目的：探究正念护理配合疼痛管理对经口腔前庭入路机器人甲状腺手术（TORTVA）患者情绪及疼痛 的干预效果。方法：选取 2018 年 1 月—2023 年 11 月于西安交通大学第一附属医院行 TORTVA 的 82 例甲状腺疾病患 者作为研究对象，采用随机数字表法将其分为试验组（n=41）和对照组（n=41）。对照组采用常规护理的方法进行 干预，试验组在常规护理干预的基础上加用正念护理配合疼痛管理的方法进行干预。比较两组患者干预前后情绪（SAS、 SDS）及疼痛（VAS）评分。结果：干预前两组患者情绪评分比较，差异无统计学意义（P>0.05）。干预后两组患者 SAS、SDS 评分均明显降低，且试验组显著低于对照组（P<0.05）。干预前两组患者 VAS 评分比较，差异无统计学意 义（P>0.05）。干预后两组患者 VAS 评分均明显降低，且试验组显著低于对照组（P<0.05）。结论：正念护理配合 疼痛管理对行 TORTVA 患者情绪及疼痛的干预效果显著，可以显著改善患者不良情绪的产生以及缓解患者疼痛感。

Objective: To explore the intervention effect of mindfulness-based nursing intervention combined with pain management on the emotion and pain of patients undergoing transoral robotic thyroidectomy vestibular approach (TORTVA). Methods: 82 patients with thyroid diseases who underwent TORTVA in the First Affiliated Hospital of Xi’an Jiaotong University from January 2018 to November 2023 were selected as the research subjects. They were divided into the study group and the control group using a random number table, with 41 cases in each group. The control group received conventional nursing intervention, while the study group received mindfulness-based nursing intervention combined with pain management. SAS, SDS and VAS scores of patients in the two groups were compared before and after intervention. Results: There was no significant difference in SAS and SDS scores between the two groups before intervention (P>0.05). After intervention, SAS and SDS scores of patients in the two groups decreased significantly, and they were significantly lower in the study group than those in the control group (P<0.05). There was no significant difference in VAS scores between the two groups before intervention (P>0.05). After intervention, the VAS scores of patients in the two groups decreased significantly, and they were significantly lower in the study group than those in the control group (P<0.05). Conclusion: Mindfulness-based nursing intervention combined with pain management has a significant intervention effect on SAS, SDS and VAS in patients undergoing TORTVA, it can significantly improve negative emotions and alleviate pain of patients, which can be widely promoted in clinical practice.

收稿日期：2024-03-13  录用日期：2024-04-16 

Received Date: 2024-03-13  Accepted Date: 2024-04-16 

基金项目：陕西省重点研发计划项目（2022SF-402） 

Foundation Item: Key R&D Plan Project of Shaanxi Province (2022SF-402) 

通讯作者：刘俊松，Email：ljs002993@163.com 

Corresponding Author: LIU Junsong, Email: ljs002993@163.com 

引用格式：刘小娜，张慧芳，张建玲，等 . 正念护理配合疼痛管理对经口腔前庭入路机器人甲状腺手术患者情绪及疼痛的干预效果 [J]. 机器人外科学杂志（中英文），2024，5（6）：1237-1240，1247. 

Citation: LIU X N, ZHANG H F, ZHANG J L, et al. Effect of mindfulness-based nursing intervention and pain management on emotion and pain in patients undergoing transoral robotic thyroidectomy vestibular approach[J]. Chinese Journal of Robotic Surgery, 2024, 5(6): 1237-1240，1247.

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