分析无缝隙护理干预对扁桃体切除患儿术后疼痛及睡眠质量的影响  

To Analyze the Effects of Seamless Nursing Intervention on Postoperative Pain and Sleep Quality in Children with Tonsillectomy

作　　者：雷秋雁[1] 罗丽铭[2] 叶玲[2] 吴萍[2] LEI Qiuyan;LUO Liming;YE Ling;WU Ping(No.909 Hospital of the Joint Logistic Support Force of the Chinese People′s Liberation Army,Zhangzhou 363000,China;No.907th Hospital,Joint Logistic Support Force,People′s Liberation Army,Zhangzhou 363000,China)

机构地区：[1]中国人民解放军联勤保障部队第909医院,漳州363000 [2]中国人民解放军联勤保障部队第907医院,漳州363000

出　　处：《世界睡眠医学杂志》2023年第6期1282-1285,共4页World Journal of Sleep Medicine

基　　金：全军军事理论科研重点项目(19LBJ1007B)。

摘　　要：目的:分析无缝隙护理干预对扁桃体切除患儿术后疼痛及睡眠质量的影响。方法:选取2017年1月1日至2019年12月31日于中国人民解放军联勤保障部队第909医院收治的扁桃体切除术患儿127例作为研究对象,按照随机数字表法分为观察组(n=66)和对照组(n=61),对照组给予常规护理干预,观察组给予无缝隙护理干预。采用视觉模拟评分法(VAS)比较2组患儿干预前后疼痛程度的变化,采用匹兹堡睡眠质量指数(PSQI)比较2组患儿干预前后睡眠质量的变化,采用舒适状况量表(GCQ)、生命质量参照量表(GQOLI-74)比较2组患儿的症状变化及舒适度和生命质量。结果:护理干预后,观察组VAS评分、PSQI评分显著低于对照组,观察组GCQ评分高于对照组(P<0.05);干预后观察组GQOLI-74评分均显著高于对照组,差异有统计学意义(P<0.05)。结论:在扁桃体切除术后患儿中采用无缝隙护理干预后能够降低患儿疼痛程度,改善睡眠质量和提高舒适度、生命质量,提高患儿的睡眠质量。Objective:To analyze the effects of seamless nursing intervention on postoperative pain and sleep quality in children with tonsillectomy.Methods:A total of 127 children with tonsillectomy admitted to 909 Hospital of Chinese People′s Liberation Army Joint Logistic Support Force from January 12017 to December 312019 were selected as the research objects,and were divided into observation group(n=66)and control group(n=61)according to the random number table method,and the control group was given routine nursing intervention,the observation group was given seamless nursing intervention.Visual Analogue Scale(VAS)was used to compare the changes of pain degree before and after the intervention,and Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after the intervention.General Comfort questionnaire(GCQ)and Generic Quality of Life Inventory-74(GQOLI-74)were used to compare the symptom changes and comfort of patients in the 2 groups.Results:After nursing intervention,VAS score and PSQI score of observation group were significantly lower than those of control group,GCQ score of observation group was higher than that of control group(P<0.05);After intervention,the PSQI score of observation group was lower than that of control group(P<0.05);After intervention,the GQOLI-74 score of the observation group were significantly higher than those of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:The use of seamless nursing intervention in children after tonsillectomy can reduce the degree of pain,improve the quality of sleep and comfort,quality of life,and improve the quality of sleep.

关 键 词：无缝隙护理干预 患儿扁桃体切除术 术后疼痛 睡眠质量 

分 类 号：R766.18[医药卫生—耳鼻咽喉科] R338.63[医药卫生—临床医学]