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目的:探讨女性甲状腺手术患者应激反应应用抚触和心理护理的效果。方法:选取佛山市南海区人民医院2015年3月至2016年3月收治的106例女性甲状腺手术患者,随机进行分组;对照组53例采取常规护理;另外53例作为观察组在常规护理的基础上,应用抚触和心理护理;对比两组患者护理前后的心率、脉搏、收缩压、舒张压情况,根据症状自评量表评分(SCL-90评分),综合评价患者的心理状态,并作对比分析。结果:护理后,观察组患者的心率、脉搏、收缩压、舒张压改善程度大于对照组,差异具有统计学意义(P<0.05);护理后,观察组患者躯体化、抑郁、焦虑、偏执及精神病性的评分改善程度大于对照组,经T检验,差异具有统计学意义(P<0.05)。结论:抚触和心理护理对女性甲状腺手术患者的效果确切,可稳定患者的生命体征,对于改善心理状态具有积极作用。
Objective: To investigate the effect of applying the touch and psychological nursing to the stress response of female thyroid surgery patients. Methods: A total of 106 female thyroid surgery patients from March 2015 to March 2016 in Nanhai District of Foshan City were selected and randomly divided into groups. In control group, 53 cases were given routine care. The other 53 cases were used as the basis of routine nursing in observation group The results of heart rate, pulse rate, systolic blood pressure and diastolic blood pressure before and after nursing were compared between two groups of patients. According to the SCL-90 score, the psychological status of the patients was evaluated comprehensively, Comparative analysis. Results: After nursing, the improvement of heart rate, pulse, systolic pressure and diastolic pressure in the observation group was greater than that in the control group (P <0.05). After nursing, the somatization, depression, anxiety, Psychiatric scores improved more than the control group, the T test, the difference was statistically significant (P <0.05). Conclusion: Touching and psychological care are effective for women with thyroid surgery, which can stabilize the vital signs of patients and have a positive effect on the improvement of psychological status.