Application effects of personalized cervical hyperextension position training in patients undergoing thyroidectomy
Objective:To observe application effects of personalized cervical hyperextension position training in patients undergoing thyroidectomy. Methods:A prospective study was conducted on 101 patients who underwent thyroidectomy in the hospital from November 2021 to January 2023. They were divided into control group (50 cases) and observation group (51 cases) using the random number table method. The control group was given routine nursing,while the observation group was given the personalized cervical hyperextension position training on the basis of that of the control group. The wound drainage volume and the oozing time 12 and 24 h after the surgery,the vertebral artery hemodynamic changes[left and right blood flow changes (ΔFv),mean blood flow velocity changes (ΔVm)]before and after the posture placement,the postoperative neck pain degree[visual analogue scale (VAS)]score,the pain disappearance time,and the incidence of postural syndrome within 1 month after the surgery were compared between the two groups. Results:The wound drainage volume 12 and 24 h after the surgery in the observation group were less than those in the control group,the oozing time was shorter than that in the control group,and the differences were statistically significant (P<0.05). The ΔFv and ΔVm of left and right vertebral artery in the observation group were smaller than those in the control group before and after the position placement,and the differences were statistically significant (P<0.05). The VAS scores of the observation group at 6,12 and 24 h after the surgery were lower than those of the control group,the pain disappearance time was shorter than that of the control group,and the differences were statistically significant (P<0.05). Further,the incidence of postural syndrome after thyroid surgery in the observation group was 3.92％ (2/51),which was lower than 20.00％ (10/50) in the control group,and the difference was statistically significant (P<0.05). Conclusions:The personalized cervical hyperextension position combined with postoperative cold compress in the patients undergoing thyroidectomy can reduce the wound drainage,shorten the oozing time and the pain disappearance time,reduce the hemodynamic changes of vertebral artery before and after the position placement,and reduce the VAS scores and the incidence of postural syndrome after thyroid surgery. Moreover,it is superior to simple routine nursing.
Personalized cervical hyperextension positionThyroidectomyVertebral artery hemodynamic changesPain scorePostural syndrome after thyroid surgery
万方数据
维普
