CAJ | 학술논문

目的：探讨舒适护理对老年女性甲状腺手术患者应激反应的影响。方法收集2010年1月～2014年2月在我院住院治疗的老年女性甲状腺疾病患者109例，分为53例常规护理组和56例舒适护理组。结果两组术后的血压和心率无显著差异（P>0.05），术前、术中和术后的呼吸无显著差异（P>0.05）。与常规护理组比，舒适护理组术前和术中的血压和心率明显降低（P<0.05或P<0.01）。舒适护理组术后第1天的疼痛明显轻于常规护理组（P<0.05）；与常规护理组比，舒适护理组的满意例数较多（P<0.05）。结论舒适护理可明显缓解老年女性甲状腺手术患者的应激反应，在心理和生理上获得双重安全，为手术的顺利进行创造了条件。
목적：탐토서괄호리대노년녀성갑상선수술환자응격반응적영향。방법수집2010년1월～2014년2월재아원주원치료적노년녀성갑상선질병환자109례，분위53례상규호리조화56례서괄호리조。결과량조술후적혈압화심솔무현저차이（P>0.05），술전、술중화술후적호흡무현저차이（P>0.05）。여상규호리조비，서괄호리조술전화술중적혈압화심솔명현강저（P<0.05혹P<0.01）。서괄호리조술후제1천적동통명현경우상규호리조（P<0.05）；여상규호리조비，서괄호리조적만의례수교다（P<0.05）。결론서괄호리가명현완해노년녀성갑상선수술환자적응격반응，재심리화생리상획득쌍중안전，위수술적순리진행창조료조건。
Objective To evaluate the effect of comfortable nursing intervention on the stress response of the elderly female patients with thyroid surgery in preoperative period. Methods From January 2010 to February 2014 ,109 elderly female thyroid disease patients with thyroid surgery were divided into two groups according to nursing types ,53 cases of routine nursing group and 56 cases of comfortable nursing group. Results The blood pressure and heart rate in two groups had no significant differences after operation(P>0.05). Respiratory rate had no significant differences in two groups before and after operation(P>0.05). Compared with the routine nursing group,blood pressure and heart rate sig-nificantly decreased,postoperative pain was significantly relieved on the first day after operation and the satisfaction rate was higher in the comfortable nursing group (P<0.05 or P<0.01).Conclusion Comfortable nursing can obviously de crease the stress response of elderly female patients with thyroid surgery in preoperative period by providing both men-tal and physical security for the patients.