Effect of ice treatment combined with nano-silver hydrogel nursing in operative area after microwave ablation of benign thyroid nodule

Abstract

This study aims to evaluate the effect of microwave ablation (MWA) and the effect of ice nursing combined with nano-silver hydrogel nursing on postoperative recovery. The clinical data of 120 patients with benign thyroid nodules who received MWA from January 2019 to December 2021 were retrospectively analyzed. The patients were randomly divided into the control (60 cases) and observation (60 cases) groups. The control group received routine nursing, and the observation group received postoperative ice nursing and nano-silver hydrogel nursing on the basis of routine nursing. Postoperative skin temperature, SF-MPQ pain scale scores, state anxiety inventory (S-AI) scores, general comfort questionnaire scores for each dimension, and incidence of postoperative adverse reactions were compared between the two groups. At admission, differences in basic data between the two groups were statistically insignificant (P >0.05). After ice nursing and nano-silver hydrogel nursing was complete, skin temperature of the participants decreased with the extension of cold treatment time; moreover, compared to the control group, the observation group had lower skin temperature and a lower incidence of hematoma after nursing (P <0.05). Postoperative SF-MPQ pain scores of patients decreased gradually; SF-MPQ pain scores and corresponding S-AI scores of patients in the observation group were lower than those in the control group. Compared to that before nursing, the comfort level of patients after postoperative care significantly improved. Compared to that in the control group, the comfort score of physiological and psychological dimensions in the General Comfort Questionnaire score of the observation group was higher after nursing, and the overall comfort score of the observation group was higher (P <0.05). There was no significant difference in the incidence of postoperative adverse reactions between the two groups. Nursing satisfaction was higher in the observation group than the control group. The use of MWA in the treatment of benign thyroid nodule has a good effect and the incidence of postoperative adverse reactions is low. Postoperative ice nursing can reduce skin temperature in the operative area, relieve pain, and reduce psychological and physiological pressure of patients, as well as improve nursing satisfaction. Thus, postoperative ice nursing and nano-silver hydrogel nursing has great potential in promoting postoperative recovery after MWA.