摘要
目的 分析针对甲状腺术后病人采取基于5A的早期康复护理模式的临床效果。方法 择2023年1月~2024年1月间于我院接受治疗的甲状腺癌患者做为研究对象共100例，患者均接受手术治疗，此期间将患者分两组，目的是在患者术后采取不同的护理措施，其中50例采用常规护理并分于参照组、另外50例采用基于5A的早期康复护理模式的护理并分于研究组，对比两组患者护理后心理情绪评分、生活质量评分、不良反应发生率、患者满意度各项临床数据，以此分析护理模式的有效性。结果 本次研究数据显示，护理前SAS、SDS评分各项数据两组对比无差异性（P>0.05）；护理后SAS、SDS评分各项数据显示研究组低于参照组（P<0.05）；患者生活质量评分研究组高于参照组（P<0.05）；患者术后不良反应发生率研究组低于参照组（P<0.05）；患者满意度研究组高于参照组（P<0.05）。结论 临床针对甲状腺术后病人采取基于5A的早期康复护理模式可有效改善患者不良情绪，增强其治疗积极性，患者术后生活质量提升，不良反应较少，治疗舒适度较高，效果令患者满意，具有较高的治疗价值，值得推广。
关键词： 甲状腺手术；基于5A的早期康复护理；生活质量；并发症
Abstract
Objective To analyze the clinical effect of the 5A-based early rehabilitation care model for patients after thyroid surgery. Methods choose between January 2023-January 2024 in our treatment of thyroid cancer patients as a study of 100 cases, patients receive surgery, during the patients are divided into two groups, the purpose is to take different postoperative nursing measures, 50 cases of routine care and the reference group, another 50 cases based on 5A early rehabilitation nursing and points in the research group, compare two groups after nursing psychological emotional score, quality of life score, adverse reactions, patient satisfaction clinical data, to analyze the effectiveness of nursing mode. Results The data of this study showed that the SAS and SDS scores were not different (P> 0.05); the data of SAS and SDS showed that the study group was lower than the reference group (P <0.05); the study group (P <0.05); the incidence of the study group was lower than the reference group (P <0.05); the patient satisfaction study group was higher than the reference group (P <0.05). Conclusion The 5A based early rehabilitation nursing mode for thyroid patients can effectively improve patients' bad mood, enhance their enthusiasm for treatment, improve the quality of life of patients after surgery, have fewer adverse reactions, high treatment comfort, satisfy the patients, and have high therapeutic value, which is worth promoting.
Key words： Thyroid surgery; early rehabilitation care based on 5A; quality of life; complications
参考文献 References
[1] 王芳芳,宋维娜. 基于5A的早期康复护理模式在甲状腺术后病人中的应用[J]. 全科护理,2023,21(29):4142-4145. DOI:10.12104/j.issn.1674-4748.2023.29.028.
[2] 毕蒙蒙,周甜甜,舒越,等. 基于5A模式的护理干预对未破裂颅内动脉瘤患者自我效能及负性情绪的影响[J]. 实用临床医学,2022,23(2):73-77. DOI:10.13764/j.cnki. lcsy.2022.02.022.
[3] 卢蔓思. 早期分级康复护理在甲状腺癌根治术后患者中的应用观察[J]. 世界最新医学信息文摘（连续型电子期刊）,2023,23(48):231-235. DOI:10.3969/j.issn.1671-3141. 2023.048.041.
[4] 阮庆莲. FTS下的临床护理路径应用于甲状腺良性肿瘤围手术期的效果观察[J]. 医学理论与实践, 2020, 33(6):992-994. DOI:10.19381/j.issn.1001-7585.2020.06. 071.
[5] 王沙,李艳霞,庞瑞雪,等. 基于5A模式的早期康复护理对急性心肌梗死介入治疗患者自我管理能力及预后的影响[J]. 临床医学工程,2022,29(10):1391-1392. DOI:10.3969/j.issn.1674-4659.2022.10.1391.
[6] 武艳妮,王蓉,栾春红,等. 急性心肌梗死PCI术后患者基于5A模式的早期心脏康复护理[J]. 护理学杂志,2021,36(5):5-9,39. DOI:10.3870/j.issn.1001-4152.2021. 05. 005.
[7] 李秀秀,张恒,王星,等. 腔镜下甲状腺癌围手术期快速康复护理研究进展[J]. 河南医学研究,2023,32(12):2300-2304. DOI:10.3969/j.issn.1004-437X.2023.12.046.
[8] 李欢,马从忆,陈关凤,等. 基于时效性激励理论的快速康复外科护理对甲状腺癌手术患者疼痛和舒适度的影响[J]. 现代临床护理,2023,22(2):40-45. DOI:10.3969/j.issn. 1671- 8283.2023.02.007.
[9] 肖霞萍,刘叶荣,魏坛芳,等. 快速康复外科在我国甲状腺癌病人围术期护理中应用效果的Meta分析[J]. 全科护理，2022,20(17):2311-2316. DOI:10.12104/j.issn.1674-4748.2022.17.002.
[10] 张倩倩. 基于快速康复外科理念的护理干预对甲状腺癌患者术后恢复的影响研究[J]. 中外医疗,2020,39(24):129-131. DOI:10.16662/j.cnki.1674-0742. 2020. 24.129.