摘要
目的：探讨共情护理对实施甲状腺切除手术患者负性情绪及术后康复的影响。方法选取128例接受甲状腺切除术患者为研究对象，按照入院日期分为观察组62例与对照组66例，对照组给予常规护理模式，观察组在常规护理的基础上给予共情护理，比较2组患者负性情绪、术后康复及满意度。结果干预后观察组 SAS 评分、SDS 评分均优于对照组[（35．09±4．01）分比（44．70±6．59）分，（36．55±4．12）分比（42．03±7．62）分，t ＝4．693、5．436，均 P ＜0．05]；观察组颈部肿胀、声音嘶哑、低血钙行发生率（1．61％、0．00％、3．23％）明显较低对照组（6．06％、6．06％、7．58％），差异均有统计学意义（χ2＝3．572、3．879、4．002，均 P ＜0．05）；观察组对护理人员满意度明显高于对照组（95．16％比78．79％），差异有统计学意义（χ2＝4．275，P ＜0．05）。结论共情护理能有效地缓解甲状腺切除手术患者的紧张情绪，减少血压、心率的波动，使患者以最佳的状态接受和配合手术治疗，改善术后康复。
Objective To investigate the effect of empathy nursing on the negative emotions and postopera-tive rehabilitation of thyroidectomy patients.Methods A total of 86 patients with thyroidectomy were chosen and were divided into the control group（n =44）and the observation group（n =42）according to the hospital date.The control group received conventional nursing mode,while the observation group was given empathy nursing.The nega-tive emotions postoperative rehabilitation and satisfaction degree of patients were analyzed and compared between the two groups.Results After intervention,the SAS score,SDS score of the observation group were better than those of the control group,the differences were statistically significant[（35.09 ±4.01 ）points vs.（44.70 ±6.59）points, （36.55 ±4.12）points vs.（42.03 ±7.62）points,t =4.693,5.436,all P 〈0.05].The incidence rates of swelling of the neck,hoarseness,hypocalcemia in the observation group（1.61%,0.00%,3.23%）were significantly lower than those of the control group （6.06%,6.06%,7.58%）,the differences were statistically significant （χ2 =3.572, 3.879,4.002,all P 〈0.05）.The satisfaction degree for nursing staff in the observation group was better than that in the control group （95.16% vs.78.79%）,the difference was statistically significant （χ2 =4.275,P 〈0.05 ）. Conclusion Empathy nursing can relieve the tension of patients who undergo thyroidectomy,it can reduce fluctua-tions of blood pressure and heart rates,help to successful completion of thyroidectomy,and improve postoperative rehabilitation.
作者
姜雅萍
王玲琴
刘利智
Jiang Yaping Wang Lingqin Liu Lizhi(Department of Gastrointestinal Surgery, the Second Hospital Affiliated to Wenzhou Medical University, Wenzhou, Zhejiang 325000, Chin)
出处
《中国基层医药》
CAS
2016年第24期3777-3780,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
甲状腺切除术
情绪障碍
康复
护理
Thyroidectomy
Mood disorders
Rehabilitation
Nursing care
