术后疼痛管理对胃癌患者手术负面情绪和睡眠状况的影响

To Analyze the Effects of Postoperative Pain Management on Negative Emotions and Sleep Status of Patients with Gastric Cancer after Surgery

目的:分析将术后疼痛管理应用于胃癌患者中对其手术负面情绪以及睡眠状况的影响;方法:选取2022年8月至2023年10月泉州市第一医院胃肠外科收治的行外科手术胃癌患者90例作为研究对象,按照掷骰子方法随机分为观察组和对照组,每组45例。观察组患者接受术后疼痛管理,对照组接受常规围术期管理,比较2组患者干预前后负面情绪以及睡眠状况的差异。结果:治疗前2组的汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)、匹兹堡睡眠质量量表(PSQI)评分比较,差异无统计学意义(P>0.05),使用量表评估并开展组间比较,干预后观察组得分均低于对照组(P<0.05),观察组康复进程快于对照组(具体体现在下床活动时间和住院时间)(P<0.05)。结论:对胃癌手术患者开展积极的术后疼痛管理有助于改善患者的焦虑和抑郁不良心理,提高患者的睡眠质量,且可以加速患者的术后康复进程,具有一定的推广应用价值。

Objective:To analyze the effect of postoperative pain management on negative emotions and sleep status in patients with gastric cancer.Methods:Set August 2022 to October 2023 as the observation period and set 90 gastric cancer patients who received surgical treatment in the Gastrointestinal Surgery Department of Quanzhou First Hospital as the research subjects.Using Zheng Dici′s method,the enrolled patients were randomly divided into a study group(n=45,receiving postoperative pain management)and a control group(n=45,receiving routine perioperative management).Compare the differences in negative emotions and sleep status between the two groups of patients after intervention.Results:There was no significant difference in HAMA,HAMD,and PSQI scores between the two groups before treatment evaluation(P>0.05).Using a scale of assessment and inter-group comparison showed that after intervention,the scores of the study group were lower than those of the control group(P<0.05).The rehabilitation process of the study group was faster than that of the control group(reflected explicitly in the time of getting out of bed and hospitalization)(P<0.05).Conclusion:Active postoperative pain management for gastric cancer surgery patients can help improve their anxiety and depression,improve their sleep quality,and accelerate their postoperative recovery process,which has specific promotion and application value.