芳香疗法改善胃癌患者围术期焦虑、睡眠质量的效果研究  

Effects of aromatherapy on improving perioperative anxiety and sleep in patients with gastric cancer

作　　者：李疆[1] 秦苇[2] 刘芳[3] Li Jiang;Qin Wei;Liu Fang(Department of Gastroenterological Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China （Li J;Department of Rheumatology and Immunology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China （Qin W;Department of Hand Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, China （Liu F)

机构地区：[1]温州医科大学附属第一医院胃肠外科,温州325000 [2]温州医科大学附属第一医院风湿免疫科,温州325000 [3]温州医科大学附属第一医院手外科,温州325000

出　　处：《中华现代护理杂志》2018年第17期2093-2096,共4页Chinese Journal of Modern Nursing

基　　金：温州市科技局计划经费自筹项目（Y20170481）

摘　　要：目的评价芳香疗法对改善胃癌患者围术期间的焦虑情绪，促进患者睡眠的作用。方法采用便利抽样法，选取2016年12月-2017年7月在温州医科大学附属第一医院进行胃癌手术的患者120例，随机分为试验组和对照组，每组60例。对照组采用常规护理，试验组在对照组的基础上于术前1d的21：00采用天竺葵精油给予吸人性芳香疗法，至手术当天6：00结束。采用SAS、匹兹堡睡眠质量指数量表（PSQI）比较两组干预前后的焦虑水平和睡眠质量。比较两组干预前后血压、心率的变化。结果重复测量方差分析显示，两组患者术前1d、术前1h、术后1d血压、心率和焦虑评分时间、组间存在交互作用。术前1d两组PSQI得分差异无统计学意义（P〉0．05）。试验组患者接受芳香疗法后，PSQI评分较术前降低，且与对照组相比更低，差异均有统计学意义（P〈0．01）。结论芳香疗法能有效减轻胃癌患者围术期的焦虑水平，提高其睡眠质量，稳定患者血压和心率。Objective To evaluate the effects of aromatherapy on improving perioperative anxiety and sleep in patients with gastric cancer. Methods A total of 120 patients undergoing gastrectomy from December 2016 to July 2017 in the First Affiliated Hospital of Wenzhou Medical University were selected in the study using convenient sampling. The participants were randomly divided into the intervention group （n=60） and the control group （n=60）. Based on the routine nursing care, the intervention group received additional geranium aromatherapy from 9 pm to 6 am at one day before the surgery. The Self-Rating Anxiety Scale （SAS） and Pittsburgh Sleep Quality Index （PSQI） were used to evaluate the anxiety and sleep quality. The blood pressure （BP） and heart rate （HR） were compared before and after the intervention. Results The repeated ANOVA showed that BP, HR and the SAS points had time and groups interactions at one day before the surgery, one hour before the surgery and one day after the surgery. There were no statistically significant differences in PSQI at one day before the surgery between two groups （P 〈 0.05）. But after the aromatherapy, the intervention group had significantly lower PSQI than before operation, and lower than the control group （P 〈 0.01）. Conclusions The aromatherapy can effectively alleviate anxiety, improve sleep quality and stabilize BP and HR in patients with gastrectomy.

关 键 词：胃肿瘤 围手术期 芳香疗法 焦虑 睡眠质量 

分 类 号：R473.73[医药卫生—护理学]