患者术后睡眠障碍及护理干预效果
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摘要
目的:探讨护理干预对患者术后睡眠障碍的改善效果。方法:选取2018年1月至2018年9月沈阳市浑南区中心医院收治的术后睡眠障碍患者80例,按照随机数字法随机分为对照组和观察组,每组40例,对照组施行常规护理,观察组施行护理干预,比较2组患者焦虑、抑郁评分,以及术后睡眠质量评分、护理满意度。结果:与对照组比较,观察组护理后SAS及SDS评分均明显降低(P <0. 05);与对照组比较,观察组患者术后睡眠质量、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍、入睡时间等睡眠质量评分均显著降低(P <0. 05);与对照组比较,观察组患者对护理服务满意度大幅改善(P <0. 05)。结论:护理干预能够有效缓解手术患者负性情绪,改善手术患者的睡眠质量,提高护理满意度。
Objective: To study the improvement role of nursing intervention on postoperative sleep disturbance. Methods: A total of 80 postoperative sleep disturbance patients in our hospital during the period from Jan 2018 to Sep 2018 were randomized into the control group( routine nursing) and the observation group( nursing intervention) according to the random number method,40 patients per group. The scores of self-anxiety scale( SAS) and self-depression scale( SDS),scores of postoperative sleep quality index and nursing satisfaction in two groups were observed and compared. Results: Compared with the control group,the scores of SAS and SDS were significantly decreased after nursing in the observation group( P < 0. 05); compared with the control group,the scores of postoperative sleep quality index such as sleep quality,sleep time,sleep efficiency,sleep disorder,hypnotics,daytime dysfunction,sleeping time were obviously reduced in the observation group( P < 0. 05); compared with the control group,the patients' satisfaction degree for nursing service was significantly improved in the observation group( P < 0. 05). Conclusion: The nursing intervention can effectively alleviate the negative emotions,improve the sleep quality for operative patients,and increase the nursing satisfaction degree.
Objective: To study the improvement role of nursing intervention on postoperative sleep disturbance. Methods: A total of 80 postoperative sleep disturbance patients in our hospital during the period from Jan 2018 to Sep 2018 were randomized into the control group( routine nursing) and the observation group( nursing intervention) according to the random number method,40 patients per group. The scores of self-anxiety scale( SAS) and self-depression scale( SDS),scores of postoperative sleep quality index and nursing satisfaction in two groups were observed and compared. Results: Compared with the control group,the scores of SAS and SDS were significantly decreased after nursing in the observation group( P < 0. 05); compared with the control group,the scores of postoperative sleep quality index such as sleep quality,sleep time,sleep efficiency,sleep disorder,hypnotics,daytime dysfunction,sleeping time were obviously reduced in the observation group( P < 0. 05); compared with the control group,the patients' satisfaction degree for nursing service was significantly improved in the observation group( P < 0. 05). Conclusion: The nursing intervention can effectively alleviate the negative emotions,improve the sleep quality for operative patients,and increase the nursing satisfaction degree.
引文
[1]赵雨晴,李惠霞,肖珊. Roy适应模式改善食管癌术后患者睡眠障碍的效果研究[J].护理管理杂志,2017,17(12):932-935.
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[9]熊正香,张晶晶,李懿,等.睡眠护理干预在原发性肝癌术后睡眠障碍患者中的应用效果[J].解放军护理杂志,2018,35(6):59-62.
[10]季艳云,顾宇丹.延续性护理干预对颅内肿瘤术后患者负性情绪、睡眠质量及护理满意度的影响[J].中国医药导报,2018,15(2):143-146.
[11]高燕芬.认知行为干预联合音乐疗法对颅内肿瘤术后患者负性情绪及睡眠质量的影响[J].现代中西医结合杂志,2016,25(18):2047-2049.
[12]闫雪,汪卫东,洪兰.睡眠障碍性疾病与阴虚的相关性探讨[J].世界中医药,2013,8(4):371-374.
[13]陈潇,王瑞珍,李玲利,等.髋、膝关节置换患者睡眠认知与睡眠质量的相关性分析[J].中华现代护理杂志,2017,23(31):3990-3993.
[14]王怡.肝移植术后睡眠障碍的原因分析及护理干预[J].北京医学,2016,38(12):1343-1344.
[15]刘小艳.自我放松训练对胃癌术后患者睡眠质量及疲乏状态的影响[J].护理实践与研究,2017,14(14):107-109.
[16]张佳佳,徐希德,顾宇丹,等.认知行为干预对颅内肿瘤术后患者睡眠质量及并发症的改善分析[J].中国临床研究,2017,30(3):426-428.
[2]孙莹,孙大千.老年腹部术后患者睡眠障碍的影响因素及护理对策[J].国际护理学杂志,2015,34(7):873-875.
[3]李敏清,张广清.骨科患者术后睡眠障碍的原因及护理进展[J].光明中医,2016,31(19):2897-2900.
[4]吴敏娇,王安.强化疼痛护理对宫颈癌患者围术期睡眠质量的影响[J].护理与康复,2017,16(6):656-658.
[5]张燕霞,刘彦培.舒适护理对围术期肝癌患者负面情绪、症状困扰及睡眠质量的影响[J].全科护理,2018,16(6):694-696.
[6]贾维桂,万意,费春峰.认知功能训练配合音乐疗法对脑肿瘤术后患者认知功能、睡眠质量和心理状态的干预效果[J].临床护理杂志,2017,16(6):10-13.
[7]陈飞燕,金红兰,虞晓玲.综合干预睡眠障碍与疼痛对促进腹部术后患者康复的作用[J].解放军护理杂志,2015,32(8):13-15,20.
[8]杨珺.护理干预对改善肺癌患者术后焦虑抑郁状态和睡眠障碍的效果[J].国际医药卫生导报,2017,23(19):3094-3096.
[9]熊正香,张晶晶,李懿,等.睡眠护理干预在原发性肝癌术后睡眠障碍患者中的应用效果[J].解放军护理杂志,2018,35(6):59-62.
[10]季艳云,顾宇丹.延续性护理干预对颅内肿瘤术后患者负性情绪、睡眠质量及护理满意度的影响[J].中国医药导报,2018,15(2):143-146.
[11]高燕芬.认知行为干预联合音乐疗法对颅内肿瘤术后患者负性情绪及睡眠质量的影响[J].现代中西医结合杂志,2016,25(18):2047-2049.
[12]闫雪,汪卫东,洪兰.睡眠障碍性疾病与阴虚的相关性探讨[J].世界中医药,2013,8(4):371-374.
[13]陈潇,王瑞珍,李玲利,等.髋、膝关节置换患者睡眠认知与睡眠质量的相关性分析[J].中华现代护理杂志,2017,23(31):3990-3993.
[14]王怡.肝移植术后睡眠障碍的原因分析及护理干预[J].北京医学,2016,38(12):1343-1344.
[15]刘小艳.自我放松训练对胃癌术后患者睡眠质量及疲乏状态的影响[J].护理实践与研究,2017,14(14):107-109.
[16]张佳佳,徐希德,顾宇丹,等.认知行为干预对颅内肿瘤术后患者睡眠质量及并发症的改善分析[J].中国临床研究,2017,30(3):426-428.