[摘要]目的：探究以患者美学需求为导向的多维度护理对甲状腺切除术后恢复及患者满意度的影响。方法：回顾性分析笔者医院于2020年3月-2023年3月收治的92例行甲状腺切除术的患者临床资料，根据护理方式的不同分为两组，其中对照组（n=47）采用常规护理，观察组（n=45）采用以患者美学需求为导向的多维度护理，比较两组患者术后恢复情况、满意度、切口美学效果、不良情绪以及并发症发生情况。结果：观察组住院时间、住院费用少于对照组（P＜0.05）；观察组温哥华瘢痕量表（VSS）各项评分及总分低于对照组（P＜0.05）；两组护理后焦虑自评量表（SAS）、抑郁自评量表（SDS）评分均下降，观察组较对照组低（P＜0.05）；观察组总满意率97.78%高于对照组的82.98%（P＜0.05）；观察组术后并发症发生率6.66%，低于对照组的23.40%（P＜0.05）。结论：以患者美学需求为导向的多维度护理可有效改善患者术后恢复情况，提升美学效果，缓解患者不良情绪，提升患者满意度，减少术后并发症，值得临床推荐。

[关键词]甲状腺切除术；美学需求；多维度护理；满意度；瘢痕

[中图分类号]R473" " [文献标志码]A" " [文章编号]1008-6455（2025）06-0060-04

Impact of Patient's Aesthetic Needs-oriented Multidimensional Nursing on Recovery after Thyroidectomy

YANG Lulu， PAN Lu， XIN Li

[ Department of Nephrology， Rehabilitation University Qingdao Hospital （Qingdao Municipal Hospital）， Qingdao 266000， Shandong， China ]

Abstract： Objective" To explore the impact of patient’s aesthetic needs-oriented multidimensional nursing on recovery and satisfaction after thyroidectomy. Methods" A retrospective analysis was conducted on the clinical data of 92 patients who underwent thyroidectomy in the hospital from March 2020 to March 2023. The patients were divided into two groups according to different nursing methods. The control group （n=47） received routine nursing， while the observation group （n=45） received patient's aesthetic needs-oriented multidimensional nursing. Postoperative recovery， satisfaction， aesthetic effect of incision， unhealthy emotions， and incidence of complications were compared between the two groups. Results" The hospitalization time and hospitalization cost of the observation group were less than those of the control group （P＜0.05）. The scores of each item and total score of Vancouver scar scale （VSS） in the observation group were lower than those in the control group （P＜0.05）. The scores of self-rating anxiety scale （SAS） and self-rating depression scale （SDS） in the two groups decreased after nursing， and those in the observation group were lower than those in the control group （P＜0.05）. The total satisfaction rate of the observation group was 97.78%， which was higher than 82.98% of the control group （P＜0.05）. The incidence of postoperative complications in the observation group was 6.66%， which was lower than 23.40% in the control group （P＜0.05）. Conclusion" Multi-dimensional nursing based on patients' aesthetic needs can effectively improve patients' postoperative recovery， enhance aesthetic effects， relieve patients' bad emotions， improve patients' satisfaction， and reduce postoperative complications， which is worthy of clinical recommendation.

Key words： thyroidectomy; aesthetic needs; multidimensional nursing; satisfaction; scar

近年来，随着生活节奏加快及作息模式改变，甲状腺疾病发病率呈现显著上升趋势，其中甲状腺肿瘤与结节性甲状腺肿已成为临床常见病种[1-2]。甲状腺位于颈前，颈部常暴露于外部且为瘢痕多发区域，手术治疗造成的颈部切口瘢痕不仅影响患者外观形象，更易引发焦虑、抑郁等心理问题，严重影响术后生活质量[3]。随着微创技术进步及患者审美诉求的提升，接受甲状腺切除术的患者对术后美学效果提出更高要求。……