刘健梅 张彩云 付作文 欧敏玲

【摘要】 目的：对多学科集中宣教式术前访视模式应用于甲状腺手术患者的效果进行观察。方法：选择2018年2月-2019年2月笔者所在医院收治并择期行甲状腺切除术的88例患者为研究观察样本，以随机数字表法分为对照组、试验组，各44例，对照组接受常规术前访视，试验组接受多学科集中宣教式术前访视，对两组干预后的各观察指标进行比较。结果：试验组术前准备完成度评分和术前访视满意度评分均高于对照组，焦虑评分低于对照组，差异均有统计学意义（P<0.05）。结论：将多学科集中宣教式术前访视模式应用于甲状腺手术护理中，可显著提高该类受术者术前准备完成度，解决术前焦虑问题，深受患方认可。

【关键词】 多学科 集中宣教 术前访视 甲状腺 手术

doi：10.14033/j.cnki.cfmr.2019.28.077 文献标识码 B 文章编号 1674-6805（2019）28-0-03

The Effect of Preoperative Visit Mode of Multidisciplinary Centralized Propaganda in Patients Undergoing Thyroid Surgery/LIU Jianmei， ZHANG Caiyun， FU Zuowen， OU Minling. //Chinese and Foreign Medical Research， 2019， 17（28）： -181

[Abstract] Objective： To observe the effect of preoperative visit mode of multidisciplinary centralized propaganda on patients undergoing thyroid surgery. Method： A total of 88 patients who underwent elective thyroidectomy in our hospital from February 2018 to February 2019 were selected as study samples， and were divided into the control group and the experimental group， with 44 patients in each group. The control group received routine preoperative visits， while the experimental group received multidisciplinary centralized preoperative visits. The observation indexes after intervention were compared between the two groups. Result： The scores of preoperative preparation and preoperative visit satisfaction in the experimental group were significantly higher than those in the control group， and the anxiety score was significantly lower than that in the control group， the differences were statistically significant （P<0.05）. Conclusion： The application of multi-disciplinary pre-operative visiting mode in thyroid surgery nursing can significantly improve the preoperative preparation of patients， solve the preoperative anxiety problems， and is well recognized by patients.

[Key words] Multidisciplinary Centralized education Preoperative visits Thyroid Surgery

First-authors address： The Third Affiliated Hospital of Guangdong Medical University， Foshan 528318， China

近年我國甲状腺疾病发病率日趋走高[1]，手术是甲状腺疾病的重要临床疾控手段[2-3]，手术为有创性治疗技术，故对受术者而言是一类强烈应激源，自然易于引发受术者剧烈身心应激反应进而负面作用于手术疗效[4]，而甲状腺疾病患者受病种特点影响本身就易处于焦虑、暴躁、心率加速状态，故其手术身心应激反应更为显著且不易控制[5-6]，受术者的术前准备不足及手术信息缺乏等是其身心应激反应升级的重要因素，积极有效的术前访视可通过对上述因素的解决而发挥一定程度的身心应激反应控制效应[7-8]，故而探讨适用于甲状腺疾病手术患者的术前访视模式至关重要，笔者尝试将多学科集中宣教式术前访视模式应用于甲状腺手术护理对象中，效果较好，现报告如下。

1 资料与方法