分析优质干预对妇产科手术患者术后疼痛及睡眠质量的影响  

Analyzing the Impact of High-quality Interventions on Postoperative Pain and Sleep Quality in Patients Undergoing Gynecological and Obstetric Surgery

作　　者：林丽雅[1] 曹美丽 LIN Liya;CAO Meili(First Affiliated Hospital of Xiamen University,Xiamen 361022,China)

机构地区：[1]厦门大学附属第一医院,厦门361022

出　　处：《世界睡眠医学杂志》2024年第6期1265-1268,共4页World Journal of Sleep Medicine

摘　　要：目的:分析优质干预对妇产科手术患者术后疼痛及睡眠质量的影响。方法:选取2023年1月至2024年1月厦门大学附属第一医院妇产科收治的手术患者98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49例。对照组给予常规护理干预,观察组给予优质护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用爱泼沃斯嗜睡量表(ESS)比较2组患者干预前后睡眠质量变化,并比较2组患者睡眠效果、睡眠感受、睡眠可持续性的差异,采用多导睡眠监测(PSG)评价2组患者的睡眠效率、快速眼动(REM)潜伏期、睡眠潜伏期、清醒次数、睡后清醒时间,并比较2组术后疼痛可耐受性及护理满意度。结果:干预后,观察组PSQI评分、SAS评分、SDS评分、ESS评分均显著低于对照组,观察组睡眠效率、REM潜伏期高于对照组,观察组睡眠潜伏期、清醒次数、睡后清醒时间显著低于对照组,观察组疼痛耐受性评分显著高于对照组,观察组护理满意度显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对妇产科手术患者实施优质护理干预既可减轻术后疼痛,又可提高其睡眠质量,加快患者康复进程,缓解患者焦虑、抑郁情绪,提高睡眠效率,值得临床推广应用。Objective:To analyze the impact of high-quality interventions on postoperative pain and sleep quality in patients undergoing gynecological surgery.Methods:A total of 98 gynecological surgery patients admitted to the Obstetrics and Gynecology Department of the First Affiliated Hospital of Xiamen University from January 2023 to January 2024 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 49 cases in each group,using a random number table method.The control group received routine nursing intervention,while the observation group received high-quality nursing intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients.The Self Rating Anxiety Scale(SAS)and Self Rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between the two groups of patients.The Epworth Sleepiness Scale(ESS)was used to compare the changes in sleep quality before and after intervention between the two groups of patients.The differences in sleep effectiveness,sleep perception,and sleep sustainability between the two groups of patients were also compared.Multi channel Sleep Monitoring(PSG)was used to evaluate the sleep efficiency,rapid eye movement(REM)latency,sleep latency,wakefulness frequency,and post sleep wakefulness time of the two groups of patients.The tolerability of postoperative pain and nursing satisfaction were also compared between the two groups.Results:After intervention,the PSQI score,SAS score,SDS score,and ESS score of the observation group were significantly lower than those of the control group.The sleep efficiency and REM latency of the observation group were higher than those of the control group.The sleep latency,number of awakenings,and wakefulness time after sleep of the observation group were significantly lower than those of the control group.The pain tolerance score of the observation group was significantly higher than that of the

关 键 词：妇产科手术 优质干预 疼痛 睡眠质量 满意度 耐受度 术后恢复质量评估量表 舒适状况量表 焦虑 抑郁 

分 类 号：R248.2[医药卫生—中医临床基础] R338.63[医药卫生—中医学]