摘要
目的探讨医护一体化模式在甲状腺微波消融术中的应用效果。方法回顾性分析2016年1月~2017年6月南昌大学第四附属医院收治的65例甲状腺微波消融术患者的临床资料,将实施医护一体化模式护理干预归为观察组(n=33),将实施常规护理干预归为对照组(n=32)。比较两组的手术相关指标、护理满意度、术中疼痛程度及术后并发症发生情况。结果观察组的手术时间、住院时间短于对照组,术中出血量少于对照组,差异均有统计学意义(P<0.05);观察组的护理满意度评分高于对照组,观察组的视觉模拟量表(VAS)评分低于对照组,差异有均统计学意义(P<0.05)。两组的并发症总发生率比较,差异无统计学意义(P>0.05)。结论甲状腺微波消融术患者实施医护一体化模式护理可缩短手术时间,降低机体创伤,减轻疼痛程度,提高护理满意度。
Objective To explore the application effect of integrated medical and nursing mode in thyroid microwave ablation.Methods The clinical data of 65 patients undergoing microwave thyroid ablation in the Fourth Affiliated Hospital of Nanchang University from January 2016 to June 2017 were retrospectively analyzed.The patients who carried out the nursing intervention of the integrated medical and nursing model were classified as the observation group(n=33).Patients with nursing intervention were classified as control group(n=32).The operation-related indicators,nursing satisfaction,intraoperative pain and postoperative complications were compared between the two groups.Results The operation time,the hospitalization time of the observation group were shorter than that of the control group,the total operation bleeding was less than that of the control group,the differences were statistically significant(P<0.05).The total nursing satisfaction score of the observation group was higher than that of the control group,the visual analog scales(VAS)score was lower than the control group,and the differences were statistically significant(P<0.05).The total complication rate of the observation group was lower than that of the control group,but the difference was not statistically significant(P>0.05).Conclusion The thyroid microwave ablation of patients with integrated medical and nursing care can shorten the operation time,reduce body trauma,reduce pain,reduce complications,and improve nursing satisfaction.
作者
黄孟娟
邓淑红
江小霞
HUANG Meng-juan;DENG Shu-hong;JIANG Xiao-xia(Department of General Surgery,the Fourth Affiliated Hospital of Nanchang University,Jiangxi Province,Nanchang 330003,China)
出处
《中国当代医药》
2020年第35期224-226,共3页
China Modern Medicine
基金
江西省卫生计生委科技计划项目(20175325)。
关键词
甲状腺微波消融术
医护一体化模式
护理满意度
疼痛程度
Microwave ablation of thyroid
Integrated medical and nursing mode
Nursing satisfaction
Pain level
