Application of responsibility-based nursing under the guidance of process reengineering theory in inpatients with thyroid cancer after surgery
Objective To explore the impact of responsibility-based nursing under the guidance of process re-engineering theory on the comfort,self-perceived burden,and rehabilitation process of inpatients with thyroid cancer af-ter surgery.Methods A total of 86 patients with thyroid cancer who underwent surgical treatment at Henan Provincial Hospital of Traditional Chinese Medicine(the Second Affiliated Hospital of Henan University of Traditional Chinese Med-icine)from August 2022 to February 2024 were selected as the research subjects and randomly divided into an observation group and a control group according to a random number table,with 43 patients in each group.Patients in the control group received routine care,while those in the observation group received responsibility-based nursing under the guidance of process reengineering theory in addition to routine care.Both groups were intervened until the patients were dis-charged.The rehabilitation process(time to resumption of oral feeding,pain score at 1 d after surgery[Visual Analogue Scale,VAS],length of hospital stay),General Comfort Questionnaire(GCQ;Kolcaba),Self-perceived Burden Scale(SPBS),shoulder function scores,and changes in neck mobility before intervention and at discharge(after intervention),and patients'satisfaction with nursing were compared between the two groups.Results The time to resumption of oral feeding,VAS score at 1 d after surgery,and length of hospital stay in the observation group were(5.24±1.48)h,(2.84±0.42)points,and(4.03±1.29)d,respectively,which were significantly lower than(9.53±2.31)h,(3.39±0.66)points,and(6.37±1.96)d in the control group(P<0.05).After intervention,the psychological,physiological,environmental,and so-ciocultural scores in the GCQ scale for patients in the observation group were(32.77±4.05)points,(16.22±2.42)points,(23.67±3.68)points,and(20.02±2.26)points,respectively,which were significantly higher than(26.53±3.48)points,(13.27±3.10)points,(20.11±2.44)points,and(17.39±3.18)points in the control group(P<0.05).After intervention,the scores of physical burden and emotional burden in the SPBS scale in the observation group were(6.33±1.10)points and(10.08±1.98)points,respectively,which were significantly lower than(8.24±1.54)points and(13.69±3.27)points in the control group(P<0.05).After intervention,the shoulder joint function scores,flexion to the healthy side,flexion to the af-fected side,forward flexion,and backward extension activities of the patients in the observation group were(73.74±5.19)points,(30.21±3.10)°,(31.28±2.78)°,(35.26±5.23)°,and(33.08±5.08)°,respectively,which were significantly higher than(65.59±3.67)points,(27.67±2.68)°,(26.36±4.00)°,(31.07±4.14)°,and(28.67±3.46)°of the control group(P<0.05).The satisfaction rate of patients in the observation group was 97.67%,which was significantly higher than 76.74%of the control group(P<0.05).Conclusion Responsibility-based nursing under the guidance of process reengineering theory can promote the postoperative rehabilitation of patients with thyroid cancer,improve shoulder and neck function,reduce self-perceived burden,and enhance comfort experience.It is worth promoting and applying in clinical practice.
万方数据
维普
