摘要 / Abstract
摘要
目的 探讨精细化护理在甲状腺穿刺活检患者中的应用效果，分析其对穿刺成功率的影响。方法 研究时间于2025年3月开始，结束于2025年12月，收集本院进行甲状腺穿刺活检的患者共78例，对照组39例患者采用常规护理模式，观察组39例患者采用精细化护理模式。比较两组患者穿刺成功率、穿刺时间、护理满意度、生理应激状态，以及穿刺后发生出血、血肿、感染和疼痛等并发症的发生率，记录两组患者穿刺配合度和穿刺活检术后恢复时间。结果 经过护理后，观察组患者一次性穿刺成功率和护理满意度较高，配合度较好，穿刺时间和术后恢复时间均较短（P＜0.05）；观察组患者术后发生并发症的概率较小，穿刺活检术前30分钟及术后平均动脉压及心率指标均较低（P＜0.05）。结论 对甲状腺穿刺活检患者实施精细化护理能够显著提高穿刺成功率和患者配合度，缩短穿刺及恢复时间，减轻生理应激反应，有助于提高患者护理满意度，降低并发症发生率。
关键词
精细化护理；甲状腺穿刺活检；应用效果；穿刺成功率
Abstract
Objective To investigate the application effect of refined nursing in thyroid biopsy patients and analyze its impact on puncture success rate. Methods The study was conducted from March 2025 to December 2025, collecting a total of 78 patients who underwent thyroid biopsy in our hospital. The control group (n=39) received conventional nursing, while the observation group (n=39) received refined nursing. The puncture success rate, puncture time, nursing satisfaction, physiological stress state, and incidence of complications such as post-puncture bleeding, hematoma, infection, and pain were compared between the two groups. The puncture cooperation rate and postoperative recovery time were also recorded. Results After nursing, the observation group showed higher one-time puncture success rate and nursing satisfaction, better cooperation, and shorter puncture time and postoperative recovery time (P<0.05). The observation group also had a lower probability of postoperative complications, with lower mean arterial pressure and heart rate 30 minutes before and after the procedure (P<0.05). Conclusion Implementing refined nursing in thyroid biopsy patients can significantly improve puncture success rate and patient cooperation, shorten puncture and recovery time, reduce physiological stress response, enhance nursing satisfaction, and lower complication incidence.
Key words
Refined nursing; Thyroid biopsy; Application efficacy; Biopsy success rate
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