甲状腺功能亢进症治疗中护理干预的应用效果分析

目的 探讨针对性护理在甲状腺功能亢进症治疗中的临床应用效果.方法 收集2015年4月至2016年6月入院的80例甲状腺功能亢进症患者随机分为两组,对照组患者给予入院指导、治疗期间注意事项、健康宣教、施药操作与床边护理等传统护理,实验组患者则在传统护理的基础上加施服药前准备、心理干预、饮食干预、行为干预等针对性护理,比较两组患者干预前后心理状态、甲状腺激素、肝功能水平与护理满意度.结果 实验组患者干预后SAS(45.27±5.48)]与SDS评分(44.11±5.09)]组间比较均显著低于对照组(51.36±5.75),(50.05±4.87)];实验组患者干预后TSH水平(4.45±1.08)mU/L组间比较显著高于对照组(2.36±0.93) mU/L],TT3(2.25±0.82) nmol/L]、Tr4(95.45±12.77)nmol/L]、FT3(4.85±0.94) pmol/L]、FT4(10.74±2.65) pmol/L]、ALT(24.86±5.74) U/L]、ALP(24.30±6.79) U/L]、AST(24.26±6.17) U/L]与r-GT水平(22.45±6.81) U/L]组间比较均显著低于对照组(4.03±0.88) nmol/L,(130.57±14.81) nmol/L,(7.87±1.07) pmol/L,(20.40±3.72)pmol/L,(31.47±6.16) U/L,(33.52±7.57) U/L,(32.75±7.27) U/L,(33.38±7.28) U/L],差异有统计学意义(P＜ 0.01);实验组患者护理满意度明显优于对照组,差异有统计学意义(P＜0.05).结论 针对性护理在甲状腺功能亢进症治疗中的临床应用效果显著,可提高满意度,具有借鉴意义.

Analysis of the application effect of nursing intervention in the treatment of hyperthyroidism

Objective To explore the clinical application effect of targeted nursing in the treatment of hyperthyroidism.Methods 80 patients with hyperthyroidism who were admitted between April 2015 and June 2016 were randomly divided into two groups.The patients in the control group were given traditional nursing including admission guidance,matters need attention during the treatment,health education,medication operation,and bedside nursing;on the basis the patients in the experimental group were given targeted nursing including preparation before medication,psychological intervention,diet intervention,behavior intervention.Compared psychological status,thyroid hormones,liver function,and nursing satisfaction degree of the two groups before and after intervention.Results SAS score and SDS score in the experimental group after intervention were significantly lower than those in the control group (45.27±5.48) vs.(51.36±5.75),(44.11±5.09) vs.(50.05±4.87)];the level of serum TSH in the experimental group after intervention was significantly higher than that in the control group (4.45±1.08) mU/L vs.(2.36±0.93) mU/L],the levels ofTT3,TT4,FT3,FT4,ALT,ALP,AST,and Γ-GT were significantly lower than those in the control group (2.25±0.82)nmol/L vs.(4.03±0.88)nmol/L,(95.45±12.77) nmol/L vs.(130.57±14.81)nmol/L,(4.85±0.94)pmol/L vs.(7.87±1.07)pmol/L,(10.74±2.65)pmol/L vs.(20.40±3.72) pmol/L,(24.86±5.74)U/L vs.(31.47±6.16)U/L,(24.30±6.79)U/L vs.(33.52±7.57)U/L,(24.26±6.17)U/L vs.(32.75±7.27)U/L,(22.45±6.81)U/L vs.(33.38±7.28)U/L],with statistically significant differences between the two groups (P＜0.01).The nursing satisfaction degree in the experimental group was significantly better than that in the control group (P＜0.05).Conclusion Targeted nursing in the treatment of hyperthyroidism has significant clinical application effect,can improve the satisfaction degree,with reference significance.