Impact of Multi-point Nursing Strategies Under a Clinical Problem-Solving Framework on Adverse Events Associated With Thyroid Nodule Resection.

IF 2.2 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Evaluation & the Health Professions Pub Date : 2024-09-01 Epub Date: 2023-04-24 DOI:10.1177/01632787231172277
Jian Zhu, Yutao Zhao, Li Huang, Junqiang Ju
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Abstract

The impact of multi-point nursing strategies drawing on a problem-solving clinical framework to examine adverse events associated with thyroid nodule resection was investigated. Patients (n = 98) who underwent thyroid nodule resection were divided into observation and control groups. Patients in the control group received conventional care, and patients in the observation group received a multi-point care strategy under a clinical problem-solving framework. The length of stay (p < .001), hospitalization cost (p < .001), nursing satisfaction scores (p < .001) of the observation group were longer or higher and statistically significant. The incidence of complications in the observation group (8.16%) was lower than that in the control group (22.45%). The incidence of adverse events in the observation group (2.04%) was lower than that in the control group (14.29%), and statistically significant (p < .05). The multi-point nursing strategy using a clinical problem-solving framework provided evidence that it shortened the length of stay, reduce hospitalization costs, improve psychological status, increase nursing satisfaction, and reduce complications and adverse events in patients undergoing thyroid nodule resection.

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临床问题解决框架下的多点护理策略对甲状腺结节切除术相关不良事件的影响
本研究借鉴解决问题的临床框架,探讨了多点护理策略对甲状腺结节切除术相关不良事件的影响。将接受甲状腺结节切除术的患者(98 人)分为观察组和对照组。对照组患者接受常规护理,观察组患者接受临床问题解决框架下的多点护理策略。观察组患者的住院时间(p < .001)、住院费用(p < .001)、护理满意度评分(p < .001)更长或更高,且有统计学意义。观察组并发症发生率(8.16%)低于对照组(22.45%)。观察组不良反应发生率(2.04%)低于对照组(14.29%),差异有统计学意义(P < .05)。采用临床问题解决框架的多点护理策略为甲状腺结节切除术患者缩短住院时间、降低住院费用、改善心理状态、提高护理满意度、减少并发症和不良事件提供了证据。
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来源期刊
CiteScore
5.30
自引率
0.00%
发文量
31
审稿时长
>12 weeks
期刊介绍: Evaluation & the Health Professions is a peer-reviewed, quarterly journal that provides health-related professionals with state-of-the-art methodological, measurement, and statistical tools for conceptualizing the etiology of health promotion and problems, and developing, implementing, and evaluating health programs, teaching and training services, and products that pertain to a myriad of health dimensions. This journal is a member of the Committee on Publication Ethics (COPE). Average time from submission to first decision: 31 days
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