Effect of fast track surgical nursing combined with clinical nursing pathway on postoperative recovery ofpatients with thyroid cancer
快速康复外科护理结合临床护理路径对甲状腺癌患者术后恢复效果的影响

摘要

目的 探析快速康复外科护理结合临床护理路径对甲状腺癌患者术后恢复效果的影响。方法 选取 2019 年 2 月~2022 年 2 月我院接收的 320 例甲状腺癌患者，随机分为两组，对照组采用常规护理，观 察组采用快速康复外科护理结合临床护理路径，比较两组的术后恢复效果、不良心理状态、免疫功能和并 发症情况。结果 观察组的恢复固体食物时间、术后下床时间、住院时间短于对照组，在护理实施后，观察 组的 HAD-A 评分、HAD-D 评分低于对照组，CD4+/CD8+水平、NK 水平高于对照组；观察组的并发症发 生率低于对照组，比较有统计学意义（P<0.05）。结论 甲状腺癌患者在实施快速康复外科护理结合临床护 理路径后，不良心理状态与免疫功能得到改善，术后恢复效果显著，并发症降低，值得临床推广。

Abstract

Objective To explore the influence of fast track surgical nursing combined with clinical nursing path on the recovery effect of thyroid cancer patients after surgery.
Methods A total of 320 patients with thyroid cancer admitted to our hospital from February 2019 to February 2022 were selected and randomly divided into two groups. The control group received routine nursing, while the observation group received fast track surgery nursing combined with clinical nursing path. The postoperative recovery effect, adverse psychological state, immune function and complications of the two groups were compared.
Results The recovery time of solid food, postoperative getting out of bed time and hospital stay of the observation group were shorter than those of the control group. After nursing implementation, the HAD-A score and HAD-D score of the observation group were lower than those of the control group, and the CD4+/CD8+ level and NK level were higher than those of the control group. The incidence of complications in the observation group was lower than that in the control group, and the comparison was statistically significant (P<0.05).
Conclusion   After the implementation of fast track surgical nursing combined with clinical nursing path, the adverse psychological state and immune function of thyroid cancer patients are improved, the postoperative recovery effect is significant, and the complications are reduced, which is worthy of clinical promotion.