[1]黄 芳,谢 磊,谢冰艳,等.“人本位”目标管理模式在甲状腺围手术期护理中的 应用效果研究[J].医学信息,2018,31(10):172-175.[doi:10.3969/j.issn.1006-1959.2018.10.060]
 HUANG Fang,XIE Lei,XIE Bing-yan,et al.Application of"Human centered"Target Management Mode in Perioperative Nursing Care of Thyroid Gland[J].Journal of Medical Information,2018,31(10):172-175.[doi:10.3969/j.issn.1006-1959.2018.10.060]
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“人本位”目标管理模式在甲状腺围手术期护理中的 应用效果研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年10期
页码:
172-175
栏目:
护理研究
出版日期:
2018-05-15

文章信息/Info

Title:
Application of"Human centered"Target Management Mode in Perioperative Nursing Care of Thyroid Gland
文章编号:
1006-1959(2018)10-0172-04
作者:
黄 芳谢 磊谢冰艳马 蝉梁 雷
湖北省天门市第一人民医院耳鼻咽喉-头颈外科,湖北 天门 431700
Author(s):
HUANG FangXIE LeiXIE Bing-yanMA ChanLIANG Lei
Department of Otorhinolaryngology Head and Neck Surgery,Tianmen First People's Hospital,Tianmen 431700,Hubei,China
关键词:
人本位目标管理甲状腺手术
Keywords:
Key words:Human-centeredGoal managementThyroid surgery
分类号:
R473.76
DOI:
10.3969/j.issn.1006-1959.2018.10.060
文献标志码:
A
摘要:
目的 探讨“人本位”目标管理模式在甲状腺围手术期护理中的应用效果。方法 将选择2016年7月~2017年6月122例接受甲状腺切除手术的患者,按入院时间分为对照组和干预组,每组61例,对照组进行常规护理,干预组在常规护理的基础上开展“人本位”整体护理,并实施目标管理,比较两组患者疼痛强度、焦虑评分、并发症的发生率、患者满意度等指标,评价护理效果。结果 干预组与对照组相比,患者术后并发症发生率、焦虑自评得分均降低,干预组术后24 h疼痛评分<3分患者多于对照组,疼痛评分>3分患者少于对照组(P<0.05),对护理服务的满意度上升,差异有统计学意义(P<0.05)。结论 “人本位”目标管理模式能够有效降低甲状腺切除术后患者并发症的发生率,减轻患者术后疼痛程度,改善患者的焦虑状态,有利于患者的术后恢复,值得临床推广。
Abstract:
Abstract:Objective To explore the effect of the“human centered”goal management model in thyroid perioperative care.Methods From July 2016 to June 2017,122 patients undergoing thyroidectomy were divided into two groups:control group and intervention group,61 cases in each group.The control group carried out routine nursing.The intervention group carried out the"human centered" holistic nursing on the basis of conventional nursing,and carried out the target management,compared the two groups of pain intensity, anxiety score,the incidence of complications,patient satisfaction and other indicators,to evaluate the nursing effect.Results Compared with the control group,the incidence of postoperative complications and anxiety self-evaluation scores in the intervention group were lower than those in the control group,and the pain score<3 at 24 hours after operation in the intervention group was higher than that in the control group.The pain score>3 in patients was less than that in the control group(P<0.05),there was a significant difference in satisfaction with nursing service(P<0.05).Conclusion The"human centered"target management model can effectively reduce the incidence of complications after thyroidectomy,reduce the degree of postoperative pain and improve the anxiety state of the patients, which is beneficial to the recovery of patients after operation,which is worthy of clinical promotion.

参考文献/References:

[1]刘伟.分化型甲状腺癌60例手术临床分析[J].医学信息,2013,26(26):72-73.
[2]李国英.单纯甲状腺肿瘤患者术后并发症的观察及护理对策研究[J].实用临床医药杂志,2015,19(12):64-66,77.
[3]夏春梅,黄澜,刘倩,等.甲状腺功能亢进患者心理健康与冲动性、攻击性人格关系的研究[J].护理管理杂志,2014,14(9):628-630.
[4]于璟.甲状腺功能与抑郁障碍关系的研究[D].大连理工大学,2013.
[5]张中南.唤醒护理[M].光明日报出版社,2013,39-45.
[6]李小寒,尚少梅.基础护理学[M].北京:人民卫生出版社,2012:446-448.
[7]张明园.精神科评定量表手册[M].长沙:湖南科学技术出版社,1993:35-42.
[8]韦丽宁,张嘉越,李松明,等.全民普遍食盐加碘后广西地区甲状腺疾病谱的变迁[J].中国普外基础与临床杂志,2013,20(12):1374-1380.
[9]崔冬金,王芬,林巧.129例腔镜下甲状腺切除术后并发症的观察和护理[J].中国医学创新,2013,10(35):140-142.
[10]盘雪莹.个体化护理干预对甲状腺手术患者的焦虑心理的影响[J].柳州医学,2013,26(3):177-179.
[11]何平.甲状腺手术患者术后并发症的预防及护理分析[J].世界最新医学信息文摘,2017,17(62):225.
[12]黄哲玮.甲状腺切除143例的术后观察与护理[J].求医问药:学术版,2012,10(4):117.
[13]李晓霞,江华,曾定芬,等.分化型甲状腺癌患者焦虑的现况调查及护理干预研究[J].成都医学院学报,2014,9(1):101-103.
[14]穆玉.甲状腺癌患者焦虑的护理干预研究[D].吉林大学,2010.
[15]汪大祝,赵芬,汤宏芝.心理干预对甲状腺癌患者焦虑及抑郁症状的效果评价[J].皖南医学院学报,2010,29(3):234-236.
[16]黄丽蓉.甲状腺术后恶心呕吐的原因分析及护理干预[J].心血管病防治知识,2017,5:104-106.
[17]褚彦香,熊欢,郭敏,等.甲状腺全麻术后体位综合征的预防性护理干预[J].护理学杂志,2016,11(31):25-26.
[18]边学海,张纯海,李世杰,等.甲状腺手术中甲状旁腺保护及术后低钙血症的处理[J].中国实用外科杂志,2011,31(6):527-529.
[19]宋清斌,车兆义,辛世杰,等.甲状腺手术中避免喉返神经损伤的体会[J].中国实用外科杂志,2012,32(5):406-408.
[20]邱国栋,王涛.重新审视德鲁克的目标管理——-一个后现代视角[J].学术月刊,2013,45(10):20-25.

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更新日期/Last Update: 2018-05-15