术中心理暗示疗法对腹腔镜术后患者疼痛和睡眠质量的影响  

Impact of intraoperative psychological suggestion therapy on pain and sleep quality of patients after laparoscopic surgery

作　　者：李文娟[1] 王欢 靳琦 赵婷婷 张瑞瑞 LI Wenjuan;WANG Huan;JIN Qi;ZHAO Tingting;ZHANG Ruirui(Department of Anesthesiology and Surgery,Gansu Provincial Hospital of Traditional Chinese Medicine,Gansu,Lanzhou 730050,China)

机构地区：[1]甘肃省中医院麻醉手术科,甘肃兰州730050

出　　处：《中国医药科学》2024年第22期94-97,共4页China Medicine And Pharmacy

基　　金：甘肃省科技计划项目(创新基地和人才计划)(21JR7RA586)。

摘　　要：目的探讨术中心理暗示疗法对术后疼痛和睡眠质量的影响。方法选取2023年1—12月甘肃省中医院手术室行腹腔镜手术患者62例,采用随机数表法分为观察组(31例)与对照组(31例)。对照组接受标准手术程序和护理,观察组除了标准护理外,还接受术中心理暗示疗法。术后,使用视觉模拟评分、匹兹堡睡眠质量指数(PSQI)对患者进行评价,并使用生活质量综合评定问卷(GQOLI-74)评价患者的生活质量。结果接受心理暗示疗法的患者在术后的疼痛程度有显著的降低,差异有统计学意义(P<0.05)。在PSQI评分中,除了睡眠入睡时间、睡眠质量和日间补充睡眠障碍外,其他方面与对照组相比,差异无统计学意义(P<0.05)。此外,接受心理暗示疗法的患者在GQOLI-74的各个维度上的得分都比对照组高,这表明他们的生活质量得到了提升,差异有统计学意义(P<0.05)。结论与术中接受常规操作及护理相比,术中心理暗示疗法有助于减轻术后疼痛,能够有效改善患者的术后睡眠质量,提升生活质量,具有积极意义,值得临床推广。Objective To investigate the impact of intraoperative psychological suggestion therapy on postoperative pain and sleep quality.Methods A total of 62 patients who underwent laparoscopic surgery in the operating room of Gansu Provincial Hospital of Traditional Chinese Medicine from January to December 2023 were selected.Patients were assigned to either the observation group(31 cases)or the control group(31 cases)using a random number table.Control group received only the standard surgical procedure and nursing care,while the observation group received standard care plus psychological suggestion therapy during surgery.After the surgery,the patients were evaluated by visual analogue scale and Pittsburgh sleep quality index(PSQI),and their quality of life(QoL)was evaluated by generic quality of life inventory 74(GQOLI-74).Results Postoperatively,that patients who received psychological suggestion therapy had a significant reduction in postoperative pain,with statistically significant difference(P<0.05).In the PSQI scores,there were significant improvements in all aspects except sleep onset time,sleep quality,and daytime dysfunction compared to the control group(P<0.05).Additionally,patients who received psychological suggestion therapy scored higher on all dimensions of the GQOLI-74 than the control group,indicating an improvement in their quality of life,with a statistically significant difference(P<0.05).Conclusion Compared with conventional operation and nursing during operation,intraoperative psychological suggestion therapy is helpful to relieve postoperative pain,effectively improve patients’postoperative sleep quality and improve their QoL,which is of positive significance and worthy of clinical promotion.

关 键 词：术后疼痛 睡眠质量 生活质量 心理暗示 手术室 

分 类 号：R473[医药卫生—护理学]