基于多学科的护理干预对恶性骨肿瘤患者截肢术后幻肢痛、负性情绪和睡眠质量的影响  

Effect of multidisciplinary nursing intervention on phantom limb pain,negative emotion and sleep quality of patients with malignant bone tumor after amputation

作　　者：苏晓媛 贾艳 SU Xiao-yuan;JIA Yan(Department of Orthopaedics,the First Affiliated Hospital with Nanjing Medical University,Jiangsu Provincial Hospital,Nanjing 210029,Jiangsu,China)

机构地区：[1]江苏省人民医院·南京医科大学第一附属医院骨科,江苏南京210029

出　　处：《川北医学院学报》2024年第6期856-860,共5页Journal of North Sichuan Medical College

摘　　要：目的:探讨基于多学科的护理干预对恶性骨肿瘤患者截肢术后幻肢痛、负性情绪和睡眠质量的影响。方法:选取80例实施截肢术的恶性骨肿瘤患者为研究对象,依据护理干预方式不同分为对照组和观察组,每组各40例。对照组患者予以常规护理干预;观察组予以多学科护理干预,两组患者均干预至术后7 d。比较两组患者疼痛情况[视觉模拟疼痛评分法(VAS评分)]、幻肢痛平均每日次数、负性情绪[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分]及睡眠质量[匹兹堡睡眠质量指数(PSQI)评分]。结果:两组患者术后VAS评分、每日幻肢痛次数均逐渐下降(P<0.05),且观察组术后各时间点均低于对照组(P<0.05)。术后7 d,两组患者术后SAS及SDS评分、PSQI各维度评分及总分均下降(P<0.05),且观察组低于对照组(P<0.05)。结论:对恶性骨肿瘤截肢患者实施基于多学科的护理干预能有效改善患者术后幻肢痛,减轻其焦虑、抑郁等负性情绪,提升患者睡眠质量。Objective:To explore the effect of multidisciplinary nursing intervention on phantom limb pain,negative emotion and sleep quality in patients with malignant bone tumor after amputation.Methods:80 patients who underwent amputation for malignant bone tumors were selected as the research objects.The patients were divided into control group and observation group according to different nursing intervention methods,with 40 cases in each group.The control group was given routine nursing intervention,and the observation group was given multidisciplinary nursing intervention.Both groups were intervened until 7 days after operation.The pain[visual analogue scale(VAS)],average daily frequency of phantom limb pain,negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)]and sleep quality[Pittsburgh sleep quality index(PSQI)]were compared between the two groups.Results:With the passage of time,the VAS scores and average daily number of phantom limb pain of the two groups decreased,and the observation group at each time point after operation was lower than the control group(P<0.05).At 7 days after operation,the scores of SAS,SDS,and each dimension and total score of PSQI in the two groups decreased,and the observation group was lower than the control group(P<0.05).Conclusion:The implementation of multidisciplinary nursing intervention for patients with malignant bone tumor amputation can effectively improve the postoperative phantom limb pain,reduce the negative emotions such as anxiety and depression,and improve the sleep quality of patients.

关 键 词：恶性骨肿瘤 多学科 截肢术 幻肢痛 负性情绪 

分 类 号：R738.1[医药卫生—肿瘤]