循证护理干预对甲状腺功能亢进患者131I治疗效果的影响

目的 探讨甲状腺同位素131I治疗中采用循证护理干预对患者治疗效果的影响.方法 选择2013年1月至2015年12月我院收治的甲状腺功能亢进患者90例作为研究对象,按随机数字表法分为观察组和对照组各45例.所有患者均采用甲状腺同位素131I进行治疗,对照组采用常规护理,观察组采用循证护理干预.比较两组干预前后的甲状腺激素水平(FT3、FT4、TSH水平)及甲状腺重量的变化,采用SF-36生活质量评定量表对患者预后生活质量进行评定,此外对两组患者的综合护理质量满意度及并发症的发生情况进行比较.结果两组护理前的TSH、FT3、FT4及甲状腺重量比较差异均无统计学意义(P>0.05),两组护理后的TSH、FT3、FT4及甲状腺重量比较,差异均有统计学意义(P<0.05);SF-36生活质量评定量表评定结果显示,观察组患者各维度得分均明显高于对照组,差异具有统计学意义(P<0.05);观察组患者对综合护理质量总满意度明显高于对照组,差异具有统计学意义(P<0.05);两组患者给药后发生的并发症主要为恶心呕吐、皮肤瘙痒、乏力、甲状腺部位发痒、白细胞降低 、甲减,观察组并发症总发生率明显低于对照组,差异具有统计学意义(P<0.05).结论 甲状腺同位素131I治疗中采用循证护理干预临床效果显著,安全性高,能提高患者预后生活质量,增加患者对护理工作的满意度,值得临床推广.

The influence of evidence-based nursing intervention on the treatment effect of pa-tients treated by isotope thyroid 131 I

Objective To analyze the influence of evidence-based nursing intervention on the treatment effect of patients treated by isotope thyroid 131 I. Methods A total of 90 cases of patients with thyroid function hyperfunction treated in our hospital from January 2013 to December 2015 were selected as the research objects and were randomly di-vided into the observation group and the control group according to the random number table method, 45 cases in each group. All the patients were treated by thyroid isotope 131 I. The control group was given the routine care, while the ob-servation group adopted the evidence-based nursing intervention. The change of thyroid hormone levels ( FT3 , FT4 and TSH) and thyroid weight before and after the intervention of the two groups were compared. Besides, the prognosis qual-ity of life of patients was evaluated by the SF-36 scale, and the satisfaction for comprehensive nursing quality and the occurrence of complications of the two groups were compared as well. Results There were no statistical significances in terms of the differences of TSH, FT3 and FT4 and thyroid weight of the two groups before treatment ( P>0. 05 ) , while there were statistical significances in terms of the differences of TSH, FT3 and FT4 and thyroid weight of the two groups after treatment ( P<0. 05 ) . The results of SF-36 scale showed that the scores of each dimension of the observation group were significantly higher than that of the control group, and the differences were statistically significant (P<0. 05). The overall satisfaction for nursing quality of the observation group was significantly higher than that of the control group, and the differences were statistically significant ( P<0. 05 ) . The complications of the patients of the two groups after do-sing were mainly nausea, vomiting, itchy skin, fatigue, the itching of thyroid parts, the reduction of white blood cells and hypothyroidism, etc, the incidence of complications of the observation group was obviously lower compared with the control group, and the differences were statistically significant ( P<0. 05 ) . Conclusions The implementation of evi-dence-based nursing intervention on patients treated by isotope thyroid 131 Ishown obvious effect with high safety, which can improve the prognosis life quality of patients and increase the patientsˊ satisfaction for nursing . Therefore, it de-serves the clinical promotion.