分析聚焦解决模式联合共情护理干预对腹腔镜肝癌术后患者睡眠质量的影响

Analysis of the Impact of Focused Solution Mode Combined with Empathetic Nursing Intervention on the Sleep Quality of Patients after Laparoscopic Liver Cancer Surgery

目的:分析聚焦解决模式联合共情护理干预对腹腔镜肝癌术后患者睡眠质量的影响。方法:选取2020年1月1日至2022年12月31日福建医科大学孟超肝胆医院肝胆外科收治的肝癌患者82例作为研究对象,按照随机数字表法分为观察组(n=41)和对照组(n=41)。对照组给予常规护理干预,观察组给予聚焦解决模式联合共情护理干预。采用癌因性疲乏量表(CRF)比较2组患者干预前后的疲劳症状改善效果,采用视觉模拟评分法(VAS)比较2组患者干预前后的疼痛质量,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,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后的焦虑、抑郁状态的改善效果,并比较2组患者治疗的依从性及并发症发生率。结果:干预后,观察组中患者的治疗总依从率显著高于对照组,观察组术后并发症的总发生率显著低于对照组,观察组中术后卧床时间、住院时间均更短,观察组CRF评分、PSQI评分、HAMA评分、HAMD评分显著低于对照组,差异均有统计学意义(均P<0.05)。结论:聚焦解决模式联合共情护理干预可有效增强患者的治疗依从性和自我管理能力,减少术后并发症发生,减轻患者癌因性疲劳症状,使患者心理和睡眠质量得到改善。

Objective:To analyze the impact of focused solution mode combined with empathetic nursing intervention on the sleep quality of patients after laparoscopic liver cancer surgery.Methods:A total of 82 liver cancer patients admitted to the Hepatobiliary Department of Mengchao Hepatobiliary Hospital,Fujian Medical University from January 1,2020 to December 31,2022 were selected as the study subjects.They were randomly divided into an observation group(n=41)and a control group(n=41)using a random number table method.The control group received routine nursing intervention,while the observation group received focused solution mode combined with empathetic nursing intervention.The Cancer Related Fatigue(CRF)was used to compare the improvement of fatigue symptoms between two groups of patients before and after intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between the two groups of patients before and after intervention.The Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to compare the improvement of anxiety and depression status between the two groups of patients before and after intervention.The treatment compliance and incidence of complications were also compared between the two groups of patients.Results:After intervention,the total compliance rate of patients in the observation group was significantly higher than that in the control group.The total incidence of postoperative complications in the observation group was significantly lower than that in the control group.The postoperative bed rest time and hospital stay in the observation group were shorter,and the CRF score,PSQI score,HAMA,and HAMD score in the observation group were significantly lower than those in the control group.The differences between the two groups were statistically significant(P s<0.05).Conclusion:The combination of focused solution mode and empathetic nursing intervention can effectively enhance patients′treatment compliance and self-management ability,reduce postoperative complications,alleviate cancer-related fatigue symptoms,and improve their psychological and sleep quality.