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目的探讨优质护理在甲状腺功能亢进症中的应用效果。方法选取成都市核工业416医院内分泌科2015年1—6月收治的重症甲状腺功能亢进症患者60例,随机分为对照组和优护组,各30例。对照组患者给予常规护理措施,优护组患者给予优质护理。比较两组患者的护理满意度及复诊率,并比较两组患者干预前后心理状况[焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分]及甲状腺激素水平[促甲状腺激素(TSH)、总三碘甲腺原氨酸(TT_3)、总甲状腺素(TT_4)、游离三碘甲腺原氨酸(FT_3)、游离甲状腺素(FT_4)]。结果优护组患者护理满意度、复诊率高于对照组(P<0.05)。干预前,两组患者SAS评分、SDS评分及TSH、TT_3、TT_4、FT_3、FT_4水平比较,差异无统计学意义(P>0.05);干预后,优护组患者SAS评分、SDS评分及TT_3、TT_4、FT_3、FT_4水平低于对照组,TSH水平高于对照组(P<0.05)。结论优质护理在重症甲状腺功能亢进症中的应用效果确切,可有效提高患者的护理满意度及复诊率,缓解患者抑郁、焦虑情绪,调节机体甲状腺激素水平。
Objective To explore the application of quality nursing in hyperthyroidism. Methods Sixty patients with severe hyperthyroidism admitted to Department of Endocrinology, 416 Hospital of Nuclear Industry of Chengdu from January to June, 2015 were randomly divided into control group and optimal protection group, with 30 cases in each group. Patients in the control group were given routine care and patients in the superior care group were given quality care. The nursing satisfaction and the referral rate were compared between the two groups. The psychological status (SAS, SDS) and thyroid hormone levels [thyroid-stimulating hormone (TSH), total triiodothyronine (TT_3), total thyroxine (TT_4), free triiodothyronine (FT_3) and free thyroxine (FT_4). Results The nursing care satisfaction rate and the referral rate in the superior care group were higher than those in the control group (P <0.05). There was no significant difference in SAS score, SDS score, TSH, TT_3, TT_4, FT_3 and FT_4 between the two groups before intervention (P> 0.05) .After intervention, SAS score, SDS score and TT_3, The levels of TT_4, FT_3 and FT_4 were lower than those of the control group, and the levels of TSH were higher than those of the control group (P <0.05). Conclusion The application of quality nursing in severe hyperthyroidism is effective, which can effectively improve patient satisfaction and referral rate, relieve depression and anxiety and regulate the level of thyroid hormone.