针对性护理对肿瘤患者放疗后睡眠障碍的影响

Effect on Cancer Patients' Sleep Disturbance After Radiotherapy by Targeted Nursing

目的探讨针对性护理对肿瘤患者放疗后睡眠障碍的影响。方法收集2012年10月至2016年12月在我院接受放疗治疗的恶性肿瘤患者90例,根据随机数字表法将上述患者分为观察组和对照组,每组45例。对照组采用常规的护理方案,观察组则在对照组基础上针对患者的睡眠障碍影响因素实施针对性的护理干预。观察两组入院前及出院后的睡眠质量(PSQI)变化和放疗过程及放疗后的疼痛时间、院内感染、患者的放疗知识掌握、患者对护理工作的满意度情况。结果出院后观察组的日间活动、睡眠时间、入睡时间、睡眠效率、安眠药使用、主观睡眠质量、睡眠障碍评分明显低于对照组。观察组睡眠质量总评分为(6.9±2.7)分明显低于对照组的(13.2±5.1)分;观察组的疼痛时间、院内感染率、放疗知识掌握、护理满意度分别为(1.9±0.7)h、4.4%、(92.6±2.7)分、97.8%,对照组分别为(4.1±1.3)h、17.8%、(70.3±3.2)、77.8%,观察组各项均优于对照组(P<0.05)。结论针对性护理干预对肿瘤患者放疗后睡眠障碍具有明显的改善作用,且能减轻患者疼痛和院内感染风险,提高其对护理工作的满意度。

Objective To investigate the effect of targeted nursing on sleep disturbance after radiotherapy for tumor patients. Methods Ninety patients with malignant tumors treated with radiotherapy in our hospital from December 2012 to December 2016 were collected. The patients were divided into observation group and control group according to the random number table method. In the control group, the routine nursing program was adopted. The observation group was was carried out targeted nursing intervention on the basis of the control group. The changes of Pittsburgh sleep quality index (PSQI) and the time of pain during radiotherapy and after radiotherapy, nosocomial infection, the radiotherapyk nowledge mastered by patients, the patient’s satisfaction to nursing work were observed. Results The daytime activity, sleep time, sleep efficiency, sleeping pills, subjective sleep quality and sleep disturbance score In the observation group were significantly lower than those in the control group. The total score of sleep quality in the observation group was (6.9 ±2.7) points, which was significantly lower than that in the control group which was (13.2±5.1) point;.The pain time, nosocomial infection rate, mastered radiotherapy knowledge and nursing satisfaction were (1.9±0.7) hours,(4.1±1.3), The pain time, nosocomial infection rate, mastered radiotherapy knowledge and nursing satisfaction in the observation were respectively (1.9±0.7) hours, 4.4%,(92.6±2.7), 97.8%, those in the control group were respectively (4.1±1.3) hours, 17.8%,(70.3±3.2), 77.8%, the each item in the observation was better than that in the control (P <0.05). Conclusion The targeted nursing intervention has obvious effect on the sleep disorder after radiotherapy in cancer patients, and can reduce the risk of pain and nosocomial infection, and improve their satisfaction with nursing work.