心理和疼痛护理对宫颈癌患者围手术期睡眠质量的效果

The effect of psychological and pain combined nursing on sleep quality in cervical cancer patients during perioperative period

目的探讨心理、疼痛联合护理干预模式对宫颈癌患者围手术期睡眠质量及预后影响。方法选取我院于2018年2月~2019年2月期间收治的98例宫颈癌患者作为研究对象,应用随机数字表抽取法分组,分别采取心理、疼痛联合护理干预模式方案(观察组,n=49)与采用常规护理方案(对照组,n=49)比较两组的疼痛控制满意度、自我护理能力评分、睡眠质量评分、细胞免疫相关指标。结果观察组疼痛控制满意度经评估为93.88%,高于对照组79.59%(P<0.05);两组干预前,自我护理能力各维度即自我概念、自我护理技能、自护责任感、健康知识水平评分无差异(P>0.05);干预后,各项评分经评定较前均有升高,观察组较对照组升高程度更为显著(P<0.05);两组干预前,匹兹堡睡眠质量指数量表评分无差异(P>0.05),干预后评分较前均有降低,观察组较对照组降低程度更为显著(P<0.05);两组干预前,免疫指标NK细胞活性水平无差异(P>0.05),干预后观察组无明显变化,对照组明显降低(P<0.05)。结论宫颈癌患者围手术期重视心理、疼痛联合护理干预模式的实施,可提高患者疼痛控制满意度,增强自我护理水平,改善睡眠质量,调节机体免疫功能。

Objective To explore the effect of psychological and pain combined nursing intervention on sleep quality and prognosis of patients with cervical cancer during perioperative period. Methods 98 patients with cervical cancer admitted to our hospital from February 2018 to February 2019 were selected and divided two groups randomly. The observation group was treated by psychological and pain combined nursing intervention(n=49),while the routine nursing was given to the control group(n=49). The pain control satisfaction,self-care ability score,sleep quality score and cellular immunity were compared between two groups. Results The satisfaction of pain control of cervical cancer patients in the observation group was higher than that in the control group(P<0.05). Before intervention,there was no difference in the scores of self-concept,self-care skills,self-care responsibility and health knowledge between the two groups(P>0.05). After intervention,all the scores were improve than before,and the observation group was higher than the control group. The scores of Pittsburgh Sleep Quality Index Scale had no difference between the two groups before intervention(P>0.05). After intervention,the scores of Pittsburgh Sleep Quality Index Scale were lower than before in two groups,and the decrease in the observation group was more significant than that in the control group(P<0.05). Before intervention,there was no difference in NK activity between the two groups(P>0.05). After intervention,there was no significant change in the observation group. Conclusion The psychological and pain combined nursing intervention mode in perioperative period of cervical cancer patients can improve the satisfaction of pain control,enhance the level of self-care,improve the quality of sleep,and regulate the immune function of the body.