观察“生物-心理-社会”整体化护理对腹腔镜下子宫内膜异位症患者睡眠质量的影响

To Observe the Effect of Integrated Nursing of“Bio-psycho-social”on Sleep Quality of Patients with Endometriosis under Laparoscopy

目的:观察腹腔镜子宫内膜异位症患者实施“生物-心理-社会”整体化护理对睡眠质量的影响。方法:选取2019年8月至2020年10月厦门大学附属妇女儿童医院收治的子宫内膜异位症患者82例作为研究对象,按照随机数字表法分为对照组和观察组,每组41例。对照组给予常规护理干预,观察组给予“生物-心理-社会”整体化护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况。结果:护理干预后,观察组PSQI评分、SAS评分、SDS评分均显著低于对照组,差异有统计学意义(P<0.05)。结论:在腹腔镜子宫内膜异位症患者中实施“生物-心理-社会”整体化护理干预,能有效减轻患者的焦虑、抑郁情绪,改善睡眠质量,值得临床推广使用。

Objective:To observe the effect of“bio-psycho-social”integrated nursing on sleep quality in patients with laparoscopic endometriosis.Methods:A total of 82 patients with endometriosis admitted to Women and Children′s Hospital Affiliated to Xiamen University from August 2019 to October 2020 were selected as research objects and divided into observation group and control group according to the random number table method,with 41 cases in each group.The control group was given routine nursing intervention,and the observation group was given integrated nursing intervention of“biological-psychological-social”.Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences of sleep quality between 2 groups,and Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between 2 groups.Results:After nursing intervention,PSQI score,SAS score and SDS score of the observation group were significantly lower than those of the control group,and the difference between the 2 groups was statistically significant(P s<0.05).Conclusion:In the patients with laparoscopic endometriosis,the integrated nursing intervention of“biological-psychological-social”can effectively reduce the anxiety and depression of patients,improve the quality of sleep,and is worthy of clinical application.