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Published Online:August 20, 2022
Published Online:August 20, 2022
中文摘要: 目的 探讨临床护理路径(CNP)结合个性化护理用于甲状腺乳头状癌(PTC)患者围术期护理中的临床价值。方法 选取西安交通大学第一附属医院2019年12月至2021年1月收治拟行手术治疗的PTC患者178例纳入研究,将2019年12月至2020年6月收治的89例患者纳入对照组,行常规护理;2020年7月至2021年1月收治的89例患者纳入研究组,行CNP联合个性化护理。观察两组住院时间、住院费用、并发症情况、负性情绪评分及护理满意度。结果 研究组住院时间、住院费用均低于对照组(P<0.01);研究组并发症发生率低于对照组(4.49% vs 19.10%,P<0.01);研究组干预后焦虑自评量表、抑郁自评量表评分低于对照组(P<0.01);研究组护理满意度高于对照组(97.75% vs 85.39%,P<0.01)。结论 在PTC患者围术期护理中实施CNP联合个性化护理,可减少住院时间及住院费用,降低并发症发生,改善患者焦虑抑郁心理,护理满意度更高。
Abstract:Objective To explore the value of clinical nursing pathway (CNP) combined with personalized nursing in perioperative period of patients with papillary thyroid carcinoma (PTC). Methods total of 178 patients with PTC treated in the First Affiliated Hospital of Xi'an Jiaotong University were selected and divided into control group and study group (n=89, each). The routine care was given in control group admitted to hospital from December 2019 to June 2020, and CNP combined with personalized nursing was implemented in study group admitted to hospital from July 2020 to January 2021.The hospitalization days, treatment expenses, postoperative complications, score for negative emotion and nursing satisfaction were observed in two groups. Results The hospitalization time, the treatment cost and the incidence of complications (4.49% vs 19.10%) in study group were lower than those in control group (P<0.01). After intervention, the scores of self-rating anxiety scale and self-rating depression scale in study group were significantly lower than those in control group (P<0.01). The nursing satisfaction in study group was statistically higher than that in control group (97.75% vs 85.39%, P<0.01). Conclusion In the perioperative care of PTC patients, the implementation of CNP combined with individualized nursing can reduce hospitalization time, hospital costs and the risk of complications and can effectively improve patients' anxiety and depression, with higher nursing satisfaction.
keywords: Papillary thyroid carcinoma Perioperative nursing Clinical nursing pathway Personalized nursing
文章编号: 中图分类号:R476.3 文献标志码:B
基金项目:陕西省自然科学基础研究计划(2020JM-382)
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