分析针对性心理护理干预结合健康宣教对喉癌喉切除术后患者睡眠质量及依从性的影响  

To Analyze the Effects of Targeted Psychological Nursing Intervention Combined with Health Education on Sleep Quality and Compliance of Patients with Laryngeal Cancer after Laryngectomy

作　　者：陈芳芳[1] CHEN Fangfang(Zhongshan Hospital Affiliated to Xiamen University,Xiamen 361004,China)

机构地区：[1]厦门大学附属中山医院,厦门361004

出　　处：《世界睡眠医学杂志》2023年第5期1090-1092,共3页World Journal of Sleep Medicine

摘　　要：目的:分析针对性心理护理干预结合健康宣教对喉癌喉切除术后患者睡眠质量及依从性的影响。方法:选取2019年1月至2022年12月厦门大学附属中山医院耳鼻咽颈外科喉癌喉切除术患者80例作为研究对象,按照随机数字表法分为观察组和对照组,每组40例。对照组给予常规护理干预,观察组给予针对性心理护理结合健康宣教干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,比较2组护理依从性。结果:护理干预后,观察组术后24 h、术后1周、术后2周PSQI评分、SAS评分、SDS评分显著低于对照组,观察组护理依从性显著高于对照组,差异均有统计学意义(均P<0.05)。结论:针对性心理护理结合健康宣教能显著改善喉癌切除术患者的睡眠质量,缓解患者的焦虑、抑郁情绪,提高患者治疗的依从性,值得临床推广使用。Objective:To analyze the effects of targeted psychological nursing intervention combined with health education on sleep quality and compliance of patients with laryngeal cancer after laryngectomy.Methods:A total of 80 patients undergoing laryngectomy for laryngeal cancer in the Department of Otolaryngopharyngeal and Neck Surgery of Zhongshan Hospital Affiliated to Xiamen University from January 2019 to December 2022 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given targeted psychological nursing combined with health education intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the difference of sleep quality between the 2 groups,Self-rating anxiety scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between the 2 groups,and nursing compliance between the 2 groups was compared as well.Results:After nursing intervention,PSQI scores,SAS scores and SDS scores in the observation group were significantly lower than those of the control group at 24 h,1 week and 2 weeks after surgery,and nursing compliance in the observation group was significantly higher than that the control group,the differences between the two groups were statistically significant(P s<0.05).Conclusion:Targeted psychological nursing combined with health education can significantly improve the sleep quality of patients with laryngeal cancer resection,relieve patient′s anxiety and depression,and improve patient′s treatment compliance,which is worthy of clinical promotion and use.

关 键 词：喉癌切除术 健康宣教 针对性心理护理 睡眠质量 依从性 焦虑 抑郁 

分 类 号：R739.6[医药卫生—肿瘤] R338.63[医药卫生—临床医学]