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外科研究与新技术（中英文）

外科研究与新技术 ›› 2018, Vol. 7 ›› Issue (3): 225-228.doi: 10.3969/j.issn.2095-378X.2018.03.020

• 护理园地 • 上一篇    

甲亢围手术期的护理及评估

韦雪云, 张雄文, 许海燕   

  1. 广东省河源市源城区人民医院手术室,河源 517000
  • 收稿日期:2018-01-03 出版日期:2018-09-28 发布日期:2019-12-16
  • 作者简介:韦雪云(1976—),女,本科,副主任护师,从事手术室护理工作;电子信箱:3591714048@qq.com

Evaluation on nursing interventions for perioperative patients with hyperthyroidism

WEI Xueyun, ZHANG Xiongwen, XU Haiyan   

  1. Department of Operatingroom, Guangdong Province Heyuan City Yuancheng District People’s Hospital, Hey uan 517000, China
  • Received:2018-01-03 Online:2018-09-28 Published:2019-12-16

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摘要： 目的 探讨甲亢围手术期的护理及评估。方法 临床纳入2015年5月—2017年6月期间收治的112例甲亢手术患者作为研究对象,根据入院顺序结合随机数字表将全部入选研究对象分为研究组、常规组,各56例。研究组在常规护理基础上实施综合护理干预措施,对常规组实施临床传统护理方案,并将两组患者术后并发症发生率及护理满意度进行对比,同时对比两组患者SAS、SDS评分。 结果 研究组术后并发症发生率为3.57%,明显低于常规组的14.29%(χ2=7.065,P=0.008);研究组患者护理满意率为96.43%,明显高于常规组的83.93%(χ2=8.822,P=0.003);研究组与常规组患者在SAS、SDS评分上对比具有统计学意义(t=10.975,t=6.835,P<0.05)。结论 对进行手术治疗的甲亢患者应加强围手术期的护理及评估,结合综合护理措施进行干预可有效降低术后并发症发生率,消除患者治疗期间不良心理,改善心理状况,进一步提升护理满意度,促进良好护患关系,同时提升临床整体护理服务水平,具备临床意义与实施价值。

关键词: 甲亢, 围手术期, 护理, 评估

Abstract: Objective To evaluate the nursing interventions during the operation of hyperthyroidism.Methods A total of 112 hyperthyroidism patients admitted from May 2015 to June 2017 were selected and divided into one study group and one conventional group by order of admission and random number table method, with 56 cases in each group.The conventional group received conventional nursing care, and the study group received comprehensive nursing interventions in addition to conventional nursing care.The incidence rate of postoperative complications and the rate of nursing satisfaction between the two groups were compared.Results The incidence rate of postoperative complications of the study group (3.57%) was significantly lower than that of the conventional group (14.29%) (χ2=7.065,P=0.008); the nursing satisfaction rate of the study group (96.43%) was significantly higher than that of the control group (83.93%) (χ2=8.822,P=0.003).There were also remarkable differences in SAS and SDS scores between the two groups (t=10.975,t=6.835,P<0.05).Conclusion For the patients with hyperthyroidism, comprehensive nursing interventions can efficiently reduce the incidence rate of postoperative complications and unhealthy mental feelings, so as to improve clinical nursing satisfaction, establish a good nurse-patient relationship, and promote nursing quality in general.The comprehensive nursing interventions are of great importance in clinical practice.

Key words: Hyperthyroidism, Perioperative, Nursing, Evaluate

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