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目的探讨综合护理干预在胸部乳晕入路腔镜下甲状腺切除术围术期的应用效果。方法选取2014年9月至2015年8月该院收治的行甲状腺切除术的甲状腺结节患者50例,按照入院先后顺序分为对照组和观察组各25例。对照组采取常规护理,观察组在其基础上采取综合护理干预,比较两组护理总满意率、并发症及干预前后汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、健康调查简表(SF-36)评分。结果干预后观察组护理总满意率、SF-36评分均明显高于对照组,HAMA、HAMD评分及并发症发生率均明显低于对照组,差异有统计学意义。结论胸部乳晕入路腔镜下甲状腺切除术患者应用综合护理干预可减轻负性情绪,提高患者的护理总满意率及生活质量。
Objective To investigate the effect of comprehensive nursing intervention in perioperative thyroidectomy under endoscopic breast thoracotomy. Methods Fifty patients with thyroid nodules undergoing thyroidectomy from September 2014 to August 2015 in our hospital were divided into control group and observation group according to admission sequence. The control group was given routine nursing care. The observation group took the comprehensive nursing intervention on the basis of them. The total satisfaction rate of nursing, complication, HAMA, HAMD, (SF-36) score. Results After the intervention, the total satisfaction rate of nursing in the observation group was significantly higher than that of the control group. The scores of HAMA and HAMD and the incidence of complications were significantly lower than those of the control group. The difference was statistically significant. Conclusion The comprehensive nursing intervention in patients undergoing endoscopic thyroidectomy with chest areola route can reduce the negative emotion and improve the total satisfaction rate and quality of life of the patients.