摘要
目的:观察疼痛护理联合心理干预对癌症患者术后疼痛及睡眠质量的影响。方法:选取2019年1月至2020年6月福建省泉州市光前医院血液透析室收治的癌症手术患者86例作为研究对象,按照随机数字表法分为观察组和对照组,每组43例。对照组患者给予常规护理干预措施,观察组给予疼痛护理联合心理干预,分别采用焦虑自评量表(Self-rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating Depression Scale,SDS)以及视觉模拟评分法(Visual Analogue Scale,VAS)对患者进行术后焦虑、抑郁、疼痛症状观察,同时,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)观察2组患者睡眠质量的改善状态。结果:护理后,与对照组比较,观察组患者SAS得分、SDS得分、VAS得分、PSQI评分均低于对照组,说明观察组的焦虑、抑郁、疼痛的改善效果、睡眠质量均优于对照组,2组比较差异有统计学意义(P<0.05)。结论:在常规护理的基础上,对癌症手术患者实施术后疼痛护理、心理干预,可以有效减轻患者的焦虑、抑郁及疼痛症状,提高患者的睡眠质量,值得临床推广应用。
Objective:To observe the effect of pain nursing combined with psychological intervention on postoperative pain and sleep quality of cancer patients.Methods:A total of 86 patients undergoing cancer surgery in hemodialysis room of Quanzhou Guangqian Hospital of Fujian Province from January 2019 to June 2020 were selected as the research objects,and were divided into observation group and control group according to random number table method,with 43 patients in each group.The control group was given routine nursing intervention,and the observation group was given pain nursing combined with psychological intervention.Self-rating Anxiety Scale(SAS),self-rating Depression Scale(SELF-rating Depression Scale),SDS and Visual analogue Scale(VAS)were used to observe postoperative anxiety,depression and pain symptoms.Meanwhile,Pittsburgh Sleep Quality Index(PSQI)was used to observe the improvement of sleep quality in 2 groups.Results:After nursing,compared with the control group,the scores of SAS,SDS,VAS and PSQI in the observation group were lower than those in the control group,indicating that the improvement effect of anxiety,depression,pain and sleep quality in the observation group were better than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:On the basis of conventional nursing,postoperative pain nursing and psychological intervention for cancer patients can effectively reduce anxiety,depression and pain symptoms,improve the sleep quality of patients,worthy of clinical application.
作者
李小琼
LI Xiaoqiong(Quanzhou Guangqian Hospital,Quanzhou 362321,China)
出处
《世界睡眠医学杂志》
2021年第9期1601-1602,共2页
World Journal of Sleep Medicine
关键词
癌症术后
疼痛护理
心理干预
睡眠质量
Cancer surgery
Pain care
Psychological intervention
The quality of sleep
