Effect of motivation theory combined with enhanced recovery after surgery-based nursing on serum inflammatory factors,thyroid hormones,and immune function in patients undergoing endoscopic thyroid surgery through a non-inflatable axillary approach
QIAN Yingxue
HE Yan
LIN Tongtong
Abstract：Objective To explore the effects of motivation theory combined with enhanced recovery after surgery(ERAS)-based nursing on serum inflammatory factors,thyroid hormones,and immune function in patients undergoing endoscopic thyroid surgery through a non-inflatable axillary approach.Methods Clinical data of 98 patients who underwent endoscopic thyroid surgery in a non-inflatable axillary approach in Jiangsu Province(Suqian)Hospital(Suqian First Hospital)from April 2022 to April 2024 were retrospectively analyzed.They were randomly divided into the study group(motivation theory combined with ERAS-based nursing,49 cases)and control group(conventional care intervention,49 cases)according to the treatment method.Changes in perioperative indicators,serum inflammatory factor levels,thyroid hormone levels,and immune function indicators were observed and compared between the two groups.Results Before interventions,there were no significant differences in the levels of tumor necrosis factor-α(TNF-α),interleukin-6(IL-6),high-sensitivity C-reactive protein(hs-CRP),parathyroid hormone(PTH),thyroid stimulating hormone(TSH),thyroxine(T4),total T lymphocytes(CD+3),helper T lymphocytes(CD+4),and cytotoxic T lymphocytes(CD+8)between the two groups(P>0.05).After interventions,patients in the study group had significantly lower/less intraoperative blood loss,postoperative off-bed activity time,drainage volume,length of hospital stay,TNF-α,IL-6,hs-CRP,TSH,and CD+8 levels,and higher PTH,T4,CD+3,and CD+4 levels(P<0.05).Conclusion Motivation theory combined with ERAS-based nursing can effectively improve perioperative indicators,control inflammatory reactions,and enhance thyroid and immune function in patients undergoing endoscopic thyroid surgery through a non-inflatable axillary approach.
Keywords：motivation theoryenhanced recovery after surgeryendoscopic thyroid surgery through a non-inflatable axillary approachserum inflammatory factorsthyroid hormoneimmune function
Publication Date：2026-01-26
Online Publishing Date：2026-03-17(First online date of this platform, not the publication date of the document)
Pages：4( 78-81 )