分析快速康复护理对腹腔镜下卵巢囊肿切除术后患者术后康复进程及睡眠质量的影响  

Analyzing the Impact of Rapid Rehabilitation Nursing on the Postoperative Recovery Process and Sleep Quality of Patients Undergoing Laparoscopic Ovarian Cystectomy

作　　者：周春梅[1] 林思媛 林美玲[1] ZHOU Chunmei;LIN Siyuan;LIN Meiling(Xinglin Branch of the First Affiliated Hospital of Xiamen University,Xiamen 361022,China)

机构地区：[1]厦门大学附属第一医院杏林分院,厦门361022

出　　处：《世界睡眠医学杂志》2023年第10期2338-2340,共3页World Journal of Sleep Medicine

摘　　要：目的:分析快速康复护理对腹腔镜下卵巢囊肿切除术后患者术后康复进程及睡眠质量的影响。方法:选取2021年9月至2023年1月厦门大学附属第一医院杏林分院收治的行腹腔镜下卵巢囊肿切除术患者74例作为研究对象,按照随机数字表法分为对照组和观察组,每组37例。对照组给予常规护理干预,观察组给予快速康复护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁状态的改善效果,比较2组患者首次排气时间、首次下床活动时间、尿管留置时间及住院时间,比较2组患者术后并发症发生情况。结果:观察组术后首次排气时间、尿管留置时间、住院时间、首次下床活动时间均短于对照组,差异均有统计学意义(均P<0.05);2组患者护理后的PSQI、HAMA、HAMD评分均低于护理前,且观察组评分显著低于对照组,差异均有统计学意义(均P<0.05);观察组的并发症总发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:快速康复护理可有效促进患者胃肠功能恢复,改善睡眠质量和心理状态,降低并发症总发生率,加快康复进程,值得临床推广使用。Objective:To analyze the impact of rapid rehabilitation nursing on the postoperative recovery process and sleep quality of patients undergoing laparoscopic ovarian cystectomy.Methods:A total of 74 patients who underwent laparoscopic ovarian cystectomy at Xinglin Branch of Xiamen University Affiliated First Hospital from September 2021 to January 2023 were selected as the study subjects.They were randomly divided into an observation group(n=37)and a control group(n=37)using a random number table method.The control group received routine nursing intervention,while the observation group received rapid rehabilitation nursing intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention.The Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to compare the improvement effects of anxiety and depression status between the two groups of patients before and after intervention.Compare the first time of exhaust,first time of getting out of bed,time of indwelling a urinary catheter,and length of hospital stay between two groups of patients,and compare the incidence of postoperative complications between the two groups of patients.Results:The observation group had shorter postoperative first exhaust time,urinary catheter retention time,hospital stay,and first time out of bed activity compared to the control group,and the difference between the two groups was statistically significant(P s<0.05).After intervention,the PSQI,HAMA,and HAMD scores of the two groups of patients after nursing were lower than before nursing,and the scores of the observation group were significantly lower than those of the control group.The difference between the two groups was statistically significant(P s<0.05).The total incidence of complications in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Rapid rehabilit

关 键 词：快速康复护理 腹腔镜 卵巢囊肿切除术 睡眠质量 焦虑 抑郁 

分 类 号：R711.75[医药卫生—妇产科学] R338.63[医药卫生—临床医学]