腋窝乳晕入路腔镜下甲状腺切除术的护理.docVIP

精品论文 参考文献 腋窝乳晕入路腔镜下甲状腺切除术的护理 吴伟娟 肖梅 宋庆 管秀清 肖庆璇(中山大学附属东华医院 523000) 【摘要】 目的 探讨腋窝乳晕入路腔镜下甲状腺切除术的护理方法及效果。方法 将100例腋窝乳晕入路腔镜下甲状腺切除术的患者分为观察组和对照组，对照组采用常规护理，观察组在对照组的基础上加强心理护理干预，比较两组的护理效果。结果 观察组术前1d的焦虑评分、心率、收缩压低于对照组(Plt;0.05)。观察组术后不良反应、住院时间少于对照组，满意度高于对照组(Plt;0.05)。结论 心理护理能够减轻腋窝乳晕入路甲状腺患者术前应激状态，提高患者满意度。 【关键词】 腋窝乳晕 甲状腺切除术 护理 【中图分类号】R473.6 【文献标识码】A 【文章编号】2095-1752（2013）12-0020-01 Nursing care of Endoscopic Thyroidectomy via the Armpit-Breast Areola 【Abstract】 Objective to explore the nursing method and effect of endoscopic thyroidectomy via the armpit-breast areola. Methods 100 patients with endoscopic thyroidectomy via the armpit-breast areola were divided into the observation group and the control group, the control group was received routine nursing care, the observation group was strengthened psychological nursing based on the control group, and nursing effects were compared between the two groups. Results anxiety, heart rate, systolic blood pressure 1d before the operation in the observation group were lower than those in the control group (Plt;0.05). Adverse reaction, hospitalization time in the observation group were less than those in the control group, satisfaction was higher than that in the control group (Plt;0.05).Conclusion psychological nursing can relieve the stress state of patients with endoscopic thyroidectomy via the armpit-breast areola, improve patientrsquo;s satisfaction. 【Keywords】 armpit-breast areola thyroidectomy nursing 随着现代护理模式的转变，护理已经不再仅仅是机械性的操作，现在已经逐渐转移到以患者为中心上来。我院2012年2月至6月对50例经腋窝乳晕入路腔镜下甲状腺切除术的围手术期加强心理护理，效果满意，现报告如下。 1 资料与方法 1.1 一般资料 100例甲状腺患者，纳入标准：⑴均为初次进行手术的择期手术的患者；⑵无严重心、肺、肾等重要器官功能障碍；⑶年龄le;75岁；⑷能够进行正常的语言交流，文化程度小学以上；⑸均签署知情同意书；⑹均为甲状腺次全或全切除术甲状腺良性肿瘤患者。排除标准：⑴恶性肿瘤患者；⑵血液系统疾病、严重感染、糖尿病者。其中男性23例，女性77例，年龄23～75岁，平均(45.6plusmn;5.7)岁。手术切除肿瘤大小直径1.0～8.3 cm，将该组患者采用随机数字表法分为观察组和对照组，每组50例，两组一般资料无统计学意义(Pgt;0.05)。 1.2 方法 两组患者的手术均在全麻下进行，经乳晕入路，术中经左乳晕穿刺口放置引流管。对照组采