头颈肿瘤患者重症监护期间睡眠促进方案的构建与评价分析  

Construction and Evaluation of Sleep Promotion Programs for Patients with Head and Neck Tumors During Intensive Care

作　　者：李雅虹 洪育明[1] 陈晓芳[1] LI Yahong;HONG Yuming;CHEN Xiaofang(Department of Otolaryngology,Second Affiliated Hospital of Fujian Medical University,Quanzhou 362000,China)

机构地区：[1]福建医科大学附属第二医院耳鼻咽喉科,泉州362000

出　　处：《世界睡眠医学杂志》2023年第10期2502-2504,共3页World Journal of Sleep Medicine

摘　　要：目的:研究对头颈肿瘤重症监护患者应用睡眠促进方案的效果。方法:选取2022年6月至2023年6月福建医科大学附属第二医院耳鼻咽喉科收治的头颈肿瘤患者72例作为研究对象,随机分为对照组和观察组,每组36例。对照组给予常规治疗,观察组在对照组的基础上增加睡眠促进方案干预,比较2组实施效果。结果:观察组睡眠时间(5.58±0.72)h,匹兹堡睡眠质量指数(5.22±0.30)分,显著优于对照组(均P<0.05)。观察组焦虑自评量表(42.50±5.19)分,抑郁自评量表(40.89±6.79)分,显著低于对照组(均P<0.05)。观察组健康调查简表(78.42±6.43)分,Piper疲乏自我评估量表(3.72±0.76)分,显著优于对照组(均P<0.05)。观察组满意度为100.00%,高于对照组的83.33%(P<0.05)。结论:针对头颈部肿瘤重症监护患者采取睡眠促进方案干预可显著延长睡眠时间,提高患者睡眠质量,同时能够助改善其不良情绪和癌因性疲乏,提高患者治疗期间的生命质量和满意度,具有显著优势,能够给治疗工作开展和治疗效果创造有利条件,可积极推广应用。Objective:To study the effectiveness of applying sleep promotion programs to patients in intensive care of head and neck tumors.Methods:A total of 72 patients with head and neck tumors in our hospital from June 2022 to June 2023 were randomly selected and divided into a control group(n=36,routine nursing)and an observation group(n=36,added sleep promotion program intervention),and the implementation effects of the two groups were compared.Results:The observation group had a sleep time of 5.58±0.72 hours and a Pittsburgh Sleep Quality Index score of 5.22±0.30,which was significantly better than the control group(P s<0.05).The Self-rating Anxiety Scale(42.50±5.19)and Self-rating Depression Scale(40.89±6.79)scores in the observation group were significantly lower than those in the control group(P s<0.05).The observation group had The MOS 36-item Short-form Health Survey 78.42±6.43 points and Piper Fatigue Scale 3.72±0.76 points,which were significantly better than the control group(P s<0.05).The satisfaction of the observation group(100.00%)was higher than that of the control group(83.33%)(P<0.05).Conclusion:Intervention with sleep promotion programs for head and neck tumor intensive care patients can significantly prolong sleep time,improve sleep quality,and help improve patients′negative emotions and cancer-related fatigue,improve quality of life during treatment,and increase patient satisfaction.It has significant advantages and can create favorable conditions for treatment work and effectiveness,and can be actively promoted and applied.

关 键 词：头颈部肿瘤 重症监护 睡眠促进方案 癌因性疲乏 生命质量 

分 类 号：R739.91[医药卫生—肿瘤] R338.63[医药卫生—临床医学]