Research on the application of the pain management program based on the ERAS concept in the perioperative quality of life of patients with thyroid cancer
基于ERAS理念的疼痛管理方案应用于甲状腺癌患者围手术期生活质量的研究

摘要

目的 通过对云南省某三甲医院甲状腺乳腺外科基于ERAS理念下的疼痛管理方案应用于甲状腺癌患者围手术期生活质量的现状调查，研究住院患者的生活质量是否得到提高。方法 选取2025年1月-11月云南省某三甲医院甲状腺癌患者166例。选取患者按照纳排标准，基于ERAS理念的疼痛管理方案应用于甲状腺癌患者围手术期后，患者对自己的生活质量评价进行问卷调查。最后选用SPSS 26.0统计软件进行资料数据分析。结果 基于ERAS理念的疼痛管理方案应用于甲状腺癌患者围手术期生活质量的现状调查，结果表明患者的生活质量得到一定提高，超半数经过疼痛管理后疼痛等级为轻度疼痛，60.9%疼痛管理后的睡眠情况为与平常无异或达到一个较好水平，81.9%患者在住院期间对护理工作的评价表示很满意。结论 目前，ERAS疼痛管理在甲状腺癌患者围手术期得到普遍应用，经过这段时间的调查分析，得知ERAS理念指导下的围术期护理措施切实可行，并且能够让患者的生活质量得到一定程度的提高、有利于促进患者快速康复，大大提高了住院患者的满意度。

Abstract

Objective Through the investigation of the current situation of the application of the pain management program based on the ERAS concept in the perioperative quality of life of thyroid cancer patients in the thyroid and breast surgery department of a tertiary hospital in Yunnan Province, to study whether the quality of life of inpatients has been improved.
Methods A total of 166 patients who underwent thyroid and breast surgery in a tertiary hospital in Yunnan Province from January to November 2025 were selected. After the pain management program based on the ERAS concept was applied to thyroid cancer patients according to the inclusion and exclusion criteria during the perioperative period, a questionnaire survey was conducted on the patients' evaluation of their quality of life. Finally, SPSS 26.0 statistical software was selected for data analysis.
Results An investigation on the current situation of the application of the pain management program based on the ERAS concept in the perioperative quality of life of patients with thyroid cancer. The results show that the quality of life of the patients has been improved to a certain extent. More than half of the patients have mild pain after pain management, and 60.9% have the same or a relatively good sleep situation after pain management. 81.9% of the patients expressed satisfaction with the evaluation of the nursing work during their hospitalization.
Conclusion   Currently, ERAS pain management has been widely applied in the perioperative period of thyroid cancer patients. Through the investigation and analysis during this period, it is known that the perioperative nursing measures guided by the ERAS concept are feasible and can improve the quality of life of patients to a certain extent, facilitate the rapid recovery of patients, and greatly enhance the satisfaction of inpatients.