A study on the application of the four-action method extended model of operating room nursing in patients undergoing radical thyroidectomy
四项行动法延伸模式手术室护理用于甲状腺癌根治术患者的研究

摘要

目的 探究将四项行动法延伸模式手术室护理手段施加于甲状腺癌根治术病例中的干预成效的研究。方法 选取2024年6月-2025年6月内接收的80例甲状腺癌根治术病例，依据随机数字表法将上述病例划分成对照组与观察组两个组别，每组分别入组40例。对照组予以常规护理措施，观察组则在对照组所施行的护理方案之上，加用四项行动法延伸模式的手术室护理，对两组所获得的临床护理成效进行比较。结果 观察组患者在术后的各项生命体征指标均优于对照组（P＜0.05），疼痛评分显著低于对照组（P＜0.05）。术后第1天，观察组在焦虑评分及抑郁评分方面均较对照组更低（P＜0.05），且该组的护理满意率也高于对照组（P＜0.05）。由此得出结论。结论 将四项行动法延伸模式的手术室护理应用于临床，能够有效改善甲状腺癌根治术患者生命体征指标，降低疼痛程度和焦虑、抑郁评分，提高患者护理满意度，有较高应用价值。

Abstract

Objective To explore the intervention efficacy of applying the four-action method extended model of operating room nursing to patients undergoing radical thyroidectomy.
Methods Eighty patients undergoing radical thyroidectomy from June 2024 to June 2025 were selected and randomly divided into a control group and an observation group, with 40 patients in each group. The control group received routine nursing care, while the observation group received operating room nursing based on the four-action method extended model in addition to the routine nursing care. The clinical nursing outcomes of the two groups were compared.
Results The observation group showed better postoperative vital signs than the control group (P<0.05), and the pain score was significantly lower in the observation group (P<0.05). On postoperative day 1, the observation group had lower anxiety and depression scores than the control group (P<0.05), and the nursing satisfaction rate was also higher in the observation group (P<0.05).
Conclusion   Applying the four-action extension model of operating room nursing to clinical practice can effectively improve vital signs of patients undergoing radical thyroidectomy, reduce pain levels and anxiety and depression scores, and increase patient satisfaction, demonstrating high application value.