国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2012年
11期
1555-1557
,共3页
黄俊平%王雪甜%李英姿%廖满凤
黃俊平%王雪甜%李英姿%廖滿鳳
황준평%왕설첨%리영자%료만봉
甲状腺%围术期手术%并发症%全程护理
甲狀腺%圍術期手術%併髮癥%全程護理
갑상선%위술기수술%병발증%전정호리
Thyroid gland%Perioperative operation%Complication%Whole course nursing
目的 分析全程护理对甲状腺围术期手术患者术后并发症发生率和对护理的满意度的影响,从而为临床上甲状腺围术期手术护理的选择提供理论参考.方法 选择我院2008年至2010年期间接受甲状腺围术期手术患者245例,将其分为观察组和对照组.观察组患者125例,接受术前、术中和术后的全程护理.对照组120例,手术中接受常规护理.分别统计两组患者术后并发症发生情况和痊愈时问,并调查患者对护理的满意度.结果 观察组并发症喉返神经损伤(10.40％vs.30.00％)、喉上神经损伤(7.20％ vs.22.5％)、面部抽搐( 9.60％vs.39.17％)、手足痉挛(12.80％ vs.56.67％)发生率和痊愈时间显著低于对照组(P均＜0.05)；同时,观察组患者对全程护理满意度高于对照组患者(88.80％vs.33.33％,x2=17.113,P＜0.05).结论 全程护理可有效降低甲状腺围术期手术并发症发生率,且有较高的护理满意度,可广泛应用于临床手术中.
目的 分析全程護理對甲狀腺圍術期手術患者術後併髮癥髮生率和對護理的滿意度的影響,從而為臨床上甲狀腺圍術期手術護理的選擇提供理論參攷.方法 選擇我院2008年至2010年期間接受甲狀腺圍術期手術患者245例,將其分為觀察組和對照組.觀察組患者125例,接受術前、術中和術後的全程護理.對照組120例,手術中接受常規護理.分彆統計兩組患者術後併髮癥髮生情況和痊愈時問,併調查患者對護理的滿意度.結果 觀察組併髮癥喉返神經損傷(10.40％vs.30.00％)、喉上神經損傷(7.20％ vs.22.5％)、麵部抽搐( 9.60％vs.39.17％)、手足痙攣(12.80％ vs.56.67％)髮生率和痊愈時間顯著低于對照組(P均＜0.05)；同時,觀察組患者對全程護理滿意度高于對照組患者(88.80％vs.33.33％,x2=17.113,P＜0.05).結論 全程護理可有效降低甲狀腺圍術期手術併髮癥髮生率,且有較高的護理滿意度,可廣汎應用于臨床手術中.
목적 분석전정호리대갑상선위술기수술환자술후병발증발생솔화대호리적만의도적영향,종이위림상상갑상선위술기수술호리적선택제공이론삼고.방법 선택아원2008년지2010년기간접수갑상선위술기수술환자245례,장기분위관찰조화대조조.관찰조환자125례,접수술전、술중화술후적전정호리.대조조120례,수술중접수상규호리.분별통계량조환자술후병발증발생정황화전유시문,병조사환자대호리적만의도.결과 관찰조병발증후반신경손상(10.40％vs.30.00％)、후상신경손상(7.20％ vs.22.5％)、면부추휵( 9.60％vs.39.17％)、수족경련(12.80％ vs.56.67％)발생솔화전유시간현저저우대조조(P균＜0.05)；동시,관찰조환자대전정호리만의도고우대조조환자(88.80％vs.33.33％,x2=17.113,P＜0.05).결론 전정호리가유효강저갑상선위술기수술병발증발생솔,차유교고적호리만의도,가엄범응용우림상수술중.
Objective To analyze the influence on the complication incidence and satisfaction of nursing of whole course nursing intervention for thyroid gland perioperative Pateints,then to provide some theory reference for selecting a nurse method during thyroid gland perioperative operation.Methods 245 patients undertaking thyroid gland perioperative operation form 2008 to 2010 were divided into observation group with 125 patients and control group with 120 patients.Patients in observation group received whole course nursing that was before,during,and after the operation.On the other hand,patients in control group undertook conventional nurse.Complication incidence,cure time,and satisfaction of nursing were compared between the two groups.Results Recurrent laryngeal nerve injury,superior laryngeal nerve injury,facial convulsion,and hand-and-foot spasm occurred in fewer patients in observation group than in control group ( 10.40％ vs.30.00％,7.20％ vs.22.5％,9.60％ vs.39.17％,12.80％ vs.56.67％,P＜ 0.05 for all comparisons).Cure time was shorter in observation group than in control group.Patients in observation group were significantly more satisfied on the nursing than patients in control group (88.80％ vs.33.33％,P＜ 0.05).Conclusions Whole course nursing can decrease the complication incidence of thyroid gland perioperative operation,has relatively high satisfaction of nursing,should be popularized clinically.
