Analysis of risk factors for globus sensation after thyroid surgery
Objective To assess the incidence and risk factors of globus sensation after thyroid surgery and to develop reasonable nursing strategies.Methods A total of 84 patients who underwent thyroid surgery in our hospital from August 2022 to August 2023 were selected,and clinical and surgical-related parameters were collected upon admission.The"Voice-Related Quality of Life(V-RQOL)Survey for Thyroidectomy"was used to assess globus sensation before surgery and one month after surgery.Based on the responses to question 12 of the survey,patients were divided into a globus sensation group(≥1 point)and a control group(0 point).Logistic regression models were used to analyze the risk factors for globus sensation.Results A-mong the included patients,36 were in the globus sensation group and 48 in the control group.The globus sen-sation group had significantly more female patients than male patients(91.7％ vs.54.2％ ),and the propor-tions of central lymph node metastasis and central neck dissection were significantly higher than those in the control group,with statistically significant differences(P＜0.001,P=0.032,and P=0.037,respectively).The postoperative survey scores were significantly higher in the globus sensation group than in the control group,with a statistically significant difference(P＜0.001).Multivariate analysis showed that sex[odds ratio(OR)=2.135,95％ confidence interval(95％ CI)1.749-2.521,P＜0.001],location of lymph node invasion(OR=1.282,95％ CI 1.021-1.543,P＜0.001),and central neck dissection(OR=1.575,95％ CI 1.239-1.910,P＜0.001)were independent risk factors for globus sensation after thyroid surgery.Conclusion Fe-male patients,central neck dissection,and central lymph node metastasis are independent risk factors for glo-bus sensation after thyroidectomy.In nursing practice,psychological care and communication with these pa-tients should be strengthened.
万方数据
维普
