Application effects of targeted nursing model in patients undergoing thyroid surgery and its influence on patients' negative emotions

Abstract

Objective: To explore the effectiveness of a targeted nursing model for patients undergoing thyroid surgery, and to analyse the influence of intervention on the negative emotions of patients.

Methods: Eighty patients who received thyroid surgery in our hospital were enrolled and divided into a study group (n=40, given targeted nursing) and a control group (n=40, given routine surgical nursing) according to the difference of intervention measures. The postoperative bed-leaving time, hospitalization time, medical expenses, drainage tube indwelling time and incidence of postoperative adverse reactions were compared between the two groups. The degree of pain, anxiety and depression was compared between the two groups at 1 d, 3 d, 5 d, and 7 d after surgery. The scales of voice handicap index (VHI-10) and standard swallowing assessment (SSA) were used to evaluate voice quality and swallowing function in the two groups.

Results: The postoperative bed-leaving time, hospitalization time, medical expenses, drainage tube indwelling time and incidence of postoperative adverse reactions of patients in the study group were lower than those in the control group (P<0.05). The scores of visual analogue scale (VAS), self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the study group at 3 d, 5 d and 7 d after surgery were lower than those in the control group (P<0.05). The scores of VHI-10 and SSA in the study group were lower than those in the control group at 7 d and 30 d after surgery (P<0.05).

Conclusion: Targeted nursing for patients undergoing thyroid surgery can help accelerate the improvement of postoperative clinical symptoms, relieve the unhealthy emotions and pain of patients, and help improve their voice quality and swallowing function, which also has a positive effect on reducing postoperative complications. Therefore, it is worthy of clinical popularization and application.

Keywords: Thyroid surgery; application effects; influence; negative emotions; targeted nursing model.

Figure 1

Comparison of differences in general surgical indices between the two groups. Postoperative bed-leaving time, hospitalization time, medical expenses and drainage tube indwelling time in the study group were statistically lower than those in the control group (P<0.05). * indicates that the difference between the two groups is statistically significant.

Figure 2

Dynamic analysis of degree of postoperative pain in the two groups. The VAS scores in the study group at 3 d, 5 d, and 7 d after surgery were significantly lower than those in the control group. The difference between the two groups was statistically significant (A) (P<0.05). The comparison of decline of 1 d-3 d after surgery, 3 d-5 d after surgery, and 5 d-7 d after surgery showed that the VAS score in the study group decreased much more than that in the control group (B). & indicates that the difference between the two groups is statistically significant.

Figure 3

Comparison of assessment on postoperative unhealthy emotions between the two groups. There was no significant difference in the scores of SAS at 1 d after surgery between the two groups (P>0.05). The scores of SAS in the study group at 3 d, 5 d and 7 d after surgery were significantly lower than those in the control group (P<0.05) (A). There was no significant difference in the scores of SDS at 1 d after surgery between the two groups (P>0.05). The scores of SDS in the study group at 3 d, 5 d and 7 d after surgery were significantly lower than those in the control group (P<0.05) (B). # indicates that the difference between the two groups is statistically significant.

Figure 4

Evaluation of voice quality and swallowing function in the two groups. The scores of VHI-10 at 7 d and 30 d after surgery in the study group were significantly lower than those in the control group (P<0.05) (A). The scores of SSA at 7 d and 30 d after surgery in the study group were significantly lower than those in the control group (P<0.05) (B). # indicates that the difference between the two groups is statistically significant.