认知干预联合舒适干预对腹腔镜下卵巢囊肿切除术患者睡眠质量的影响  

The Impact of Cognitive Intervention Combined with Comfort Intervention on Sleep Quality in Patients Undergoing Laparoscopic Ovarian Cystectomy

作　　者：陈美娟 CHEN Meijuan(Second Affiliated Hospital of Xiamen Medical College,Xiamen 361000,China)

机构地区：[1]厦门医学院附属第二医院,厦门361000

出　　处：《世界睡眠医学杂志》2025年第1期147-149,153,共4页World Journal of Sleep Medicine

摘　　要：目的:探讨腹腔镜下卵巢囊肿切除术患者实施认知干预联合舒适干预对其术后疼痛程度和睡眠质量的临床影响。方法:选取2022年1月至2022年12月厦门医学院附属第二医院收治的腹腔镜下卵巢囊肿切除术患者80例作为研究对象,按照速记数字表法分为对照组和观察组,每组40例。对照组给予常规护理干预,观察组给予认知干预联合舒适护理干预,采用视觉模拟评分(VAS)比较2组患者干预前后的疼痛感受,采用匹兹堡睡眠指数量表(PSQI)比较2组患者干预前后睡眠质量的变化,并比较2组患者术后的康复时间,主要包含排气时间、下床活动时间、进食时间、住院时间。结果:治疗后,观察组排气时间、下床活动时间、进食时间、住院时间均显著短于对照组,观察组VAS评分、PSQI评分显著低于对照组,差异均有统计学意义(均P<0.05)。结论:腹腔镜下卵巢囊肿切除术患者实施认知干预联合舒适干预效果显著,不仅可以缩短术后康复时间,还可以降低其术后疼痛感,改善睡眠质量,值得推广应用。Objective:To explore the clinical effects of cognitive intervention combined with comfort intervention on postoperative pain and sleep quality in patients undergoing laparoscopic ovarian cystectomy.Methods:A total of 80 patients who underwent laparoscopic ovarian cystectomy at the Second Affiliated Hospital of Xiamen Medical College from January 2022 to December 2022 were selected as the study subjects.They were divided into a control group and an observation group using a shorthand table method,with 40 patients in each group.The control group received routine nursing intervention,while the observation group received cognitive intervention combined with comfort nursing intervention.Visual Analog Scale(VAS)was used to compare the pain perception of the two groups of patients before and after intervention.Pittsburgh Sleep Index(PSQI)was used to compare the changes in sleep quality before and after intervention,and the postoperative recovery time of the two groups of patients was compared,mainly including exhaust time,ambulation time,eating time,and hospitalization time.Results:After treatment,the observation group had significantly shorter exhaust time,bed activity time,eating time,and hospitalization time compared to the control group.The VAS score and PSQI score of the observation group were significantly lower than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The combination of cognitive intervention and comfort intervention has a significant effect on patients undergoing laparoscopic ovarian cystectomy.It can not only shorten postoperative recovery time,but also reduce postoperative pain and improve sleep quality.It is worthy of promotion and application.

关 键 词：卵巢囊肿 腹腔镜 认知护理 舒适护理 疼痛程度 睡眠质量 住院时间 

分 类 号：R588.6[医药卫生—内分泌] R338.63[医药卫生—内科学]