祁莉娜 王晨晨 姜雪 祁艳 侯丽华

[摘要]目的 探討协同护理管理模式对甲状腺功能亢进症患者医学知识掌握、心理及睡眠质量的影响。方法 选取2018年5月～2019年4月在我院治疗的90例甲状腺功能亢进症患者作为护理管理对象，采取随机数字表法分为对照组和观察组，每组各45例。对照组采取常规护理方法，观察组采取协同护理管理护理干预。护理后，从患者医学知识掌握情况、心理情况和患者睡眠等方面比较护理效果。结果 护理后，观察组医学知识掌握情况评分高于对照组，心理情况和睡眠质量情况评分低于对照组，差异均有统计学意义（P<0.05）。结论 协同护理管理模式有效丰富了甲状腺功能亢进症患者医学知识，改善了心理焦虑、抑郁和睡眠质量不佳等问题，效果显著。

[关键词]协同护理;患者管理;甲状腺功能亢进症;影响观察

[中图分类号] R473.5          [文献标识码] A          [文章编号] 1674-4721（2020）3（c）-0234-04

Effect of collaborative nursing management model on the mastery of medical knowledge， psychology and quality of sleep in patients with hyperthyroidism

QI Li-na1   WANG Chen-chen2   JIANG Xue3   QI Yan4   HOU Li-hua1

1. Department of Endocrinology， Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang Province， Mudanjiang   157000， China; 2. The Second Department of General Surgery， Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang Province， Mudanjiang   157000， China; 3. The First Department of General Surgery， Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang Province， Mudanjiang   157000， China; 4. Department of Medical Insurance， Hongqi Hospital Affiliated to Mudanjiang Medical University， Heilongjiang Province， Mudanjiang   157000， China

[Abstract] Objective To explore the effect of collaborative nursing management model on the mastery of medical knowledge， psychology and quality of sleep in patients with hyperthyroidism. Methods A total of 90 patients with hyperthyroidism who were treated in our hospital from May 2018 to April 2019 were selected as nursing management objects. The patients were divided into control group and observation group according to random number table method， 52 cases in each group. The control group was given routine nursing method， the observation group was given collaborative nursing management for nursing intervention. After nursing， from the patients′ medical knowledge， psychological situation and sleep were compared nursing effect. Results After nursing， the scores of medical knowledge governs in the observation group were higher than those in the control group， and the scores of psychological condition and quality of sleep were lower than those in the control group， the differences were statistically significant （P<0.05）. Conclusion The collaborative nursing management model， effectively enriches the medical knowledge of patients with hyperthyroidism， improves psychological anxiety， depression and poor sleep quality and other problems， the effect is significant.

[Key words] Collaborative nursing; Patient management; Hyperthyroidism; Influence observation

甲状腺功能亢进症是由患者甲状腺合成和释放过多的甲状腺素导致的一种疾病，是我国一种常见病和多发病，相关医学统计，我国甲状腺功能亢进症的发病率为2%左右，且女性多于男性，男女患者比例约为1∶6[1-2]。患者发病后，具有典型的临床特征，如神经系统长期处于兴奋状态，对事件和刺激敏感易怒，进食和排便次数增多，而体重却明显减少，面部出现突眼和眼睑水肿等[3]，若治疗不及时或治疗方法不当，后期可出现甲状腺功能亢进症性心脏病和甲状腺功能亢进症性肝损伤严重并发症，对患者生活带来巨大影响。本研究采取协同护理管理方法，以明确和凸显患者在康复过程中角色和定位。护理结束后，有效丰富患者的医学知识，缓解患者心理焦虑和抑郁问题，改善睡眠质量，现报道如下。……