基于医护一体化的个性化护理对腔镜甲状腺切除术后 切口瘢痕情况的影响
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郁烨(1982.1-),女,江苏海安人,本科,主管护师,主要从事临床护理工作

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R473

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Effect of Individual Nursing Based on Doctor-nurse Integration on Incision Scar Condition After Laparoscopic Thyroidectomy
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    摘要:

    目的 探讨在腔镜甲状腺切除术后应用基于医护一体化的个性化护理对患者切口瘢痕情况的影响。 方法 选择2022年5月-2024年2月于我院行腔镜甲状腺切除术的70例甲状腺癌患者为研究对象,随机分为对照 组和观察组,各35例。对照组给予常规护理,观察组在对照组基础上给予基于医护一体化的个性化护理,比 较两组切口瘢痕情况、临床指标、负性情绪、生活质量、护理满意度及并发症发生情况。结果 观察组VSS 评分低于对照组(P <0.05);观察组切口愈合时间及住院时间均低于对照组(P <0.05);观察组护理后 SAS、SDS评分均低于对照组(P <0.05);观察组生理功能、精神健康、社会功能、总体健康评分均高于 对照组(P <0.05);观察组护理满意度为100.00%,高于对照组的82.86%(P <0.05);观察组并发症发生 率为2.86%,低于对照组的17.14%(P<0.05)。结论 在腔镜甲状腺切除术后应用基于医护一体化的个性化 护理可有效减轻患者的切口瘢痕情况,能够缩短切口愈合时间及住院时间,同时有利于缓解患者的不良情 绪,降低并发症发生风险,对于提高患者术后生活质量及护理满意度具有积极意义。

    Abstract:

    Objective To explore the effect of individual nursing based on doctor-nurse integration on patients' incision scar condition after laparoscopic thyroidectomy. Methods A total of 70 thyroid cancer patients who underwent laparoscopic thyroidectomy in our hospital from May 2022 to February 2024 were selected as the research subjects, and they were randomly divided into control group and observation group, with 35 patients in each group. The control group was given conventional nursing, and the observation group was given individual nursing based on doctor-nurse integration on the basis of the control group. The incision scar condition, clinical indexes, negative emotions, quality of life, nursing satisfaction and complications were compared between the two groups. Results The VSS score of the observation group was lower than that of the control group (P <0.05). The incision healing time and hospitalization time in the observation group were lower than those in the control group (P <0.05). After nursing, the scores of SAS and SDS in the observation group were lower than those in the control group (P <0.05). The scores of physiological function, mental health, social function and general health in the observation group were higher than those in the control group (P <0.05). The nursing satisfaction of the observation group was 100.00%, which was higher than 82.86% of the control group (P <0.05). The incidence of complications in the observation group was 2.86%, which was lower than 17.14 % in the control group (P <0.05). Conclusion The application of individual nursing based on doctor-nurse integration after endoscopic thyroid surgery can effectively reduce patients' incision scar, shorten the incision healing time and hospitalization time, as well as help to alleviate patients’ adverse emotions and reduce the risk of complications, which has positive significance for improving patients' postoperative quality of life and nursing satisfaction.

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郁烨.基于医护一体化的个性化护理对腔镜甲状腺切除术后 切口瘢痕情况的影响[J].医学美学美容,2025,47(1):142-145.

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  • 在线发布日期: 2025-02-10
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