术后量化活动干预对早期消化道癌内镜黏膜下剥离术患者术后康复及睡眠质量的影响

Effect of postoperative quantitative activity intervention on postoperative rehabilitation and sleep quality in patients with early gastrointestinal cancer undergoing endoscopic submucosal dissection

目的探讨术后量化活动干预对早期消化道癌内镜黏膜下剥离术(ESD)患者术后康复及睡眠质量的影响。方法采用随机数字表法将108例早期消化道癌患者分为研究组与对照组,每组54例,研究组予以常规护理和术后量化活动干预,对照组予以常规护理。比较两组患者术后恢复情况、并发症发生情况、心理状态、睡眠质量及满意度。结果研究组患者下床活动时间、肛门排气时间、正常饮食时间及排便时间均短于对照组,差异均有统计学意义(P﹤0.05)。干预后,两组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)、匹兹堡睡眠质量指数(PSQI)评分均较干预前降低,且研究组患者SAS、SDS、PSQI评分均低于对照组,差异均有统计学意义(P﹤0.05)。两组患者并发症总发生率比较,差异无统计学意义(P﹥0.05)。研究组患者满意度高于对照组,差异有统计学意义(P﹤0.05)。结论术后量化活动干预可以帮助早期消化道癌ESD术后患者更好地恢复,达到预期治疗效果。

Objective To investigate the effect of postoperative quantitative activity intervention on postoperative rehabilitation and sleep quality in patients with early gastrointestinal cancer undergoing endoscopic submucosal dissection(ESD).Method A total of 108 patients with early gastrointestinal cancer were divided into the study group and the control group by random number table,with 54 cases in each group.The study group was given routine nursing and postoperative quantitative activity intervention,and the control group was given routine nursing.The postoperative recovery,complications,psychological state,sleep quality,and satisfaction were compared between the two groups.Result The time of getting out of bed,anal exhaust time,normal eating time and defecation time in the study group were shorter than those in the control group,and the differences were statistically significant(P<0.05).After the intervention,the scores of the self-rating anxiety scale(SAS),self-rating depression scale(SDS),and Pittsburgh sleep quality index(PSQI)in both groups were lower than theose before the intervention,and the scores in the study group were all lower than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).The patient satisfaction in the study group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Postoperative quantitative activity intervention could help patients with early gastrointestinal cancer after ESD to realize better recovery and meet the expected therapeutic effect.