【摘要】 目的探讨延续性护理对亚临床甲状腺功能减退症（简称甲减）患者甲状腺功能和护理质量的影响。方法选取2019年1～9月我院收治的62例甲减患者作为研究对象,采用信封法分为参照组（n=31）与实验组（n=31）。参照组采用传统护理方案,实验组采用传统护理方案联合延续性护理。比较两组的甲状腺功能指标水平、遵医行为及不良反应总发生率。结果两组护理前的促甲状腺激素（TSH）、游离三碘甲状腺原氨酸（FT₃）及游离甲状腺素（FT₄）水平比较,差异无统计学意义（P>0.05）;两组护理后的TSH水平低于护理前,FT₃及FT₄水平高于护理前,差异有统计学意义（P<0.05）。实验组护理后的TSH水平低于参照组（P<0.05）;两组护理后的FT₃及FT₄水平比较,差异无统计学意义（P>0.05）。实验组科学膳食遵医率、按时服药遵医率及功能锻炼遵医率高于参照组（P<0.05）;实验组的不良反应总发生率（6.45%）低于参照组（38.71%）,差异有统计学意义（P<0.05）。结论甲减患者接受延续性护理干预后,能改善甲状腺功能指标中的TSH水平,可促进科学膳食、按时服药及功能锻炼遵医率的提升,降低不良反应发生。更多还原

【Abstract】 Objective To explore the influence of continuous nursing on thyroid function and nursing quality of patients with subclinical hypothyroidism. Methods A total of 62 patients with subclinical hypothyroidism admitted to our hospital from January to September 2019 were selected as the research subjects. They were divided into the reference group（n=31） and the experimental group（n=31） by envelope method. The control group used traditional nursing plan, the experimental group used traditional nursing plan combined with continuous nursing. The thyroid function index level,compliance behavior and total incidence of adverse reactions were compared between the two groups. Results There were no significant differences in the levels of thyroid stimulating hormone（TSH）, free triiodothyronine（FT₃） and free thyroxine（FT₄） between the two groups before nursing（P>0.05）. The TSH level of the two groups after nursing was lower than that before nursing, the levels of FT₃ and FT₄ were higher than those before nursing, the differences were statistically significant（P<0.05）. The TSH level of the experimental group after nursing was lower than that of the reference group（P<0.05）. There were no significant differences in the levels of FT₃ and FT₄ after nursing between the two groups（P>0.05）. The compliance rate of scientific diet, timely medication and functional exercise in the experimental group were higher than those in the reference group（P<0.05）. There were no significant differences in the levels of FT3 and FT4 between the two groups after nursing（P>0.05）. The total incidence of adverse reactions in the experimental group（6.45%） was lower than that in the reference group（38.71%）, the difference was statistically significant（P<0.05）. Conclusion After continuous nursing intervention, subclinical hypothyroidism patients can improve TSH level in thyroid function index, promote the compliance rate of scientific diet, timely medication and functional exercise, and reduce adverse reactions.更多还原