合理运动对垂体瘤术后患者疲乏和睡眠质量的影响  

Effect of postoperative reasonable exercise on fatigue and sleep quality of patients with pituitary adenomas

作　　者：吴超[1] 王雯婷[2] 沈梅芬[1] 张雪莲 盛贵箫 Wu Chao;Wang Wenting;Shen Meifen;Zhang Xuelian;Sheng guixiao(The First Affiliated Hospital of Soochow University,Soochow Jiangsu 215006;School of Nursing,Soochow University,Soochow Jiangsu 215002)

机构地区：[1]苏州大学附属第一医院,江苏苏州215006 [2]苏州大学护理学院,江苏苏州215002

出　　处：《护士进修杂志》2021年第5期385-388,399,共5页Journal of Nurses Training

基　　金：国家临床重点专科项目[编号:国卫办医函(2018)292号]。

摘　　要：目的探讨合理运动对垂体瘤术后患者疲乏及睡眠质量的影响。方法选取2017年12月-2018年9月在苏州大学附属第一医院行垂体瘤切除术的患者74例为研究对象,采用便利抽样法分为对照组38例和干预组36例。对照组给予术后常规护理,干预组在常规护理基础上辅以为期6个月的术后合理运动,比较两组患者术前、术后3个月及术后6个月多维疲乏量表得分及匹兹堡睡眠量表得分。结果术前两组患者多维疲乏量表及匹兹堡睡眠量表得分比较,差异无统计学意义(P>0.05);术后3个月及术后6个月时,干预组多维疲乏量表得分显著低于对照组(P<0.05),但匹兹堡睡眠量表得分差异无统计学意义(P>0.05)。结论术后合理运动可有效缓解垂体瘤术后患者的疲乏,有效改善患者的睡眠质量,但对睡眠质量的具体影响仍需进一步研究。Objective To investigate the effects of reasonable postoperative exercise on fatigue and sleep quality in patients with pituitary adenomas after surgery.Methods 74 patients who underwent surgical resection of pituitary tumors was selected in the first affiliated hospital of soochow university from December 2017 to September 2018 was selected.38 patients in the control group were given routine postoperative care,and 36 patients in the intervention group were based on routine care,Apply a 6-month of reasonable postoperative exercise and use the multidimensional fatigue scale(MFI-20)and Pittsburgh sleep scale(PSQI)to investigate and compare preoperative(T0),postoperative 3 months(T1)and postoperative 6 month(T2).Results At T0 stage,there was no significant difference in the general data of the patients,fatigue and scores of sleep quality(P>0.05).The fatigue score(46.47±4.54)in the T1 intervention group was significantly lower than that in the control group(48.58±4.04)(t=2.492,P=0.016)and the fatigue score(44.58±4.56)in the T2 intervention group was significantly lower than that in the control group(47.97±3.88)(t=3.594,P=0.001).The difference was statistically significant(P<0.05).The PSQI scores of the two groups in T1 and T2 were not statistically significant(P>0.05).After 6 months of intervention,the difference in sleep quality between the two groups was statistically significant(P<0.05).Conclusion Reasonable postoperative exercise can alleviate the fatigue of patients after pituitary tumor surgery and effectively improve the patient's sleep quality level.The specific impact of sleep quality needs further study.

关 键 词：合理运动 垂体瘤术后 疲乏 睡眠质量 护理 

分 类 号：R473.73[医药卫生—护理学] R736.4[医药卫生—临床医学]