基于五感六觉理念的多模态引导对肠肿瘤术后患者睡眠时相的应用

Application of multimodal guidance based on the concept of five senses and six senses on sleep phase of postoperative patients with intestinal tumor

目的探讨基于五感六觉理念的多模态引导对肠肿瘤术后患者睡眠时相的影响。方法选取2018年1月至2019年7月在山东大学齐鲁医院(青岛)普外科治疗的110例肠肿瘤术后患者,并将其按随机数字表法分为试验组和对照组,每组55例,对照组实施常规日常护理指导,试验组在日常护理的基础上进行基于五感六觉理念的多模态引导训练,连续干预3周,采用多导睡眠监测(PSG)比较干预前后睡眠时相差异。结果2组患者干预后在非快动眼睡眠(NREM)占总睡眠时间比例、1期睡眠时间占总睡眠时间比例、3期睡眠时间占总睡眠时间比例、4期睡眠时间占总睡眠时间比例、快动眼睡眠(REM)占总睡眠时间比例、NREM微醒觉次数方面比较,差异有统计学意义(Z值为-5.178^-2.157,均P<0.05)。试验组干预后在NREM占总睡眠时间比例、1期睡眠时间占总睡眠时间比例、NREM微醒觉次数、REM微醒觉次数较干预前减少;在3期睡眠时间占总睡眠时间比例、4期睡眠时间占总睡眠时间比例、REM占总睡眠时间比例较干预前增加,差异有统计学意义(Z值为-6.029^-4.064,均P<0.05)。对照组干预后在4期睡眠时间占总睡眠时间比例方面较干预前有所增加;在NREM微醒觉次数、REM微醒觉次数较干预前减少,差异有统计学意义(Z值为-2.948、-5.632、-2.475,均P<0.05)。结论基于五感六觉理念的多模态引导训练可有效改善调节肠肿瘤术后患者的睡眠结构,提高患者睡眠质量。

Objective To explore the effect of multimodal guidance based on the concept of five senses and six senses on the sleep phase of postoperative patients with intestinal tumor.Methods A total of 110 patients with intestinal tumor after surgery from January 2018 to July 2019 in Qilu Hospital of Shandong University(Qingdao)were randomly divided into two groups,55 patients in each group.The control group received routine daily care.Instructed,the experimental group conducted multimodal guided training based on the five senses and six senses on the basis of daily care,and continued intervention for 3 weeks.Polysomnography(PSG)was used to compare the sleep phase differences before and after intervention.Results The ratio of NREM to total sleep time,the ratio of stage 1 sleep time to total sleep time,the ratio of stage 3 sleep time to total sleep time,the ratio of stage 4 sleep time to total sleep time,and the ratio of REM to total sleep time after intervention.The number of NREM micro-wakes(Z value was-5.178--2.157,all P<0.05),the difference was statistically significant.The proportion of NREM in total sleep time,the proportion of sleep time in total sleep time,the number of NREM micro-wakes,and the number of REM micro-wakes decreased compared with the pre-intervention period;the proportion of sleep time in total sleep time in stage 3,sleep in stage 4 The proportion of time to total sleep time and the proportion of REM to total sleep time were increased compared with those before intervention(Z value was-6.029--4.064,all P<0.05),and the difference was statistically significant.In the control group,the proportion of sleep time in total sleep time was increased compared with that before intervention.The number of NREM micro-wake and the number of REM micro-wakes were lower than those before intervention(Z value was-2.948,-5.632,-2.475,all P<0.05).The difference was statistically significant.Conclusion Multimodal guided training based on the concept of five senses and six senses can effectively improve the sleep structure of patients with intestinal tumors and improve their sleep quality.