关键词: 甲状腺切除术, 机器人, 护理工具, 围手术期护理

Abstract:

Objective To explore the effect of a modified chest strap after minimally invasive thyroid surgery. Methods A improved chest strap was developed,which can be adjusted and fixed according to the patient’s body and needs. At the same time,the ice pack device can be placed on the chest as needed. The chest strap and cold compress are maintained simultaneously during the use. From July 2019 to August 2020,82 patients underwent elective minimally invasive thyroid surgery. The patients were divided into a control group with 42 cases and an experimental group with 40 cases according to the time. The control group selected from July to December 2019 used traditional medical chest straps. The experimental group selected from January to August 2020 used improved vest-style chest straps. The pain scores,comfort,subcutaneous congestion,and satisfaction with the chest straps were compared between the 2 groups after using the chest straps. The patient’s pain score was evaluated by Numerical Rating Scale;the patient’s comfort score was evaluated by Kolcaba Comfort Scale;patients satisfaction was evaluated by a satisfaction questionnaire. Results The pain score in the experimental group was 2.1±0.2,which was lower than 2.9±0.2 in the control group（t=2.776,P=0.007）. The comfort score in the experimental group was 84.9±1.4,which was better than 79.7±1.1 in the control group（t=2.871,P=0.005）. 20% of patients in the experimental group had symptoms of subcutaneous congestion,while 31% of patients in the control group had subcutaneous congestion（χ²=1.290,P=0.256）. Patients’ overall satisfaction in the experimental group was 95%,which was significantly higher than 59.5% in the control group（Z=14.642,P=0.001）. Conclusion The use of the new and improved vest-style chest strap can reduce the patient’s pain and improve the patient’s comfort and satisfaction.

Key words: Thyroidectomy, Robotics, Nursing Tool, Perioperative Nursing