Application effect of ERAS based comprehensive nursing management in patients undergoing thyroid cancer surgery
基于ERAS理念的全程化护理管理在甲状腺癌手术患者中的应用效果

摘要

目的 观察对甲状腺癌手术患者开展基于加速康复外科（ERAS）理念的全程化护理管理的作用。方法 前瞻性在本院2024年5月至2025年6月甲状腺癌手术患者中选择70例为对象，数字表随机抽样均分2组，对照组（35例）进行常规护理，观察组（35例）进行基于ERAS理念的全程化护理管理。对患者围术期指标、术后疼痛程度与生活质量、术后并发症进行统计。结果 术后恢复阶段时间指标，观察组短于对照组（P<0.05）。术后疼痛程度，观察组低于对照组，生活质量观察组高于对照组（P<0.05）。术后并发症发生率，观察组低于对照组（P<0.05）。结论 在对甲状腺癌手术患者护理过程中开展基于ERAS理念的全程化护理管理，有助于缩短患者术后恢复时间，降低术后疼痛程度，提升患者生活质量，降低术后并发症发生率。

Abstract

Objective To observe the effect of comprehensive nursing management based on Enhanced Recovery After Surgery (ERAS) concept on patients undergoing thyroid cancer surgery.
Methods A prospective study was conducted on 70 patients undergoing thyroid cancer surgery in our hospital from May 2024 to June 2025. The patients were randomly divided into two groups using a digital table. The control group (35 cases) received routine nursing care, while the observation group (35 cases) received comprehensive nursing management based on the ERAS concept. Statistical analysis of perioperative indicators, postoperative pain levels, quality of life, and postoperative complications in patients.
Results The time index of postoperative recovery stage was shorter in the observation group than in the control group, (P<0.05). The postoperative pain level was lower in the observation group than in the control group, and the quality of life was higher in the observation group than in the control group, (P<0.05). The incidence of postoperative complications was lower in the observation group than in the control group, (P<0.05).
Conclusion   Implementing full process nursing management based on ERAS concept in the nursing process of thyroid cancer surgery patients can help shorten the postoperative recovery time, reduce the degree of postoperative pain, improve the quality of life of patients, and reduce the incidence of postoperative complications.