早期活动量表指导临床干预对胃肠癌患者术后深静脉血栓及睡眠观察  

The Effect of Early Activity Scale Guided Clinical Intervention on Sleep Quality and Deep Vein Thrombosis in Patients with Gastrointestinal Cancer after Surgery

作　　者：林翠娥 李燕萍[1] LIN Cui′e;LI Yanping(Department of General Surgery,First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院普外科,厦门361000

出　　处：《世界睡眠医学杂志》2024年第11期2421-2423,共3页World Journal of Sleep Medicine

摘　　要：目的:探究在对胃肠癌手术患者护理时开展早期活动量表指导临床护理,针对患者睡眠质量、下肢深静脉血栓的影响。方法:选取2022年3月至2023年10月厦门大学附属第一医院收治的胃肠癌手术患者70例作为研究对象,按照随机数字表法分为单数序列和偶数序列,每组35例。对照组开展常规护理,观察组开展早期活动量表指导临床护理。针对患者深静脉血栓发生率、睡眠质量、下肢血液流速以及生命质量比较。结果:干预后,观察组匹兹堡睡眠质量指数(PSQI)评分较对照组低(P<0.05);深静脉血栓发生率较对照组低(P<0.05);干预后,观察组下肢血液流速较对照组高(P<0.05);干预后,2组患者失眠严重程度指数(ISI-C)得分较同组干预前下降,且观察组较对照组更低(P<0.05)。结论:将早期活动量表指导临床护理用于胃肠癌手术患者护理,可以提升术后睡眠质量,降低深静脉血栓发生率。Objective:To explore the impact of early activity scale guidance on clinical intervention for patients undergoing gastrointestinal cancer surgery on sleep quality and deep vein thrombosis in the lower limbs.Methods:From March 2022 to October 2023,a total of 70 patients who underwent surgery for gastrointestinal cancer at the First Affiliated Hospital of Xiamen University were selected as research subjects.The random number table was sorted from 0 to 70,and routine nursing was performed in odd numbered sequences(35 cases,control group).Early activity scales were used in even numbered sequences to guide clinical nursing(35 cases,observation group).Compare the incidence of deep vein thrombosis,sleep quality,lower limb blood flow velocity,and quality of life among patients.Results:The Pittsburgh Sleep Quality Index(PSQI)score was lower in the observation group than in the control group after intervention(P<0.05).The incidence of deep vein thrombosis was lower in the observation group compared to the control group(P<0.05).The lower limb blood flow rate in the observation group was higher than that in the control group after intervention(P<0.05).After intervention,the severity index of insomnia(ISI-C)scores of the two groups of patients decreased compared to before intervention in the same group(P<0.05).Compared to the control group,the observation group had lower scores(P<0.05).Conclusion:Using early activity scales to guide clinical intervention for patients undergoing gastrointestinal cancer surgery can improve postoperative sleep quality,reduce the incidence of deep vein thrombosis.

关 键 词：胃肠癌 早期活动量表指导 临床护理 深静脉血栓 睡眠 下肢血液流速 失眠 恢复 

分 类 号：R735.2[医药卫生—肿瘤] R338.63[医药卫生—临床医学]