情绪晴雨表联合吞咽训练对甲状腺根治术患者吞咽功能、自我形象、述情障碍的影响

目的 探讨情绪晴雨表联合吞咽训练对甲状腺根治术患者吞咽功能 、自我形象、述情障碍的影响.方法 选择80例甲状腺根治术患者作为研究对象,采用随机数字表法分为观察组和对照组,各40例.对照组术后给予常规吞咽训练及护理管理.观察组在对照组的基础上增加情绪晴雨表护理干预.比较两组住院时间、进食时间,术后24h、48h采用疼痛视...

Effects of Emotional Barometer Combined with Swallowing Training on Swallowing Function,Self-image and Alexithymia in Patients undergoing Radical Thyroidectomy

Objective To explore the effect of emotional barometer combined with swallowing training on swallowing function,self-image and alexithymia in patients undergoing radical thyroidectomy.Methods Eighty patients with radical thyroidectomy were selected as the research objects,and they were divided into observation group and control group with 40 cases each by random number method.The control group was given routine swallowing training and nursing management after operation,and the observation group added emotional barometer nursing intervention on the basis of the control group.The hospitalization time and eating time were compared between the two groups;the pain visual analog scale(VAS)was used to evaluate the pain at 24h and 48h after the operation,the swallowing function was evaluated by the Watian drinking test;the depression self-rating scale(SDS)was used to evaluate depression Status,using the Anxiety Self-Rating Scale(SAS)to evaluate the anxiety state,using the self-made satisfaction scale to evaluate the aesthetic satisfaction of self-image,and using the Toronto Alexithymia Scale(TAS-20)to evaluate alexithymia.Results The eating time and hospitalization time of the observation group were lower than those of the control group(P<0.05).As time went on,the VAS scores and Watian drinking test scores of the two groups gradually decreased after surgery(P<0.05);the VAS scores and Watian drinking test scores of the observation group were lower than those of the control group at 24 and 48h after surgery(P<0.05)).The scores of describing emotions,recognizing emotions,and extroverted thinking of the two groups of patients after the intervention were improved compared with those before the intervention(P<0.05).After the intervention,the scores of describing emotions,recognizing emotions,and extroverted thinking of the observation group were lower than those of the control group(P<0.05)).After the intervention,the SAS score and SDS score of the two groups were lower than those before the intervention(P<0.05);after the intervention,the SAS score and SDS score of the observation group were lower than those of the control group(P<0.05).The overall satisfaction rate of the observation group was higher than that of the control group(P<0.05).Conclusion Emotional barometer combined with swallowing training can better promote the recovery of swallowing function after radical thyroidectomy,reduce alexithymia and bad emotional state,and increase self-image satisfaction.