Application of psychological care under the concept of rapid recovery in female patients undergoing thyroid cancer surgery
快速康复理念下心理护理在女性甲状腺癌手术患者中的应用

摘要

目的 探讨快速康复理念（Enhanced Recovery After Surgery, ERAS）指导下的心理护理在女性甲状腺癌手术患者中的应用效果，为临床护理实践提供循证依据。方法 选取2025年1月至2025年12月本院收治的100例女性甲状腺癌手术患者作为研究对象，采用随机数字表法分为对照组和观察组，每组各50例。对照组采用甲状腺癌手术常规护理，观察组在常规护理基础上，结合快速康复理念实施针对性心理护理，干预周期从入院至术后1个月。比较两组干预前后焦虑（SAS）、抑郁（SDS）评分，术后康复指标、并发症发生率及护理满意度。结果 干预前，两组SAS、SDS评分无统计学差异（P＞0.05）；干预后，观察组SAS、SDS评分显著低于对照组（P＜0.05）。观察组术后首次下床时间、住院天数、切口愈合时间均显著短于对照组（P＜0.05），并发症发生率（4.00%）显著低于对照组（16.00%），护理满意度（96.00%）显著高于对照组（82.00%）（P均＜0.05）。结论 快速康复理念下的心理护理可有效缓解女性甲状腺癌手术患者负面情绪，加快术后康复，降低并发症发生率，提高护理满意度，值得临床推广。

Abstract

Objective To explore the application effect of psychological care guided by the concept of rapid recovery (Enhanced Recovery After Surgery, ERAS) in female patients undergoing thyroid cancer surgery, and to provide evidence-based basis for clinical nursing practice.
Methods A total of 100 female patients with thyroid cancer who were admitted to our hospital from January 2025 to December 2025 were selected as the research subjects. They were divided into the control group and the observation group by random number table method, with 50 cases in each group. The control group received routine nursing for thyroid cancer surgery, while the observation group received targeted psychological care based on the concept of rapid recovery in addition to the routine care. The intervention period was from admission to 1 month after surgery. The anxiety (SAS) and depression (SDS) scores before and after the intervention were compared between the two groups, as well as the postoperative rehabilitation indicators, complication rate and nursing satisfaction.
Results Before the intervention, there was no statistically significant difference in SAS and SDS scores between the two groups (P>0.05); after the intervention, the SAS and SDS scores of the observation group were significantly lower than those of the control group (P<0.05). The first time out of bed time, hospital stay, and incision healing time of the observation group were significantly shorter than those of the control group (P<0.05), the complication rate (4.00%) was significantly lower than that of the control group (16.00%), and the nursing satisfaction (96.00%) was significantly higher than that of the control group (82.00%) (all P<0.05).
Conclusion   Psychological care under the concept of rapid recovery can effectively alleviate the negative emotions of female patients undergoing thyroid cancer surgery, accelerate postoperative recovery, reduce the complication rate, improve nursing satisfaction, and is worthy of clinical promotion.