摘要
目的 甲状腺乳头状癌作为常见的内分泌系统恶性肿瘤之一,其治疗通常涉及手术切除,而围术期的护理质量直接关系到患者的预后和生活质量,因此本文分析快速康复外科理念在甲状腺乳头状癌根治术患者围术期护理中的应用效果。方法 对本院收治的PTC患者分为对照组(常规护理)与观察组(快速康复外科围术期护理),对比两组患者应用效果。结果 观察组术后恢复指标、疼痛情况、并发症发生率及舒适度评分和护理满意度评分方面均优于对照组,P<0.05说明存在对比意义。结论 将快速康复外科理念应用于甲状腺乳头状癌根治术患者的围术期护理中,不但可有效促进患者术后康复,降低并发症风险,提升护理质量与舒适度,具有临床推广价值。
关键词: 快速康复外科;甲状腺乳头状癌;围术期护理;并发症;护理满意度
Abstract
Objective As one of the common malignant tumors in the endocrine system, papillary thyroid carcinoma (PTC) is typically treated with surgical resection. The quality of perioperative care directly impacts patient prognosis and quality of life. This study analyzed the application effects of rapid rehabilitation surgery concepts in perioperative care for PTC radical surgery patients. Methods Patients undergoing PTC radical surgery at our hospital were divided into a control group (conventional care) and an observation group (rapid rehabilitation surgery perioperative care), with comparative analysis of treatment outcomes. Results The observation group demonstrated superior postoperative recovery indicators, pain management, complication rates, comfort scores, and nursing satisfaction ratings compared to the control group, with P<0.05 indicating statistically significant differences. Conclusion Implementing rapid rehabilitation surgery concepts in perioperative care for PTC radical surgery patients not only effectively promotes postoperative recovery and reduces complication risks but also enhances nursing quality and patient comfort. These findings suggest clinical applicability for widespread adoption.
Key words: Rapid recovery surgery; Papillary thyroid carcinoma; Perioperative care; Complications; Nursing satisfaction
参考文献 References
[1] 陈旭涵.快速康复外科在甲状腺乳头状癌颈清扫术患者围手术期护理中的应用效果[J].中西医结合护理(中英文),2021,7(12):124-126.
[2] 牛芝云,杨亚莉,李银娜.围手术期快速康复外科联合激励式护理对甲状腺癌手术患者术后的影响[J].山西医药杂志.2021,50(03):488-491.
[3] Ngo Q D ,Le T D ,Ngo X Q , et al.Modified Radical Neck Dissection for Papillary Thyroid Carcinoma via a Combined Endoscopy Approach: The Transoral Approach and the Chest Approach.[J].Annals of surgical oncology, 2024,31(4):2357-2358.
[4] 吕青,黄宝延,李霞,等.快速康复外科在甲状腺乳头状癌颈清扫围手术期护理应用的效果评价[J].护理管理杂志,2020,20(5):361-363.
[5] 郭利均.甲状腺癌患者围手术期快速康复外科护理干预的价值探讨[J].医药前沿,2020,10(6):150-151.
[6] 中国临床肿瘤学会指南工作委员会,黄慧强,林岩松,等.中国临床肿瘤学会(CSCO)分化型甲状腺癌诊疗指南2021[J].肿瘤预防与治疗,2021,34(12):1164-1201.
[7] 陈植瑶,和金妹,胡卫娇,邓雪妃,朱必娟.综合性护理用于甲状腺癌根治术病人护理中效果评价[J].中国医学文摘(耳鼻咽喉科学).2022,37(05):208-211.
[8] 毕莹,李化静,姚小宝,等.临床护理路径联合个性化护理在甲状腺乳头状癌患者围术期的应用[J].中国临床研究,2022,35(08):1173-1176.
[9] Ngo Q D ,Tran D T ,Le T D , et al.Transoral Endoscopic Modified Radical Neck Dissection for Papillary Thyroid Carcinoma[J].Annals of Surgical Oncology,2021,28(5):1-1.
[10] Kehlet H. Fast-track surgery—an update on physiological care principles to enhance recovery[J]. Langenbecks Arch Surg,2020,405(4): 423-432.