综合护理干预对胸外科手术患者焦虑及睡眠质量的作用

Effect of Comprehensive Nursing Intervention on Anxiety and Sleep Quality of Thoracic Surgery Patients

目的探讨综合护理干预对胸外科手术患者焦虑、睡眠质量以及护理满意度的影响。方法将132例胸外科手术患者按随机数字表法分为观察组及对照组各66例,对照组给予胸外科围手术期常规护理,观察组在常规护理基础上给予综合护理干预,比较两组入院第1 d、术前1 d、术后3 d时SAS、SMH评分以及护理满意度情况。结果两组入院1 d SAS、SMH评分比较无统计学差异(P>0.05);术前、术后3 d两组SAS、SDS评分改善程度观察组优于对照组,组间比较差异有统计学意义(P<0.05)。患者对护理满意度观察组94.0%,对照组护理满意度77.3%,组间比较差异有统计学意义(P<0.05)。结论综合护理干预用于胸外科手术患者可有效缓解焦虑状况,改善睡眠质量,提高护理满意度,有利于患者手术治疗与术后恢复。

Objective To explore the effect of comprehensive nursing intervention on anxiety, sleep quality and nursing satisfaction of thoracic surgery patients. Methods 132 thoracic surgery patients were divided into observation group and control group by random number table, 66 patients in each group. Patients in control group received perioperative routine nursing, patients in observation group received comprehensive nursing intervention. The SAS, SMH scores and nursing satisfaction of the patients in the two groups were compared one day after they were hospitalized, one day before the operation and 3 days after the operation. Results There was no significant difference（P〈0. 05） between the patients＇ SAS and SMH scores one day after they were hospitalized, the SAS and SMH scores improvement level of patients in observation group was obviously superior to that in control group, there was a significant difference（P〈0. 05） between the two groups. The nursing satisfaction of patients in observation group was 94.0%, and that of control group was 77.3%, there was a significant difference（P〈0. 05） between the two groups. Conclusion comprehensive nursing intervention used on thoracic surgery patients can remit their anxiety effectively, improve their sleep quality and nursing satisfaction, it is in favor of patients＇ operative treatment and postoperative recovery.