Effects of evidence-based nursing based on ACE-Star model in incision management of patients undergoing transoral endoscopic thyroidectomy
10.3760/cma.j.cn115682-20210726-03295
- VernacularTitle:基于ACE-Star模型的循证护理在经口腔入路腔镜甲状腺手术患者切口管理中的应用
- Author:
Manli ZHANG
1
;
Lixiang ZHANG
;
Ying LU
Author Information
1. 河南省南阳市中心医院普外科，南阳 473000
- Keywords:
Thyroid neoplasms;
Thyroidectomy;
Evidence-based nursing;
Laparoscopes
- From:
Chinese Journal of Modern Nursing
2022;28(14):1890-1894
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the effect of evidence-based nursing based on the ACE-Star model as the theoretical framework for incision management of patients undergoing transoral endoscopic thyroidectomy.Methods:Convenience sampling was used to select 40 patients with thyroid tumor in General Surgery of Nanyang Central Hospital in Henan Province from June 2019 to June 2020 as the control group, and received routine thyroidectomy nursing. A total of 32 patients admitted from July 2020 to June 2021 were selected as the observation group, and were given evidence-based nursing with the ACE-Star model as the theoretical framework, including body position management, incision anti-infection management, and headgear usage management. The total drainage volume, extubation time, hospital stay, Visual Analogue Scale (VAS) score, incidence of complications (infection, facial edema, subcutaneous congestion) , and patient satisfaction were compared between the two groups, and the implementation rate of evidence-based items in the observation group was recorded.Results:The total drainage volume, extubation time, hospital stay, and VAS score of the observation group were lower than those of the control group, and the differences were statistically significant ( P<0.05) . The incidence of complications in the observation group was lower than that in the control group, and the difference was statistically significant (χ 2=6.57, P<0.05) . The patients in the observation group had higher satisfaction with nursing than the control group, and the difference was statistically significant (χ 2=6.68, P<0.05) . In the observation group, the implementation rates of three evidence-based management items, including body position management, incision anti-infection management, and headgear usage management, were 96.88%, 96.88%, and 93.75%, respectively, and the implementation rates were all higher than 90%. Conclusions:Evidence-based nursing with the ACE-Star model as the theoretical framework is used for the incision management of transoral endoscopic thyroidectomy, which is beneficial to reduce postoperative complications and improve patient satisfaction, and has certain clinical guiding significance.
