心理睡眠管理联合多模式疼痛管理对骨科手术患者的影响  

Effects of Psychological Sleep Management Combined with Multimodal Pain Management on Orthopedic Surgery Patients

作　　者：王鹏 程丽霞 WANG Peng;CHENG Lixia(Putian Medical Area,the 900th Hospital of Joint Logistics Support Force,Putian 351100,China;不详)

机构地区：[1]联勤保障部队第九〇〇医院莆田医疗区,福建莆田351100 [2]联勤保障部队第九〇〇医院

出　　处：《中外医学研究》2023年第13期164-167,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨心理睡眠管理联合多模式疼痛管理对骨科手术患者的影响。方法:选取2020年7月—2021年1月联勤保障部队第九〇〇医院莆田医疗区收治的83例骨科手术患者。根据计算机随机数表法将其分为对照组(n=41)和观察组(n=42)。两组均行骨科手术。对照组给予常规护理及镇痛管理,观察组给予心理睡眠管理联合多模式疼痛管理。比较两组术后6 h、24 h疼痛情况,干预后睡眠质量,干预前后心理状况。结果:术后6 h、24 h,观察组视觉模拟评分法(VAS)评分低于对照组,差异有统计学意义(P<0.05)。干预后,观察组睡眠时间、睡眠障碍、睡眠效率、催眠药物、入睡时间、主观睡眠质量、日间功能障碍评分均低于对照组,差异有统计学意义(P<0.05)。干预后,两组焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均降低,且观察组SAS评分、SDS评分均低于对照组,差异有统计学意义(P<0.05)。结论:心理睡眠管理联合多模式疼痛管理能够改善骨科手术患者的疼痛及心理状态,改善睡眠质量。Objective:To explore the effects of psychological sleep management combined with multimodal pain management on orthopedic surgery patients.Method:From July 2020 to January 2021,83 orthopedic surgery patients admitted to Putian Medical Area,the 900th Hospital of Joint Logistics Support Force were selected.According to the computer random number method,they were divided into control group(n=41)and observation group(n=42).Orthopedic surgery was performed in both groups.The control group was given routine nursing and analgesic management,while the observation group was given psychological sleep management combined with multimodal pain management.The pain condition at 6 h and 24 h after surgery,sleep quality after intervention,and psychological status before and after intervention were compared between the two groups.Result:At 6 h and 24 h after surgery,the visual analogue scale(VAS)score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).After the intervention,the scores of sleep time,sleep disorder,sleep efficiency,hypnotic drugs,time to fall asleep,subjective sleep quality and daytime dysfunction in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in the two groups were reduced,and the SAS and SDS scores in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).Conclusion:Psychological sleep management combined with multimodal pain management can improve the pain and psychological state of patients undergoing orthopedic surgery,and improve the quality of sleep.

关 键 词：心理睡眠管理 骨科手术 多模式疼痛管理 睡眠质量 

分 类 号：R473.6[医药卫生—护理学]