夏秋燕

[摘要]目的 探讨激励式护理在甲状腺腺瘤手术患者中的应用。方法 选取2017年4月～2019年4月我院收治的72例甲状腺腺瘤手术患者作为研究对象，按照随机数字表法分为对照组（n=36）与观察组（n=36）。对照組组采用常规护理干预方法，观察组采用激励式护理干预方法。比较两组的心理应激指标、生理应激指标。结果 观察组的焦虑自评量表（SAS）与抑郁自评量表（SDS）评分低于对照组，差异有统计学意义（P<0.05）;观察组的收缩压、舒张压、心率水平低于对照组，差异有统计学意义（P<0.05）。结论 激励式护理应用甲状腺腺瘤手术患者，可有效缓解手术给患者带来焦虑及抑郁情绪，稳定收缩压、舒张压、心率水平，以改善心理与生理应激反应，促进术后康复，护理效果显著。

[关键词]甲状腺腺瘤;激励式护理;心理应激指标;生理应激指标

[中图分类号] R473.73          [文献标识码] A          [文章编号] 1674-4721（2020）7（b）-0208-03

Application of motivational nursing in patients with thyroid adenoma surgery

XIA Qiu-yan

The First Department of Surgery， Jiujiang First People′s Hospital， Jiangxi Province， Jiujiang   332000， China

[Abstract] Objective To explore the application of motivational nursing in patients with thyroid adenoma surgery. Methods Seventy-two patients with thyroid adenoma who were treated in our hospital from April 2017 to April 2019 were selected as the research objects. They were divided into the control group （n=36） and the observation group （n=36） according to random number table method. The routine nursing intervention method was adopted the control group， and the observation group adopted the motivational nursing intervention method. The psychological stress indexes and physiological stress indexes of the two groups were compared. Results The self-rating anxiety scale （SAS） and self rating depression scale （SDS） scores of theobservation group were lower than those of the control group， and the differences were statistically significant （P<0.05）. The systolic blood pressure， diastolic blood pressure， and heart rate of the observation group were lower than those of the control group， and the differences were statistically significant （P<0.05）. Conclusion Motivational nursing care for patients with thyroid adenoma surgery can effectively relieve patients′ anxiety and depression， stabilize systolic blood pressure， diastolic blood pressure and heart rate， improve psychological and physiological stress response， promote postoperative rehabilitation， and have significant nursing effect.

[Key words] Thyroid adenoma; Motivational nursing; Psychological stress indicators; Physiological stress indicators

甲状腺腺瘤是较常见良性肿瘤，主要起发于甲状腺滤泡细胞，多发于甲状腺功能活动期[1-2]。临床将甲状腺腺瘤分为乳头状腺瘤与滤泡状，滤泡状更常见。发病时，在甲状腺囊内可见大小1～10 cm的结节，其边界清楚且包膜完整。该病病因尚未明确，相关研究表明，主要与遗传因素、性别、射线照射、地方性甲状腺肿疾病等因素密切相关[3-4]。甲状腺腺瘤病程较缓慢，多数与数月至数年时间，患者因不适感或无症状情况下发现颈部存在包块。肿瘤不与组织粘连，且压迫无痛感，可随吞咽动作上下移动。随病情发展，可能发展成功能自主性腺瘤，而导致甲状腺功能亢进，甚至可能出现癌变。临床对甲状腺腺瘤的治疗措施通常以手术为主，但手术有一定创伤性，且对患者术后应激情况及心理状态影响较大，采取高质量的护理对患者术后康复意义重大。因此本研究将常规护理作为对照，对36例甲状腺腺瘤手术患者实施激励式护理，取得良好效果，现报道如下。……