协同护理指导下积极心理干预联合渐进性肌肉放松训练在甲状腺肿瘤病人围手术期的应用

    Application of active psychological intervention combined with progressive muscle relaxation training under the guidance of collaborative nursing in perioperative period of patients with thyroid tumor

    • 摘要:
      目的探讨协同护理指导下积极心理干预联合渐进性肌肉松弛训练在甲状腺肿瘤病人围手术期中的应用。
      方法采用非同期对照研究,便利选取淮北市某三级公立医院普外科2020年12月至2021年7月收治甲状腺肿瘤病人85例为观察组,2020年4-11月甲状腺肿瘤病人86例为对照组。其中观察组病人在协同护理指导下实施积极心理干预联合渐进性肌肉松弛训练,对照组实施普外科常规护理。比较2组病人并发症发生率,并采用心境状态量表评价2组病人干预前后心境状态,采用满意度问卷评价2组病人满意度。
      结果观察组手术后并发症总发生率为7.06%(6/85),明显低于对照组的25.58%(22/86)(P < 0.01)。干预后观察组病人心境状态量表评分中紧张、愤怒、疲劳、抑郁、慌乱维度得分均明显低于对照组(P < 0.01),而精力、自尊感维度得分均明显高于对照组(P < 0.01)。观察组病人的护理满意度明显高于对照组(P < 0.01)。
      结论协同护理指导下积极心理干预联合渐进性肌肉松弛训练有助于减少甲状腺肿瘤病人术后并发症发生,改善病人不良心境状态,提高护理满意度。

       

      Abstract:
      ObjectiveTo explore the application of active psychological intervention combined with progressive muscle relaxation training under the guidance of collaborative nursing in the perioperative period of patients with thyroid tumor.
      MethodsA non-synchronous control study was conducted.A total of 85 patients with thyroid tumor in the department of general surgery of a tertiary grade A public hospital in Huaibei from December 2020 to July 2021 were selected as observation group, who implemented with active psychological intervention combined with progressive muscle relaxation training under the guidance of collaborative nursing.Eighty-six patients with thyroid tumor from April 2020 to November 2020 were used as the control group to implement general surgical routine nursing.The incidence of complications was compared between the two groups, and the mood state of the two groups was evaluated by mood state scale(POMS) before and after intervention, and the satisfaction of the two groups was evaluated by satisfaction questionnaire.
      ResultsThe total incidence of postoperative complications in the observation group was 7.06%(6/85), significantly lower than 25.58%(22/86) in the control group(P < 0.01).The tension, anger, fatigue, depression and panic dimension of POMS score of the observation group after intervention were significantly lower than those in the control group, while energy and self-esteem were significantly higher than those in the control group(P < 0.01).The nursing satisfaction of patients in the observation group was significantly higher than that in the control group(P < 0.05).
      ConclusionsActive psychological intervention combined with progressive muscle relaxation training under the guidance of collaborative nursing can reduce the incidence of postoperative complications, improve the bad mood of patients with thyroid tumor and improve their nursing satisfaction.

       

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