情绪疏导联合睡眠护理对普外科术后患者的影响分析

Analysis of Emotional Counseling Combined with Sleep Nursing on Patients after General Surgery

目的:研究对普外科手术患者术后采取情绪疏导和睡眠护理的效果。方法:选取2021年4月至2022年10月福州市长乐区医院普外科手术患者90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45例。对照组采用常规护理,观察组采用常规护理+睡眠护理+情绪疏导,对比2组实施效果。结果:观察组睡眠时间(6.68±0.35)h,匹兹堡睡眠质量指数(PSQI)结果为(3.62±1.13)分,对照组睡眠时间(5.10±0.43)h, PSQI(7.58±1.24)分,观察组显著优于对照组,差异均有统计学意义(均P<0.05)。观察组视觉模拟评分法(VAS)结果为(2.18±0.28)分,健康调查简表(SF-36)结果为(76.29±2.84)分,对照组VAS(3.72±0.41)分,SF-36(69.58±3.16)分,观察组显著优于对照组,差异均有统计学意义(均P<0.05)。观察组焦虑自评量表(SAS)结果为(43.24±4.90)分,抑郁自评量表(SDS)结果为(42.75±4.59)分,对照组SAS(50.26±4.82)分,SDS(50.14±4.16)分,观察组优于对照组,差异均有统计学意义(均P<0.05)。观察组满意度(95.56%)高于对照组(82.22%),差异有统计学意义(P<0.05)。结论:针对普外科患者应用情绪疏导以及睡眠护理后能够显著改善其不良情绪,并缓解疼痛感,促进患者睡眠质量的提升,改善术后生命质量,更能取得患者认可。

Objective:To study the effect of emotional counseling and sleep nursing for general surgery patients.Methods:A total of 90 patients who underwent general surgery at Changle District Hospital in Fuzhou City from April 2021 to October 2022 were selected and randomly divided into control group(45 cases,routine nursing)and observation group(45 cases,routine nursing+sleep nursing+emotional counseling)using a random number table method,to compare the implementation effect of the two groups.Results:The observation group had sleep time(6.68±0.35)h,Pittsburgh Sleep Quality Index(PSQI)(3.62±1.13)points,significantly better than the control group[sleep time(5.10±0.43)h,PSQI(7.58±1.24)points](P s<0.05).Visual Analogue Scale(VAS)(2.18±0.28)and the MOS 36-item Short-form Health Survey(SF-36)(76.29±2.84)were significantly better than the control group[VAS(3.72±0.41)and SF-36(69.58±3.16)](P s<0.05).The Self-rating Anxiety Scale(SAS)(43.24±4.90)and Self-rating Depression Scale(SDS)(42.75±4.59)were significantly lower than the control group[SAS(50.26±4.82)and SDS(50.14±4.16)](P s<0.05).The satisfaction of the observation group(95.56%)was higher than the control group(82.22%)(P<0.05).Conclusion:The application of emotional counseling and sleep nursing for general surgery patients can significantly improve their bad mood,relieve pain,promote the improvement of sleep quality,improve the quality of life after surgery,and obtain the recognition of patients.