综合护理干预改善腹腔镜胆道手术患者术后心理状态及睡眠质量的临床效果  

Application of Nursing Intervention in Improving Postoperative Psychological Status and Sleep Quality of Patients Undergoing Laparoscopic Biliary Surgery

作　　者：翁云娇 WENG Yunjiao(General Surgery Department of Pingtan Comprehensive Experimental Area Hospital,Fuzhou 350400,China)

机构地区：[1]平潭综合实验区医院普外科,福州350400

出　　处：《世界睡眠医学杂志》2022年第12期2443-2445,共3页World Journal of Sleep Medicine

摘　　要：目的:分析护理干预改善腹腔镜胆道手术者心理状态与睡眠质量的临床效果。方法:选取2022年1月份至2022年10月份平潭综合实验区医院行腹腔镜胆道手术患者66例作为研究对象,按照抛硬币法分为对照组和观察组,每组33例。对照组实施常规术后护理干预,观察组应用综合护理干预,比较2组患者术后并发症发生率、胃肠功能恢复时间、心态与睡眠质量以及疼痛感评分。结果:护理后,观察组患者并发症发生率为3.03%,对照组为24.24%;观察组匹兹堡睡眠质量指数(PSQI)评分为(9.68±0.79)分,对照组PSQI评分为(12.78±1.06)分,观察组低于对照组,且观察组患者胃肠功能恢复时间短于对照组;观察组疼痛视觉模拟评分法(VAS)评分、焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分均低于对照组,2组比较差异均有统计学意义(均P<0.05)。结论:腹腔镜手术患者经综合护理干预后,心态与睡眠质量均得到显著改善,并发症发生率较低,护理效果较好,值得临床推广应用。Objective:To analyze the effect of nursing intervention on psychological status and sleep quality of patients undergoing laparoscopic biliary surgery.Methods:From January 2022 to October 2022 in the operating room of General Surgery Department of Pingtan Comprehensive Experimental Area Hospital,66 patients who were admitted to the hospital for laparoscopic biliary surgery were selected as the research objects.They were divided into control group and observation group by coin toss method,each accounting for 33 cases.Control group implemented routine postoperative nursing intervention,and observation group applied comprehensive nursing intervention to compare the postoperative complications,gastrointestinal function recovery time,mentality,sleep quality,and pain score of the operators.Results:The postoperative complication rates of control group and observation group were 24.24%and 3.03%respectively.The Pittsburgh Sleep Quality Index score of the observation group was lower than that of the control group(12.78±1.06 vs.9.68±0.79),and the recovery time of gastrointestinal function in observation group was shorter than that in control group.The scores of Visual Analogue Scale(VAS),Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the observation group were lower than those in the control group,and the differences between the two groups were statistically significant(P s<0.05).Conclusion:After comprehensive nursing intervention,the mentality and sleep quality of patients undergoing laparoscopic surgery have been significantly improved,so this intervention mode should be implemented.

关 键 词：腹腔镜胆道手术 护理干预 睡眠质量 心理状态 胃肠功能 

分 类 号：R473.6[医药卫生—护理学]