优化护理对小儿肾母细胞瘤患者术后疼痛及睡眠质量的影响

Effect of optimized nursing on postoperative pain and sleep quality in child patients with nephroblastoma

目的探讨优化护理对小儿肾母细胞瘤手术患儿术后疼痛及睡眠质量的影响。方法回顾性分析2016年11月—2018年6月于某医院接受手术治疗的88例小儿肾母细胞瘤患儿的临床资料,依照护理方式的不同,将所有患儿分为对照组(常规护理,44例)和观察组(优化护理,44例)。将两组患儿匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)、视觉模拟评分法(visual analogue scale,VAS)评分、住院时间与焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)评分进行比较。结果护理结束时,观察组PSQI、VAS评分[(5.34±1.02)分、(4.42±0.98)分]均较对照组[(8.68±1.78)分、(6.42±1.12)分]低,且住院时间[(8.39±1.56)d]较对照组[(12.34±2.63)d]短,(P值均<0.05);护理结束时,观察组SAS、SDS评分[(33.16±4.81)分、(34.65±5.81)分]较对照组[(42.80±4.94)分、(40.14±5.74)分]低,(P<0.05)。结论优化护理对小儿肾母细胞瘤手术患儿的临床效果显著,能提高患儿睡眠质量,改善疼痛症状与不良情绪,促进术后恢复。

Objective To investigate the effect of optimal nursing on postoperative pain and sleep quality of child patients with nephroblastoma surgery.Methods The clinical data of 88 children with nephroblastoma who received surgical treatment in a hospital from November 2016 to June 2018 were retrospectively analyzed.All the patients were divided into a control group(the routine nursing)and a trial group(optimized nursing),with 44 case in each group.The scores of Pittsburgh sleep quality index(PSQI),visual analogue scale(VAS),self-rating anxiety scale(SAS),and selfrating depression scale(SDS),and hospitalization time were investigated and compares between two groups.Results At the end of the nursing care,the scores of PSQI and VAS of the trial group were(5.34±1.02)points and(4.42±0.98)points respectively,which were lower than those of the control group[(8.68±1.78)points and(6.42±1.12)points respectively].The time of hospitalization of the trial group was(8.39±1.56)days,which was shorter than that of the control group[(12.34±2.63)days],and the difference was statistically significant(P<0.05).At the end of the nursing,the scores of SAS and SDS of the trial group were(33.16±4.81)points and(34.65±5.81)points respectively,which were lower than those of the control group[(42.80±4.94)points and(40.14±5.74)points respectively],and the difference was statistically significant(P<0.05).Conclusion The optimal nursing is effective in the operation children with nephroblastoma,and it can improve the sleep quality,reduce the pain,improve the bad mood,and promote the recovery of them.