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Open Access Article

Journal of Modern Nursing Medicine. 2022; 1: (9) ; 154-156 ; DOI: 10.12208/j.jmnm.202200578.

Effect of high quality nursing on patients with lymphatic leakage after neck lymph node dissection forthyroid cancer
优质护理对甲状腺癌颈部淋巴结清扫术后淋巴漏患者的影响

作者: 王贵平 *

烟台毓璜顶医院 山东烟台

*通讯作者: 王贵平,单位:烟台毓璜顶医院 山东烟台;

发布时间: 2022-11-30 总浏览量: 245

摘要

目的 分析甲状腺癌病患在临床进行颈部淋巴结清扫术后,出现淋巴漏现象的护理干预对策、 效果和护理价值。方法 选择 2020 年 3 月至 2021 年 3 月我院接收的 98 例甲状腺癌颈部淋巴结清扫术治疗 病患为研究对象。按照入院手术治疗先后顺序进行分组,前 49 例纳入对照组,围手术期间实施常规手术护 理,后 49 例纳入干预,围手术期间实施优质护理干预。观察对比两组通过为期 1 个月护理后的护理效果。 结果干预组术后不良情评分低于对照组,(P<0.05);同时干预组术后生存质量高于对照组,(P<0.05); 干预组经过优质护理后护理满意度明显优于对照组,(P<0.05);术后发生手术相关并发症发生率低于对 照组,(P<0.05)。结论 在对甲状腺癌颈部淋巴结清扫术后淋巴漏患者护理时,采用优质护理管理的方式 进行疾病护理,能够提高病患生存质量,同时降低术后不良情绪,提升护理满意度,控制术后并发症发生 率,值得推广。

关键词: 优质护理;甲状腺癌;颈部淋巴结清扫术;淋巴漏

Abstract

Objective To analyze the nursing intervention strategy, effect and nursing value of lymph leakage in patients with thyroid cancer after neck lymph node dissection.
Methods From March 2020 to March 2021, 98 patients with thyroid cancer who received cervical lymph node dissection in our hospital were selected as the study subjects. The first 49 patients were included in the control group according to the order of surgical treatment. Routine surgical care was carried out during the perioperative period, and the last 49 patients were included in the intervention. High quality nursing intervention was carried out during the perioperative period. Observe and compare the nursing effect of the two groups after one month of nursing.
Results The score of adverse events in intervention group was lower than that in control group (P; The quality of life in the intervention group was higher than that in the control group (P; The nursing satisfaction of the intervention group was significantly better than that of the control group (P; The incidence of postoperative complications was lower than that of the control group (P<0.05 ) .
Conclusion   In the nursing of patients with lymph leakage after neck lymph node dissection of thyroid cancer, adopting high-quality nursing management to carry out disease nursing can improve the quality of life of patients, reduce postoperative bad emotions, improve nursing satisfaction, and control the incidence of postoperative complications, which is worth promoting.

Key words: High quality nursing; Thyroid cancer; Cervical lymph node dissection; Lymphatic fistula

参考文献 References

[1] 马纪蕾,李振云,孙珊珊,等.1 例甲状腺癌颈部淋巴结清扫术后淋巴漏患者的个案护理[J].当代护士(中旬刊),2021,28(12):152-153.

[2] 龚宏勋,陈十燕,陈贤明.甲状腺癌颈淋巴结清扫术后淋巴漏的临床特征分析[J].中国疗养医学,2018,27(12):1242-1244.

[3] 周斌,程枫,朱磊,等.甲状腺癌颈淋巴结清扫术后淋巴漏的原因及处理:附 20 例临床分析[J].浙江创伤外科,2019,24(01):143-146.

[4] 苗岐胜,周奕江.采用阿托品治疗甲状腺癌患者术后并发淋巴漏感染的治疗效果及对生活质量影响评价[J].药品评价,2019,16(16):58-59.

[5] 王建辉.采用阿托品治疗甲状腺癌患者术后并发淋巴漏感染的临床治疗效果[J].药品评价,2018,15(02):25-27+53.

[6] 张宇航.甲状腺癌颈淋巴结清扫术后淋巴漏的原因及治疗[J].中国现代普通外科进展,2021,24(06):467-470.

[7] 叶飞.260 例甲状腺切除术后的护理体会[J]. 中国医药指南,2017,15(30): 245

[8] 高文思 [1] 张燕芬 [1] 邓敬群 [1].甲状腺癌联合根治术患者围术期优质护理干预效果[J].福建医药杂志,2018,40(06): 170-172

引用本文

王贵平, 优质护理对甲状腺癌颈部淋巴结清扫术后淋巴漏患者的影响[J]. 现代护理医学杂志, 2022; 1: (9) : 154-156.