基于跨理论模型的康复干预对急性阑尾炎手术患者睡眠和情绪的影响

Effect of Rehabilitation Intervention Based on Cross-theoretical Modelon Patients Undergoing Surgery for Acute Appendicitis

目的:探究基于跨理论模型的康复干预对急性阑尾炎手术患者睡眠质量、不良情绪质量的影响。方法:选取2021年8月至2023年4月泉州市第一医院收治的急性阑尾炎手术治疗患者120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60例。观察组接受基于跨理论模型的康复干预,对照组接受常规围术期干预,对比2组患者干预前后睡眠质量、不良情绪以及生命质量的差异。结果:护理前2组患者的匹兹堡睡眠质量指数各维度及总分,以及焦虑自评量表、抑郁自评量表得分与对照组比较,差异均无统计学意义(均P>0.05);护理后2组的睡眠相关指标评分和负性情绪相关指标评分均小于对照组,差异均有统计学意义(均P<0.05),观察组护理后的各项生命质量相关指标评分大于对照组,差异均有统计学意义(均P<0.05)。结论:对急性阑尾炎手术患者开展基于跨理论模型的康复干预有助于改善患者睡眠质量,同时此种护理措施的实施也在很大程度上减轻了患者的情绪问题,缓解了患者的焦虑和抑郁等负面情绪,从整体上提高了患者的生命质量,在临床上有推广价值。

Objective:To explore the effects of rehabilitation intervention based on cross-theoretical model on sleep quality,bad mood and quality of life in patients undergoing acute appendicitis surgery.Methods:A total of 120 patients who received surgical treatment for acute appendicitis in Quanzhou First Hospital from August 2021 to April 2023 were selected as the study objects,and were divided into the observation group(n=60,receiving rehabilitation intervention based on cross-theoretical model)and the control group(n=60,receiving routine perioperative intervention)according to random number table method.The differences of sleep quality,bad mood and quality of life before and after intervention were compared between the two groups.Results:There was no significant difference between the two groups before nursing and the control group in all dimensions and total scores of Pittsburgh Sleep Quality Index,Self-rating Anxiety Scale and Self-rating Depression Scale(P s>0.05).After nursing,the scores of sleep-related indexes and negative emotion-related indexes of the two groups were lower than those of the control group(P s<0.05).The scores of related indexes of quality of life after nursing in the observation group were higher than those in the control group,and there was statistical significance(P s<0.05).Conclusion:Rehabilitation intervention based on cross-theoretical model for patients undergoing acute appendicitis surgery is helpful to improve the sleep quality of patients.At the same time,the implementation of such nursing measures also alleviates the emotional problems of patients to a large extent,alleviates the negative emotions of patients such as anxiety and depression,improves the quality of life of patients as a whole,and has clinical promotion value.