积极心理干预护理对肝癌手术后患者睡眠质量及心理状态的影响

Effect of Active Psychological Intervention Nursing on Sleep Quality and Psychological State of Patients After Liver Cancer Surgery

目的:探讨积极心理干预护理对肝癌手术后患者睡眠质量及心理状态的影响。方法:选取2018年5月至2019年8月在福建省立医院进行肝癌手术患者84例作为研究对象,随机分为对照组与观察组,每组42例,对照组接受常规护理,观察组在对照组基础上实施积极心理干预护理,对2组患者干预前后睡眠质量及心理状态进行观察。结果:2组患者干预前的匹兹堡睡眠质量指数(PSQI)差异无统计学意义(P>0.05),观察组干预后的PSQI评分明显低于对照组(P<0.05);2组患者干预前的汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评分差异无统计学意义(P>0.05),观察组干预后的HAMA及HAMD评分均较对照组低(P<0.05)。结论:积极心理干预护理可提高肝癌手术后患者睡眠质量,也能改善其心理状态,值得推广。

Objective:To explore the effect of active psychological intervention nursing on the sleep quality and psychological state of patients after liver cancer surgery.Methods:A total of 84 patients undergoing liver cancer surgery from May 2018 to August 2019 were selected for the study and randomly divided into control group and observation group,each with 42.The control group received routine nursing,and the observation group implemented active psychological intervention nursing based on the control group.Observe the sleep quality and mental state of the two groups before and after the intervention.Results:There was no significant difference in the Pittsburgh Sleep Quality Index(PSQI)before the intervention between the two groups(P>0.05),and the PSQI score after the intervention in the observation group was significantly lower than that in the control group(P<0.05);The Hamilton Depression Scale(HAMD)and Hamilton Anxiety Scale(HAMA)scores before intervention were not significantly different between the two groups(P>0.05).The HAMA and HAMD scores of the observation group after the intervention were lower than those of the control group(P<0.05).Conclusion:Active psychological intervention nursing can improve the sleep quality of patients with liver cancer after surgery,and also improve their psychological state,which is worth promoting.