首页|综合干预对达芬奇机器人经腋窝乳晕入路甲状腺全麻手术患者情绪及疼痛的影响

综合干预对达芬奇机器人经腋窝乳晕入路甲状腺全麻手术患者情绪及疼痛的影响

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目的:探讨综合干预对机器人经腋窝乳晕入路甲状腺全麻手术患者情绪及疼痛的影响效果.方法:选取 2021 年 1 月—2023 年 6 月于空军军医大学第一附属医院行达芬奇机器人经腋窝乳晕入路甲状腺全麻手术的122例患者作为研究对象,采用随机数表法将其分为对照组和研究组,每组各61例.对照组实施常规护理干预,研究组实施综合护理干预.比较两组患者不良情绪、疼痛、舒适度及并发症.结果:与干预前相比,两组患者干预后汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)评分均降低(P<0.05),简化舒适状况量表(GCQ)各维度评分均升高(P<0.05),且研究组患者干预后HAMA、HAMD评分比对照组更低(P<0.05);两组患者疼痛率相比,研究组Ⅰ度疼痛率高于对照组,差异具有统计学意义(P<0.05);而研究组Ⅲ度疼痛率低于对照组,差异具有统计学意义(P<0.05);研究组并发症发生率低于对照组(P<0.05).结论:综合护理干预应用于达芬奇机器人经腋窝乳晕入路甲状腺全麻手术患者,可改善其不良情绪,减轻疼痛,提高舒适度,降低并发症.
Effect of comprehensive intervention on mood and pain of patients undergoing Da Vinci robot-assisted thyroidectomy under general anesthesia through the axilla-breast approach
Objective:To explore the effect of comprehensive intervention on mood and pain in patients undergoing Da Vinci robot-assisted thyroidectomy under general anesthesia through the axilla-breast approach.Methods:122 patients who underwent Da Vinci robot-assisted thyroidectomy from January 2021 to June 2023 were selected and divided into the control group(n=61)and the study group(n=61)using a random number table.The control group was given conventional intervention,and the study group received comprehensive intervention.Negative mood,pain,comfort,and complications of patients in the two groups were compared.Results:Compared with that before intervention,the scores of Hamilton Anxiety Rating Scale(HAM-A)and Hamilton Rating Scale for Depression(HAM-D)were both decreased in the two groups after intervention(P<0.05).Generalized Comfort Questionnaire(GCQ)scores at all dimensions were increased after intervention(P<0.05),and the HAMA and HAMD scores of the study group were lower than those of the control group after intervention(P<0.05).The incidence rate of degree I pain in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).However,the incidence rate of degreeⅢpain in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The incidence rate of complication in the study group was lower than that in the control group(P<0.05).Conclusion:Comprehensive intervention in patients undergoing Da Vinci robot-assisted thyroidectomy under general anesthesia through the axilla-breast approach could improve negative mood,relieve pain,improve comfort,and reduce complications.

Comprehensive InterventionRobot-assisted SurgeryAxilla-breast ApproachThyroidectomyMoodPain

王春晓、王哲、罗恒、赵洁

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空军军医大学第一附属医院甲乳血管外科 陕西 西安 710032

空军军医大学第一附属医院外科手术室 陕西 西安 710032

综合干预 机器人辅助手术 经腋窝乳晕入路 甲状腺切除术 情绪 疼痛

国家自然科学基金国家自然科学基金青年基金

8230335981902677

2024

机器人外科学杂志(中英文)
世界图书出版有限公司

机器人外科学杂志(中英文)

CSTPCD
ISSN:2096-7721
年,卷(期):2024.5(4)
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