CAJ | 학술논문

目的:探讨快速康复外科理念在甲状腺手术围手术期护理中的应用.方法:选取我科2010年9月~2012年3月行甲状腺手术治疗的病例112例,使用快速康复外科理念围手术期处理方案及针对并发症处理方案指导护理常规工作,并观察术后及随访病人恢复情况、并发症发生情况及满意度.结果:112例患者均手术成功,住院时间3~5d,平均4.5d;并发症发生情况:声嘶(暂时性)2例,切口感染1例,手足麻木及抽搐1例,皮下红肿瘀斑2例,对症处理后症状均好转.所有病人在住院期间对护理工作、护理舒适度均为满意.术后回访6~24个月,患者均满意,生活质量高.结论:快速康复外科理念在甲状腺手术围手术期护理的应用是安全、有效的.
목적:탐토쾌속강복외과이념재갑상선수술위수술기호리중적응용.방법:선취아과2010년9월~2012년3월행갑상선수술치료적병례112례,사용쾌속강복외과이념위수술기처리방안급침대병발증처리방안지도호리상규공작,병관찰술후급수방병인회복정황、병발증발생정황급만의도.결과:112례환자균수술성공,주원시간3~5d,평균4.5d;병발증발생정황:성시(잠시성)2례,절구감염1례,수족마목급추휵1례,피하홍종어반2례,대증처리후증상균호전.소유병인재주원기간대호리공작、호리서괄도균위만의.술후회방6~24개월,환자균만의,생활질량고.결론:쾌속강복외과이념재갑상선수술위수술기호리적응용시안전、유효적.
Objective:To investigate the application of the FTS idea in thyroidectomy periopera-tive nursing. Methods:112 patients with thyroidectomy treatment in our department from Septem-ber 2010 to March 2012 were selected. They all were used the FTS idea of treatment scheme in peri-operation and the conventional working of nursing which was guiding in the treatment scheme ac-cording to the complication and observed the postoperation and followed for recovery, occurrence of complications and the satisfaction of patients. Results:The 112 patients' surgery were successful, hospitalization time is 3~5d, averaged 4.5d;The situation of complications: Hoarseness (Tempo-rary):2cases, Wound infection:1 case, Numbness and twitching:1case, subcutaneous swelling and ecchymosis:2 case, the symptoms were improved after symptomatic treatment. All patients were sat-isfied for the nursing and the nursing comfort degree. Patients all were satisfied with the postopera-tive follow-up within 6~24 months, and their quality of life had been improved. Conclusion:The application of FTS idea that using in thyroidectomy perioperative nursing is safe and effective.