优化体位训练对行择期甲状腺手术患者配合依从性及术后并发症发生风险的影响

摘要

Objective:To investigate the effects of optimization postural training on the coordination compliance and postoperative complications risk in patients scheduled by thyroid surgery. Methods:Eighty patients scheduled by thyroid surgery were randomly divided into the control group and observation group(40 cases each group). The control group and observation group were treated with conventional postural training and optimization postural training, respectively. The coordination compliance, healthy knowledge, postoperative SF-36 score, postoperative complications and nursing satisfaction between two groups were compared. Results:The coordination compliance,healthy knowledge,postoperative SF-36 score and nursing satisfaction in observation group were higher than those in control group(P<0. 05 to P<0. 01). The incidences of the postoperative headache,nausea and vomiting and waist back pain in observation group were lower than those in control group(P<0. 05 to P<0. 01). Conclusions:The optimization postural training in nursing the patients scheduled by thyroid surgery can effectively improve the coordination compliance,healthy knowledge,quality of life and nurse-patient relationship, reduce the postoperative complications risk, and the clinical effects of which are better than those of conventional postural training.%目的：：探讨优化体位训练对行择期甲状腺手术患者配合依从性及术后并发症发生风险的影响。方法：行择期甲状腺手术患者共80例，随机分为对照组和观察组，各40例，分别采用常规体位训练和优化体位训练。比较2组患者配合依从性、健康相关知识掌握率、术后SF-36评分、术后并发症发生率及护理满意度等。结果：观察组患者配合依从性、健康相关知识掌握率、SF-36评分及患者护理满意度均高于对照组(P<0.05~P<0.01)；术后并发症头痛、恶心呕吐和腰背痛的发生率均低于对照组(P<0.05~P<0.01)。结论：优化体位训练用于行择期甲状腺手术患者可有效提高配合依从性和健康相关知识掌握程度，改善日常生活质量，降低术后并发症发生风险，并有助于拉近护患关系，效果优于常规体位训练。