CAJ | 학술논문

目的：探讨护理干预对甲状腺腺瘤手术患者心理、生理应激反应及术后疼痛的影响。方法：选择符合标准的患者68例，随机分为研究组35例和对照组33例，两组均给予常规护理，研究组加用护理干预，比较抑郁自评量表（ SDS ）、焦虑自评量表（ SAS ）、收缩压（ SBP ）、舒张压（ DBP ）、心率（ HR）及视觉模拟评分（ VAS）变化情况。结果：入院时两组SAS评分、SDS评分及者SBP、DBP、HR相似，差异无统计学意义（ P＞0．05）；手术当天早晨两组SAS及SDS评分较入院时下降，差异有统计学意义（ P＜0．05），但是研究组较对照组下降幅度更大（ P＜0．05）；手术中，研究组SBP、DBP及HR与入院时相似，差异无统计学意义（ P＞0．05）；对照组SBP、DBP 及HR较入院时升高，差异有统计学意义（ P＜0．05）。两组术后6h疼痛VAS评分相似，差异无统计学意义（ P＞0．05）；但术后12h、24h及48h研究组VAS评分低于对照组，差异有统计学意义（ P＜0．05）。结论：护理干预能有效减轻甲状腺腺瘤手术患者心理、生理应激反应，降低术后疼痛程度。
목적：탐토호리간예대갑상선선류수술환자심리、생리응격반응급술후동통적영향。방법：선택부합표준적환자68례，수궤분위연구조35례화대조조33례，량조균급여상규호리，연구조가용호리간예，비교억욱자평량표（ SDS ）、초필자평량표（ SAS ）、수축압（ SBP ）、서장압（ DBP ）、심솔（ HR）급시각모의평분（ VAS）변화정황。결과：입원시량조SAS평분、SDS평분급자SBP、DBP、HR상사，차이무통계학의의（ P＞0．05）；수술당천조신량조SAS급SDS평분교입원시하강，차이유통계학의의（ P＜0．05），단시연구조교대조조하강폭도경대（ P＜0．05）；수술중，연구조SBP、DBP급HR여입원시상사，차이무통계학의의（ P＞0．05）；대조조SBP、DBP 급HR교입원시승고，차이유통계학의의（ P＜0．05）。량조술후6h동통VAS평분상사，차이무통계학의의（ P＞0．05）；단술후12h、24h급48h연구조VAS평분저우대조조，차이유통계학의의（ P＜0．05）。결론：호리간예능유효감경갑상선선류수술환자심리、생리응격반응，강저술후동통정도。
Objective:To investigate the effects of nursing intervention on the postoperative pain and physical and mental stress reactions in patients receiving excision of adenoma of thyroid.Method:A total of 68 eligible patients were selected and randomly divided into study group and control group, with 35 patients in the study group and 33 patients in the control group.Both groups were given with usual care, but the study group given was with nursing intervention additionally, and the changes in self-rating depression scale ( SDS) , self-rating anxiety scale ( SAS) , systolic blood pressure ( SBP ) , diastolic blood pressure ( DBP ) , heart rate ( HR) , and visual analogue score ( VAS) were compared.Result:On admission, the two groups had similar SAS and SDS scores, SBP , DBP , and HR, the differences were statistically insignificant ( P>0. 05) .In the morning of the day when the surgery was made, both groups had decreased SAS and SDS scores compared with those on admission, and the differences were statistically significant ( P<0.05) , but the study group had greater decreasing extents than those of the control group ( P<0.05) .During the surgery, the study group had similar SBP, DBP and HR to those on admission, and the differences were statistically insignifi-cant ( P>0.05);while the control group had higher SBP , DBP and HR than those on admission, and the differences were statistically significant ( P<0.05) .6 hours after the surgery, the two groups had similar VAS scores, and the difference was statistically insignificant (P>0.05).But 12 hours, 24 hours, and 48 hours af-ter the surgery, the study group had lower VAS scores than those of the control group, and the differences were statistically significant ( P<0.05) .Conclusion:Nursing intervention can effectively relieve the postop-erative pain and physical and mental stress reactions in patients receiving excision of adenoma of thyroid.