分析早期体位活动联合情绪疏导对胆囊手术患者睡眠质量的应用效果

Analysis of the Application Effect of Early Positional Activity Combined with Emotional Counseling on Sleep Quality in Patients Undergoing Gallbladder Surgery

目的:分析早期体位活动联合情绪疏导对胆囊手术患者睡眠质量的应用效果。方法:选取2022年10月至2023年11月福建省宁德市古田县医院收治的胆囊手术患者70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35例。对照组给予常规护理干预,观察组给予早期体位活动联合情绪疏导干预。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,采用心理弹性量表(CD-RISC)评估患者心理状态的改变情况,并比较2组患者的夜间醒来次数及2组患者的胃肠道功能。结果:干预后,观察组PSQI评分显著低于对照组,观察组CD-RISC评分显著高于对照组,观察组夜间醒来次数显著低于对照组,观察组肠鸣音恢复、排气、进食、首次排便时间均短于对照组,差异有统计学意义(P<0.05)。结论:开展早期体位活动联合情绪疏导可促进胆囊手术患者胃肠道功能的恢复,改善其情绪状态,提升睡眠质量,值得临床推广应用。

Objective:To analyze the application effect of early positional activity combined with emotional counseling on the sleep quality of patients undergoing gallbladder surgery.Methods:A total of 70 patients with gallbladder surgery admitted to Gutian County Hospital in Ningde City,Fujian Province from October 2022 to November 2023 were selected as the study subjects.Using a random number table method,they were randomly divided into control and observation groups,with 35 cases in each group.The control group received routine nursing intervention,while the observation group received early positional activity combined with emotional counseling intervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention.The Connor Davidson Resilience Scale(CD-RISC)was used to evaluate the changes in the patient's psychological state,and the number of nighttime awakenings and gastrointestinal function of the two groups of patients were compared.Results:After intervention,the PSQI score of the observation group was significantly lower than that of the control group,the CD-RISC score of the observation group was significantly higher than that of the control group,and the number of nighttime awakenings in the observation group was significantly lower than that of the control group.The recovery of bowel sounds,exhaust,eating,and first bowel movement time in the observation group was shorter than those in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Early positioning activities combined with emotional counseling can promote the recovery of gastrointestinal function in patients undergoing gallbladder surgery,improve their emotional state,and enhance sleep quality,which is worthy of clinical promotion and application.