摘要
目的:观察基于量化评估策略的围手术期护理在甲状腺切除术患者中的应用效果。方法:回顾性分析2022年6月至2024年5月于该院行甲状腺切除术的93例患者的临床资料,根据护理方法不同将其分为对照组(n=47)和观察组(n=46)。对照组实施常规护理,观察组在对照组基础上实施基于量化评估策略的围手术期护理。比较两组围手术期指标(住院时间、术后首次下床活动时间、术后首次进食时间)水平、术后3 d疼痛程度[视觉模拟评分法(VAS)]评分,护理前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、自我效能感[一般自我效能感量表(GSES)]评分。结果:观察组住院时间、术后首次下床活动时间、术后首次进食时间均短于对照组,差异有统计学意义(P<0.05);术后3 d,观察组VAS评分低于对照组,差异有统计学意义(P<0.05);护理后,两组SAS、SDS评分均低于护理前,且观察组低于对照组,差异有统计学意义(P<0.05);两组GSES评分均高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:基于量化评估策略的围手术期护理应用于甲状腺切除术患者,可改善围手术期指标水平,减轻疼痛程度,改善负性情绪,提高自我效能感,效果优于单纯常规护理。
Objective:To observe application effects of perioperative nursing based on quantitative evaluation strategy in patients undergoing thyroidectomy.Methods:The clinical data of 93 patients who underwent thyroidectomy in this hospital from June 2022 to May 2024 were retrospectively analyzed.According to different nursing methods,they were divided into control group(n=47)and observation group(n=46).The control group was given routine nursing,while the observation group was given the perioperative nursing based on quantitative evaluation strategy on the basis of that of the control group.The levels of perioperative indexes(hospitalization time,first out-of-bed time after the surgery,first feeding time after the surgery),the pain degree[visual analogue scale(VAS)]score 3 days after the surgery,the negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)]scores,and the self-efficacy[general self-efficacy scale(GSES)]score before and after nursing were compared between the two groups.Results:The hospitalization time,the first out-of-bed time after the surgery and the first feeding time after the surgery in the observation group were shorter than those in the control group,and the differences were statistically significant(P<0.05).Three days after the surgery,the VAS score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After the nursing,the scores of SAS and SDS in the two groups were lower than those before nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Further,after the nursing,the GSES scores of the two groups were higher than those before nursing,that in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusions:The application of perioperative nursing based on quantitative evaluation strategy in patients undergoing thyroidectomy can improve the levels of perioperative indicators,reduce the degree of pain,improve the negative emotions,and improve the self-efficacy.Moreover,it is superior to simple routine nursing.
作者
董淑芬
王敏
杨利强
DONG Shufen;WANG Min;YANG Liqiang(Operating Room of Xinyang Central Hospital,Xinyang 464000 Henan,China)
出处
《中国民康医学》
2026年第1期163-166,共4页
Medical Journal of Chinese People’s Health
关键词
甲状腺切除术
量化评估策略
围手术期
疼痛
负性情绪
自我效能感
Thyroidectomy
Quantitative evaluation strategy
Perioperative period
Pain
Negative emotion
Self-efficacy
