护理干预对肝癌介入术后患者睡眠质量的影响

Effect of nursing intervention on the sleep quality of patients with hepatocellular carcinoma afterinterventional therapy

目的了解肝癌介入术后患者睡眠质量，为制定护理干预措施保证患者的睡眠质量提供依据。方法选取140例肝癌介入治疗的患者，按照随机数字表法随机分为干预组和对照组各70例。两组患者术后均给予肝癌介入常规治疗护理，干预组患者在此基础上实施护理干预。采用匹兹堡睡眠质量指数量表（PSQI）评价两组患者睡眠质量。结果干预前两组患者PSQI得分分别为（10．68±1．47），（9．89±1．54）分，差异无统计学意义（P〉0．05），干预后分别为（6．21±1．36），（9．45±2．05）分，差异有统计学意义（t=-3．98，P〈0．01）。结论肝癌介入术后患者易失眠、睡眠质量差，严重影响术后机体的康复。护理人员有针对性地提供护理干预，能有效提高肝癌介入术后患者的睡眠质量。

Objective To investigate the sleep quality situation of patients with hepatocellular carcinoma after interventional therapy, so as to provide evidence for the intervention. Methods Randomly divided 140 patients into intervention group that received new nursing intervention on the basis of routine nursing, and control group received routine nursing, with 70 cases each group. Assessed patients＇ sleep quality with the Pittsburgh sleep quality index （PSQI） before and the third day after the interventional therapy. Results Before interventional therapy, the total scores of the control group and intervention group were （9.89 ± 1.54） and （ 10.68 ±1.47 ）, respectively, the difference hasn＇ t statistical significance （ P 〉 0.05 ）. After interventional therapy,the total score of the control group was significantly higher than that of the intervention group [ （9.45± 2.05） vs （6.21 ±1.36） ; t = - 3.98, P 〈 0.01 ]. Conclusions Patients with hepatocellular carcinoma after interventional therapy tend to suffer insomnia and poor quality sleep which impact the recovery and cause cancer relapse and metastasis diffusion. Specific nursing intervention can improve the patients＇ sleep quality effectively in the post-operative period.