周燕秋

摘要：目的? 探討醫(yī)護(hù)一體化模式在甲狀旁腺全切除聯(lián)合前臂自體移植術(shù)患者中的應(yīng)用效果。方法? 選取我院2017年6月～2018年12月接受甲狀旁腺全切除聯(lián)合前臂自體移植術(shù)治療的繼發(fā)性甲狀旁腺功能亢進(jìn)癥患者63例為研究對(duì)象，隨機(jī)分為對(duì)照組（n=31）和試驗(yàn)組（n=32），對(duì)照組采用常規(guī)護(hù)理，試驗(yàn)組采用醫(yī)護(hù)一體化模式護(hù)理。比較兩組患者術(shù)后并發(fā)癥發(fā)生情況，術(shù)后第1天、第2天、第3天患者低鈣血癥發(fā)生率及患者滿意度。結(jié)果? 兩組患者均未出現(xiàn)術(shù)后嗆咳、窒息、聲音嘶啞癥狀;術(shù)后第1天、第2天、第3天，試驗(yàn)組低鈣血癥發(fā)生率分別為：87.50%、62.50%、15.62%，均低于對(duì)照組的100.00%、87.10%、32.25%，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）;試驗(yàn)組患者滿意度為100.00%，高于對(duì)照組的87.10%，差異統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論? 醫(yī)護(hù)一體化模式有利于降低甲狀旁腺全切除聯(lián)合前臂自體移植術(shù)患者術(shù)后低鈣血癥的發(fā)生率，同時(shí)可提高住院患者滿意度。

關(guān)鍵詞：甲狀旁腺全切除;前臂自體移植術(shù);醫(yī)護(hù)一體化;低鈣血癥;滿意度

中圖分類號(hào)：R473.6? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?文獻(xiàn)標(biāo)識(shí)碼：A? ? ? ? ? ? ? ? ? ? ? ? ? ? ? ?DOI：10.3969/j.issn.1006-1959.2019.13.053

文章編號(hào)：1006-1959（2019）13-0164-03

Abstract：Objective? To explore the application effect of the integrated medical model in patients with total parathyroidectomy combined with forearm autografting. Methods? 63 patients with secondary hyperparathyroidism who underwent total parathyroidectomy combined with forearm autograft in our hospital from June 2017 to December 2018 were enrolled in the study. They were randomly divided into control group （n= 31） and the experimental group （n=32）， the control group was treated with routine care， and the experimental group was treated with integrated medical care mode. The incidence of postoperative complications was compared between the two groups， and the incidence of hypocalcemia and patient satisfaction on the 1st， 2nd， and 3rd day after surgery. Results? There were no symptoms of postoperative cough， asphyxia and hoarseness in the two groups. On the 1st， 2nd and 3rd day after operation， the incidence of hypocalcemia in the experimental group was 87.50%， 62.50% and 15.62% respectively was lower than the control group's 100.00%， 87.10%， 32.25%， the difference was statistically significant （P<0.05）; the test group patient satisfaction was 100.00%， which was higher than the control group's 87.10%， the difference was statistically significant （P<0.05）.Conclusion? The integrated medical model is beneficial to reduce the incidence of postoperative hypocalcemia in patients undergoing total parathyroidectomy combined with forearm autografting， and to improve the satisfaction of hospitalized patients.

Key words：Total parathyroidectomy;Forearm autograft;Medical integration;Hypocalcemia; Satisfaction