首页|基于快速康复外科理念的护理措施在甲状腺乳头状癌手术中的应用研究

基于快速康复外科理念的护理措施在甲状腺乳头状癌手术中的应用研究

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目的 分析基于快速康复外科理念(FTS)的护理措施在甲状腺乳头状癌(PTC)手术中的应用效果.方法 选取 2021 年 9 月—2023 年 8 月于烟台海港医院接受PTC手术的患者 98 例为研究对象,参照随机数字表法分组.对照组(n=49)接受常规围术期护理,在其基础上,研究组(n=49)接受基于FTS理念的围术期护理.比较两组患者的术中与术后指标、简易应对方式问卷(SCSQ)评分、并发症发生率及护理满意度.结果 两组的手术时间比较,差异无统计学意义(P﹥0.05);研究组的术后首次排气时间、住院时间均短于对照组,组间差异有统计学意义(P﹤0.05).干预后,研究组的SCSQ中积极应对评分高于对照组,消极应对评分低于对照组,组间差异有统计学意义(P﹤0.05).研究组的并发症发生率为 4.08%,低于对照组的 18.37%,差异有统计学意义(P﹤0.05).研究组的护理总满意率为 100.00%,高于对照组的 87.76%,差异有统计学意义(P﹤0.05).结论 基于FTS的护理措施能加快PTC手术患者的康复速度,降低并发症发生风险,提高患者的疾病应对能力及护理满意度,具有临床应用价值.
Application of Nursing Measures Based on the Concept of Fast Track Surgery in the Surgery of Papillary Thyroid Cancer
Objective To analyze the effect of nursing measures based on fast track surgery(FTS)concept in the surgery of papillary thyroid carcinoma(PTC).Methods 98 patients who received PTC surgery in Yantai Harbor Hospital from September 2021 to August 2023 were selected as the study objects and were grouped according to a random number table.The control group(n=49)received routine perioperative nursing,on this basis,the study group(n=49)received perioperative nursing based on FTS concept.The intraoperative and postoperative indexes,Simple Coping Style Questionnaire(SCSQ)score,complication rate and nursing satisfaction were compared between the two groups.Results There was no significant difference in operation time between the two groups(P﹥0.05);the first postoperative exhaust time and hospital stay in the study group were shorter than those in the control group,and the differences between the groups were statistically significant(P﹤0.05).After intervention,the positive coping score in SCSQ of the study group was higher than that of the control group,while the negative coping score in SCSQ of the study group was lower than that of the control group,and the differences between the groups were statistically significant(P﹤0.05).The incidence of complications in the study group was 4.08%,lower than 18.37% in the control group,and the difference was statistically significant(P﹤0.05).The total satisfaction rate of nursing in the study group was 100.00%,higher than 87.76% in the control group,and the difference was statistically significant(P﹤0.05).Conclusion Nursing measures based on FTS concept can accelerate the recovery speed of PTC surgery patients,reduce the risk of complications,improve patients'disease coping ability and nursing satisfaction,and have clinical application value.

The concept of fast track surgeryNursingThyroid papillary carcinomaSurgery

王卫娜

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烟台海港医院普外科,山东烟台 264000

快速康复外科理念 护理 甲状腺乳头状癌 手术

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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