摘要
目的:监测加速康复肝胆外科患者围术期睡眠时间,分析其影响因素,为进一步制定肝胆外科加速康复睡眠管理策略提供理论依据。方法:选取2018年7月~2019年3月山东省某三级甲等医院肝胆外科实施加速康复手术治疗的200例患者作为研究对象,运用睡眠监测手环对围术期患者的睡眠时间进行动态监测,采用加速康复肝胆外科患者睡眠相关因素综合问卷、疾病不确定感量表、心理弹性量表调查并分析围术期睡眠时间的影响因素。结果:加速康复肝胆外科患者围术期睡眠不足发生率达73%,Logistic回归分析结果显示,性别、手术方式、围术期疼痛均值、疾病不确定感及心理弹性是影响加速康复肝胆外科患者围术期睡眠时间的因素,OR值分别为0.344、0.106、20.507、1.108和0.887(P<0.05)。结论:加速康复肝胆外科患者围术期睡眠状况不容乐观,围术期睡眠时间受多种因素的影响,应基于循证基础采取有效的护理干预措施,保证患者休息,促进早日康复。
Objective:To monitor perioperative sleep time of patients with hepatobiliary surgery by Enhanced Recovery after Surgery(ERAS),and analyze its influencing factors,in order to provide theoretical basis for further development of sleep management strategy of patients with hepatobiliary surgery by ERAS.Methods:From July 2018 to March 2019,200 patients with hepatobiliary surgery by ERAS from a Grade 3 Class A hospital in Shandong province were selected as the research objects.They were dynamically monitored using the sleep monitoring bracelet in perioperative sleep time.The influencing factors of perioperative sleep time were investigated and analyzed using comprehensive questionnaire for patients with hepatobiliary surgery by ERAS in sleep related factors,sense of disease uncertainty scale,and psychological resilience scale.Results:The incidence of perioperative sleep deprivation was 73%.Logistic regression analysis showed that gender,surgical method,mean of perioperative pain,disease uncertainty and psychological resilience were the factors that affected perioperative sleep time of patients with hepatobiliary surgery by ERAS.The OR values were 0.344,0.106,20.507,1.108 and 0.887,respectively(P<0.05).Conclusion:The perioperative sleep status of patients with hepatobiliary surgery by ERAS was not optimistic and perioperative sleep time was affected by a variety of factors.The effective nursing intervention measures should be taken on the basis of evidence to ensure patients rest and promote early recovery.
作者
杨祯
方秀新
吕小芹
吴倩倩
Yang Zhen;Fang Xiuxin;Lv Xiaoqin(Binzhou Medical University School of Nursing,Binzhou Shandong 256600,China)
出处
《齐鲁护理杂志》
2019年第20期4-8,共5页
Journal of Qilu Nursing
基金
山东省普外科临床重点专科建设基金资助项目(编号:ZDZK2013SJ09)
