基于护理团队策略下的疼痛干预对胃癌术后患者疼痛管理、睡眠质量及生活质量的影响  

Effects of pain intervention based on nursing team strategy on pain management,sleep quality,and quality of life of postoperative patients with gastric cancer

作　　者：李芹[1] 王家友[1] 周娟[1] 陈珊 陈红[1] LI Qin;WANG Jiayou;ZHOU Juan;CHEN Shan;CHEN Hong(Department of Anesthesiology and Perioperative Medicine,the Second Affiliated Hospital of Anhui Medical University,Anhui Province,Hefei 230601,China)

机构地区：[1]安徽医科大学第二附属医院麻醉与围手术期医学科,安徽合肥230601

出　　处：《中国医药导报》2023年第1期166-169,共4页China Medical Herald

基　　金：安徽省高等学校自然科学研究项目(KJ2019A0283)。

摘　　要：目的 探究基于护理团队策略下的疼痛干预对胃癌术后患者疼痛管理、睡眠质量及生活质量的影响。方法 选取安徽医科大学第二附属医院2019年9月至2021年10月100例胃癌术后患者作为研究对象,按照随机数字表法将其分为对照组和观察组,各50例。对照组给予常规护理,观察组给予基于护理团队策略下的疼痛干预,比较两组护理前后MOS健康情况调查问卷、疼痛数字分级法及匹兹堡睡眠质量指数评分。结果 干预后,两组生活质量评分均高于干预前,且观察组高于对照组,差异有统计意义(P<0.05);整体分析发现:两组疼痛评分组间比较、时间点比较及交互作用差异均有统计学意义(P<0.05),进一步两两比较,组内比较:两组各时间点比较,差异均有统计学意义(P<0.05),组间比较:两组各时间点比较,差异均有统计学意义(P<0.05);两组睡眠质量评分均低于干预前,且观察组低于对照组,差异有统计意义(P<0.05)。结论 针对胃癌术后患者给予基于护理团队策略下的疼痛干预,可提升患者睡眠质量,改善疼痛情况,提高生活质量,利于患者快速康复,值得临床各个科室借鉴采纳。Objective To explore the effects of pain intervention based on nursing team strategy on pain management,sleep quality,and quality of life of postoperative patients with gastric cancer.Methods A total of 100 postoperative patients with gastric cancer in the Second Affiliated Hospital of Anhui Medical University from September 2019 to October 2021 were selected as the research objects,according to the random number table method,the patients were divided into control group and observation group,with 50 cases in each group.The control group was given routine nursing,and the observation group was given pain intervention under the nursing team strategy.The MOS health questionnaire,pain numerical grading method and Pittsburgh sleep quality index score were compared between the two groups before and after nursing.Results After intervention,the life quality scores of both groups were higher than before intervention,and those of the observation group were higher than those of the control group,the differences were statistically significant(P<0.05).The overall analysis showed that there were statistically significant differences in the comparison between groups,time point comparison and interaction of pain evaluation between the two groups(P<0.05),further pairwise comparison,intra-group comparison:pain ovaluata comparison between the two groups at each time point,the differences were statistically significant(P<0.05);inter-group comparison:pain ovaluata comparison between the observation group at each time point,the differences were statistically significant(P<0.05).Sleep quality scores of both groups were lower than before intervention,and observation group were lower than those of control group,the differences were statistically significant(P <0.05).Conclusion For postoperative patients with gastric cancer,pain intervention based on nursing team strategy can improve the sleep quality of patients,improve the pain situation,improve the quality of life,conducive to the rapid recovery of patients,and is worthy of reference an

关 键 词：护理团队策略 疼痛干预 胃癌术后 疼痛管理 睡眠质量 生活质量 

分 类 号：R473[医药卫生—护理学]