罗伊纽曼理念的手术室护理改善乳腺癌麻醉患者睡眠质量的研究  

The Study of Roy Newman's Concept of Operating Room Nursing to Improve the Sleep Quality of Anesthesia Patients with Breast Cancer

作　　者：黄惠娟[1] 官莉贞 HUANG Huijuan;GUAN Lizhen(Fujian Xiamen University Affiliated First Hospital,Xiamen 361000,China)

机构地区：[1]福建厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第4期916-918,922,共4页World Journal of Sleep Medicine

摘　　要：目的:探究在对乳腺癌麻醉患者护理时开展罗伊纽曼理念的手术室护理对患者睡眠质量改善的作用。方法:选取2022年2月至2023年12月福建厦门大学附属第一医院乳腺癌手术患者88例作为研究对象,按照奇偶数分为对照组和观察组,每组44例。对照组手术期间开展常规护理,观察组开展罗伊纽曼理念的手术室护理。对患者手术期间睡眠质量、应对行为以及心理弹性等进行比较。结果:护理前,2组患者睡眠质量比较,差异无统计学意义(P>0.05),护理后,观察组评分较对照组低,差异有统计学意义(P<0.05)。护理前,2组患者应对行为评分比较,差异无统计学意义(P>0.05),护理后,观察组各维度评分高于对照组,观察组CD-RISC量表评分均高于对照组,差异有统计学意义(P<0.05)。结论:在对乳腺癌麻醉患者护理时开展罗伊纽曼理念的手术室护理,可以提升患者在手术期间睡眠质量,改善其心理状态以及应对行为,保障护理效果。Objective:To explore the role of Roy Newman's concept of operating room nursing in improving the sleep quality of patients with breast cancer under anesthesia.Methods:From February 2022 to December 2023,88 cases of breast cancer patients in our hospital were selected and randomly sorted according to Excel table No.0~88.Routine nursing(control group)was carried out during the operation of odd sequence,and the operating room nursing(observation group)of Roy Newman's concept was carried out for even sequence.Compare patients'sleep quality,coping behavior,and psychological resilience during surgery.Results:The sleep quality of the patients was evaluated,and there was no difference in the scores of various dimensions of the PSQI scale before nursing.The scores of the observation group were lower than those of the control group after nursing(P<0.05).Assessing patient coping behavior,there was no difference in MC-MQ scale scores before nursing.After nursing,the observation group had higher scores in the face dimension than the control group and higher scores in the avoidance and surrender dimensions than the control group(P<0.05).The CD-RISC scale scores of the observation group were higher than those of the control group in terms of patient psychological resilience(P<0.05).Conclusion:The Roy Newman concept of operating room nursing can improve the sleep quality of patients during surgery,improve their psychological state and coping behavior,and ensure the nursing effect when nursing breast cancer patients under anesthesia.

关 键 词：罗伊纽曼理念 手术室护理 乳腺癌 麻醉 睡眠质量 应对行为 心理弹性 康复 

分 类 号：R737.9[医药卫生—肿瘤] R338.63[医药卫生—临床医学]