快速康复外科护理结合临床护理路径对甲状腺癌患者术后恢复效果的影响

Effect of fast track surgical nursing combined with clinical nursing pathway on postoperative recovery ofpatients with thyroid cancer

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DOI 10.12208/j.jmnm.202200379
刊名
Journal of Modern Nursing MedicineJPCNS
年,卷(期) 2022, 1(6)
作者
作者单位

浙江省象山县第一人民医院医疗健康集团 外二病区 浙江象山 ;

摘要
探析快速康复外科护理结合临床护理路径对甲状腺癌患者术后恢复效果的影响。方法选取 2019 年 2 月~2022 年 2 月我院接收的 320 例甲状腺癌患者,随机分为两组,对照组采用常规护理,观察组采用快速康复外科护理结合临床护理路径,比较两组的术后恢复效果、不良心理状态、免疫功能和并发症情况。结果 观察组的恢复固体食物时间、术后下床时间、住院时间短于对照组,在护理实施后,观察组的 HAD-A 评分、HAD-D 评分低于对照组,CD4+/CD8+水平、NK 水平高于对照组;观察组的并发症发生率低于对照组,比较有统计学意义(P<0.05)。结论 甲状腺癌患者在实施快速康复外科护理结合临床护理路径后,不良心理状态与免疫功能得到改善,术后恢复效果显著,并发症降低,值得临床推广。
Abstract
Objective To explore the influence of fast track surgical nursing combined with clinical nursingpath on the recovery effect of thyroid cancer patients after surgery. Methods A total of 320 patients with thyroidcancer admitted to our hospital from February 2019 to February 2022 were selected and randomly divided into twogroups. The control group received routine nursing, while the observation group received fast track surgery nursingcombined with clinical nursing path. The postoperative recovery effect, adverse psychological state, immunefunction and complications of the two groups were compared. Results The recovery time of solid food,postoperative getting out of bed time and hospital stay of the observation group were shorter than those of thecontrol group. After nursing implementation, the HAD-A score and HAD-D score of the observation group werelower than those of the control group, and the CD4+/CD8+ level and NK level were higher than those of thecontrol group. The incidence of complications in the observation group was lower than that in the control group,and the comparison was statistically significant (P<0.05). Conclusion After the implementation of fast tracksurgical nursing combined with clinical nursing path, the adverse psychological state and immune function ofthyroid cancer patients are improved, the postoperative recovery effect is significant, and the complications arereduced, which is worthy of clinical promotion.
关键词
甲状腺癌;快速康复外科护理;术后恢复效果;临床护理路径;焦虑状态;抑郁状态;并发症
KeyWord
Thyroid carcinoma; Fast track surgical nursing; Postoperative recovery effect; Clinicalnursing pathway; A state of anxiety; A state of depression; complications
基金项目
页码 151-153
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虞海婷,陈欢欢,王露露,薛世航,陈烨*. 快速康复外科护理结合临床护理路径对甲状腺癌患者术后恢复效果的影响 [J]. 现代护理医学杂志. 2022; 1; (6). 151 - 153.

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