疼痛干预联合音乐放松疗法对急性阑尾炎患者术后疼痛及睡眠状态的影响分析

To Analyze the Effect of Pain Intervention Combined with Music Relaxation Therapy on Postoperative Pain and Sleep State of Patients with Acute Appendicitis

目的:探究疼痛干预联合音乐放松疗法对急性阑尾炎患者术后疼痛及睡眠状态的影响。方法:选取2021年8月至2022年10月福建中医药大学附属人民医院收治的急性阑尾炎且接受手术治疗的患者98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49例。观察组接受疼痛干预联合音乐放松疗法,对照组接受常规围术期护理,对比2组患者干预前后睡眠状态、疼痛度及术后康复指标差异。结果:护理前2组患者的睡眠障碍量表(SDRS)、视觉模拟评分法(VAS)得分组间比较,差异无统计学意义(P>0.05),护理后观察组患者的SDRS和VAS得分均低于对照组,差异均有统计学意义(均P<0.05),同时观察组患者的术后康复指标如术后排气、术后排便和住院时间均低于对照组,差异均有统计学意义(均P<0.05);观察组患者术后出现切口感染1例,腹胀1例,并发症总发生率为4.08%,与对照组患者总发生率10.20%组间比较,差异无统计学意义(P>0.05)。结论:对急性阑尾炎患者开展疼痛干预联合音乐放松疗法有助于改善患者术后睡眠质量,降低其术后疼痛度,同时还可以加快患者术后转归,具有较好的临床应用价值。

Objective:To explore the effect of pain intervention combined with music relaxation therapy on postoperative pain and sleep state of patients with acute appendicitis.Methods:A total of 98 patients with acute appendicitis who were treated by surgery in the People′s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from August 2021 to October 2022 were selected as the research objects.According to the random number table method,they were divided into the observation group and the control group,with 49 cases in each group.The observation group received pain intervention combined with music relaxation therapy,while the control group received routine perioperative care.The differences in sleep status,pain level,and postoperative rehabilitation indicators between the two groups of patients before and after intervention were compared.Results:Before nursing,there was no significant difference between the two groups in terms of Sleep Dysfunction Rating Scale(SDRS)and Visual Analogue Scale(VAS)(P>0.05).After nursing,the scores of SDRS and VAS score of patients in the observation group were lower than those in the control group,with a statistically significant difference(P s<0.05).At the same time,the postoperative rehabilitation indicators of patients in the observation group,such as postoperative exhaust,postoperative defecation and hospital stay,were lower than those in the control group,with a statistically significant difference(P s<0.05).There was 1 case of incision infection and 1 case of abdominal distension in the observation group after surgery,with a total incidence rate of 4.08%.Compared with the control group with a total incidence rate of 10.20%,there was no statistically significant difference between the two groups(P>0.05).Conclusion:Pain intervention combined with music relaxation therapy for patients with acute appendicitis can help improve the sleep quality of patients after surgery,reduce the degree of postoperative pain,and accelerate the postoperative outcome of patients,which has good clinical application value.