观察循证护理对疝气手术术后患者睡眠质量及术后恢复的影响

To Observe the Effect of Evidence-based Nursing on Sleep Quality and Postoperative Recovery of Patients after Hernia Operation

目的:观察循证护理对疝气手术术后患者睡眠质量及术后恢复的影响。方法:选取2019年3月至2020年3月厦门大学附属第一医院普外科收治的疝气患者108例作为研究对象,按照随机数字表法分为观察组和对照组,每组54例。对照组给予常规护理干预,观察组给予循证护理干预。观察并对比2组的下床时间以及住院时间,采用抑郁自评量表(SDS)以及焦虑自评量表(SAS)评估并记录2组患者的负性情绪改善情况,采用生活量表(QLQ-C30)对患者功能领域生命质量进行评估,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后睡眠质量的变化,并记录2组出现并发症的概率。结果:护理干预后,观察组SDS评分、SAS评分、PSQI评分显著低于对照组,观察组QLQ-C30评分显著高于对照组,观察组并发症发生率显著低于对照组,差异均有统计学意义(均P<0.05)。结论:在疝气患者手术治疗期间,为其提供系统全面的循证护理,可有效加快患者的康复速度,缩短患者的恢复时间,减少患者术后出现并发症发生率,尽可能地改善患者群体的生命质量与睡眠质量,值得临床推广使用。

Objective:To observe the effect of evidence-based nursing on sleep quality and postoperative recovery of patients after hernia surgery.Methods:A total of 108 hernia patients admitted to the Department of General Surgery of the First Affiliated Hospital of Xiamen University from March 2019 to March 2020 were selected as research objects and divided into observation group and control group according to random number table method,with 54 cases in each group.The control group received routine nursing intervention,and the observation group received evidence-based nursing intervention.The length of getting out of bed and staying in hospital of 2 groups were observed and compared.The improvement of negative emotions in the two groups was evaluated by SDS and SAS scale,and the quality of life in functional areas was evaluated by QLQ-C30 scale.The Pittsburgh Sleep Index Scale(PSQI)was used to compare the changes of sleep quality before and after the intervention,and the probability of complications in both groups was recorded as well.Results:After nursing intervention,SDS score,SAS score and PSQI score of the observation group were significantly lower than the control group,the QLQ-C30 score of the observation group was significantly higher than that of the control group,the complication rate of the observation group was significantly lower than the control group,the differences between the two groups were statistically significant(P s<0.05).Conclusion:During the operation of hernia patients,providing systematic and comprehensive evidence-based nursing can effectively accelerate the speed of recovery of patients,shorten the recovery time of patients,reduce the incidence of postoperative complications,improve the quality of life and sleep quality of patients as far as possible,worthy of clinical promotion and use.