaction were compared between the two groups.Results The amount of bleeding, the time of getting out of bed, the time of hospitalization and the cost of hospitalization in the observation group were less than those in the control group (P<0.05). The NRS score of the two groups was lower than that before intervention, and that in the observation group was lower than that in the control group (P<0.05). FT4 in the two groups was higher than that before intervention, FT3 and TSH were lower than those before intervention, and FT4 in the observation group was higher than that in the control group, FT3 and TSH were lower than those in the control group (P<0.05). The incidence of complications in the observation group was 6.25%, which was lower than 21.88% in the control group (P<0.05). The nursing satisfaction of the observation group was 93.75%, which was higher than 81.25% of the control group (P<0.05).Conclusion Cluster nursing can promote the recovery of thyroid function after microwave ablation of thyroid nodules, improve nursing satisfaction, reduce the incidence of complications, reduce the pain of patients, and promote the rapid recovery of patients after operation.

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更新日期/Last Update: 1900-01-01