摘要
Abstract
Objective:To investigate the influence of predictive nursing based on feedforward control on postoperative bleeding in patients after thyroid surgery.Method:A total of 100 patients with thyroid surgery who admitted to Jiangyuan Hospital Affiliated to Jiangsu Institute of Nuclear Medicine from March to October 2023 were selected as the research objects,they were divided into the control group and the observation group by random number table method,with 50 cases in each group.The control group was given routine nursing,and the observation group was given predictive nursing based on feedforward control on the basis of the control group.The bleeding after 24 h of intervention,the neck drainage volume and the incidence of neck swelling after 12 h,24 h and 48 h of intervention,the complications after 48 h of intervention(dyspnea,incision pain,hoarseness,infection)and the quality of life before and after 1 week of intervention[European Cancer Society quality of life core table(QLQ-C30)]were compared between two groups.Result:The bleeding rate and rebleeding rate in the observation group after 24 h of intervention were lower than those in the control group,and the differences were statistically significant(P<0.05);the neck drainage volume of two groups at 24 h and 48 h after intervention were less than that at 12 h after intervention,and the neck drainage volume of the observation group at 12 h,24 h and 48 h after intervention were less than those of the control group,and the incidence of neck swelling were lower than those of the control group,the differences were statistically significant(P<0.05);the incidence of complications in the observation group after 48 h of intervention was lower than that in the control group,and the difference was statistically significant(P<0.05);after 1 week of intervention,the scores of QLQ-C30 in two groups were higher than those before intervention,and those in the observation group were higher than the control group,the differences were statistically significant(P<0.05).Conclusion:Predictive nursing based on feedforward control can effectively reduce the risk of postoperative bleeding in patients undergoing thyroid surgery,reduce neck drainage,reduce the incidence of neck swelling and complications,and improve the quality of life after surgery.关键词
前馈控制/预见性护理/甲状腺手术/术后出血/生活质量Key words
Feedforward control/Predictive nursing/Thyroid surgery/Postoperative bleeding/Quality of life
