Volume 21 Issue 6
Jun.  2023
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Article Navigation >  Chinese Journal of General Practice  > 2023  >  21(6): 1064-1068
LU Tianya, CHEN Jiaolong, LIU Jianjun, HU Chengwen. Whole-process management based on pre-habilitation concept in patients of the gasless transoral endoscopic thyroidectomy[J]. Chinese Journal of General Practice, 2023, 21(6): 1064-1068. doi: 10.16766/j.cnki.issn.1674-4152.003050
Citation: LU Tianya, CHEN Jiaolong, LIU Jianjun, HU Chengwen. Whole-process management based on pre-habilitation concept in patients of the gasless transoral endoscopic thyroidectomy[J]. Chinese Journal of General Practice, 2023, 21(6): 1064-1068. doi: 10.16766/j.cnki.issn.1674-4152.003050
shu

Whole-process management based on pre-habilitation concept in patients of the gasless transoral endoscopic thyroidectomy

doi: 10.16766/j.cnki.issn.1674-4152.003050
  • 1.

    Department of Head and Neck Surgery, West District of the First Affiliated Hospital of USTC (Anhui Provincial Cancer Hospital), University of Science and Technology of China, Hefei, Anhui 230031, China

Funds:

 81802640

 AHHLa202105

  • Received Date: 2022-11-04
    Available Online: 2023-08-26
    Abstract
  •   Objective  To study the effects of whole-process management based on the concept of pre-habilitation on pain, self-efficacy, anxiety, depression and postoperative rehabilitation in patients undergoing gasless transoral endoscopic thyroidectomy.  Methods  A total of 60 patients who were pre-hospitalized in the First Affiliated Hospital of USTC from January 2021 to June 2021 and received gasless transoral endoscopic thyroidectomy were selected as the control group and received routine care. A total of 60 patients who were pre-hospitalized in the First Affiliated Hospital of USTC from July 2021 to December 2021 and received gasless transoral endoscopic thyroidectomy were selected as the observation group and received the whole-process management based on pre-habilitation concept. Numeric rating scale digital was used to evaluate the pain of 3 days after operation of the 2 groups. General self-efficacy scale was used to evaluate the general self-efficacy of the two groups at discharge. Anxiety and depression of all patients were assessed by the hospital anxiety and depression scale at 3 times of admission, discharge and 1 month after discharge.  Results  After intervention, the Numeric rating scale in the observation group were lower than that in the control group at 3 days after operation (all P < 0.05); The self-efficacy score of patients in the observation group [(29.2?.7) points] was higher than that in the control group [(24.6?.8) points, t=5.009, P < 0.001]; The scores of anxiety and depression in the control group were higher than those in the observation group at discharge and 1 month after discharge (all P < 0.05); With the prolongation of postoperative time, anxiety and depression scores in each group decreased gradually, and there were time interaction and intergroup interaction between the two groups (all P < 0.05). The incidence of submandibular edema and skin congestion after operation in the observation group (17.2% and 5.2%) were significantly lower than those in the control group (35.2% and 16.7%, all P < 0.05).  Conclusion  The whole-process management based on the concept of pre-rehabilitation can effectively reduce the postoperative pain degree of patients with transendoscopic thyroid cancer, improve their self-efficacy, improve their negative mood, reduce their postoperative complications and promote the rapid recovery of patients.

     

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