耳穴压豆联合心理干预对老年腔镜下甲状腺癌根治术患者术后恶心呕吐和睡眠质量的影响

Effect of Auricular Acupoint Pressing with Beans Combined with Psychological Intervention on Nausea,Vomiting and Sleep Quality in Senile Patients after Radical Thyroidectomy Under Endoscopy

目的:探究耳穴压豆联合心理干预对老年腔镜下甲状腺根癌治术患者术后恶心呕吐和睡眠质量的影响。方法:选取老年腔镜下甲状腺癌根治术患者115例,按随机数字表法分为对照组57例和观察组58例。对照组予以常规护理模式,观察组在对照组基础上予以耳穴压豆联合心理干预护理。比较2组患者护理前后恶心呕吐改善情况、疼痛评分、负面情绪、认知功能、睡眠质量、生活质量和患者依从性情况。结果:观察组患者护理后恶心呕吐发生率明显低于对照组,差异有统计学意义(P<0.05)。护理前,2组视觉模拟(VAS)评分、焦虑评分和抑郁评分比较,差异无统计学意义(P>0.05)。护理后,2组VAS评分、焦虑评分和抑郁评分较护理前降低(P<0.05),且观察组VAS评分、焦虑评分和抑郁评分低于对照组(P<0.05)。护理前,2组简易精神状态表(MMSE)评分、匹茨堡睡眠质量指数量表(PSQI)评分、生活质量评分比较,差异无统计学意义(P>0.05)。护理后,2组MMSE评分、生活质量评分较护理前升高,PSQI评分较护理前降低;且观察组MMSE评分、生活质量评分、依从性评分高于对照组,PSQI评分低于对照组;差异均有统计学意义(P<0.05)。结论:耳穴压豆联合心理干预可以有效降低老年腔镜下甲状腺癌根治术患者术后恶心呕吐的发生率,缓解术后疼痛,改善患者术后认知功能、睡眠质量和生活质量,提高患者依从性。

Objective:To discuss the effect of auricular acupoint pressing with beans combined with psychological intervention on nausea,vomiting and sleep quality in senile patients after radical thyroidectomy under endoscopy.Methods:A total of 115 cases of senile patients undergoing radical thyroidectomy under endoscopy were divided into the control group and the observation group according to the random number table method,57 and 58 cases in each group respectively.The control group was given routine nursing,and the observation group was additionally given auricular acupoint pressing with beans combined with psychological intervention based on the treatment of the control group.Before and after nursing,the improvement of nausea and vomiting,the scores of pain,the negative emotions,the cognitive function,the sleep quality,the quality of life and the compliance in the two groups were compared.Results:After nursing,the incidence of nausea and vomiting in the observation group was obviously lower than that in the control group,the difference being significant(P<0.05).Before nursing,there was no significant difference being found in the comparison of the scores of Visual Analogue Scale(VAS),anxiety and depression in the two groups(P>0.05).After nursing,the scores of VAS,anxiety and depression in the two groups were decreased when compared with those before nursing(P<0.05),and the above scores in the observation group were lower than those in the control group(P<0.05).Before nursing,there was no significant difference being found in the comparison of the scores of Mini-Mental State Examination(MMSE),Pittsburgh Sleep Quality Index(PSQI)and quality of life in the two groups(P>0.05).After nursing,the scores of MMSE and quality of life in the two groups were increased when compared with those before nursing,and the scores of PSQI were decreased;the scores of MMSE,quality of life and compliance in the observation group were higher than those in the control group,and the score of PSQI was lower;differences being significant(P<0.05).Conclusion:The therapy of auricular acupoint pressing with beans combined with psychological intervention can effectively reduce the incidence of nausea and vomiting in senile patients after radical thyroidectomy under endoscopy,relieve postoperative pain,improve their cognitive function,sleep quality and quality of life after operation,and enhance their compliance.