耳穴揿针改善胃癌术后患者睡眠质量的效果观察

Effect of auricular point press needle on improving sleep quality of postoperative patients with gastric cancer

目的观察耳穴揿针在改善胃癌术后患者睡眠质量中的效果。方法采用便利抽样法,选择浙江省湖州市第一人民医院2017年10月—2019年3月行胃癌根治术的80例患者,采用随机数字表法分为观察组和对照组,各40例。对照组采取常规护理措施,观察组在此基础上予耳穴揿针。采用睡眠监测手环监测两组患者的睡眠质量。在研究过程中,观察组中2例患者发生手术并发症,最终35例完成实验;对照组中2例患者发生手术并发症,共33例完成实验。结果从干预第6天(即术后第4天)开始,观察组患者的睡眠时长长于对照组,差异有统计学意义(P<0.05),组别效应、时间效应和交互效应有统计学意义(P<0.05)。从干预第6天(即术后第4天)开始,观察组患者的深睡眠比例高于对照组,差异有统计学意义(P<0.05),组别效应、时间效应和交互效应有统计学意义(P<0.05)。结论耳穴揿针能有效改善胃癌术后患者的睡眠质量。

Objective To observe the effect of auricular point press needle on sleep quality of patients with gastric cancer after operation.Methods From October 2017 to March 2019,a total of 80 patients underwent radical gastrectomy for gastric cancer in the First People's Hospital of Huzhou,Zhejiang Province were selected by using convenience sampling method,and divided into observation group and control group by random number table method,with 40 cases in each group.The control group received routine nursing,while the observation group received auricular point press needle on the basis of routine nursing.Sleep quality was monitored in both groups using sleep monitoring bracelets.In the course of the study,2 patients in the observation group had surgical complications,and finally 35 patients completed the experiment;2 patients in the control group had surgical complications,and a total of 33 patients completed the experiment.Results From the 6th day of intervention(the 4th day after operation),the sleep duration of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05),the group effect,time effect and interaction effect were statistically significant(P<0.05).From the 6th day of intervention(the 4th day after operation),the proportion of deep sleep of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05),the group effect,time effect and interaction effect were statistically significant(P<0.05).Conclusions Auricular point press needle can effectively improve the sleep quality of patients with gastric cancer after operation.