分析分阶段体位安置对直肠癌术后患者睡眠质量及并发症的影响

Analyzing the Impact of Staged Positioning on Sleep Quality and Complications in Postoperative Patients with Rectal Cancer

目的:分析分阶段体位安置对直肠癌术后患者睡眠质量及并发症的影响。方法:选取2022年3月至2023年6月厦门大学附属第一医院收治的直肠癌手术患者106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53例。对照组给予常规体位摆放,观察组在对照组操作基础上加用分阶段体位安置干预。采用手术体位舒适性量表(OPCQ)评估患者的舒适度,采用疼痛视觉模拟量表(VAS)比较2组患者的疼痛感受,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,并比较2组患者并发症发生率。结果:干预后,观察组OPCQ各条目评分及总分均显著高于对照组,差异有统计学意义(P<0.05);术后12 h、48 h时,2组VAS评分均有所降低,且观察组术后12 h、48 h时评分均显著低于对照组,差异有统计学意义(P<0.05);术后2 d及3 d时,2组患者PSQI评分均有所降低,且观察组显著低于对照组,(P<0.05);治疗后,观察组体位并发症发生率显著低于对照组,差异有统计学意义(P<0.05)。结论:直肠癌术后实施分阶段体位安置,可提高患者术中体位舒适度,改善术后疼痛感及睡眠质量,降低体位并发症风险,值得推广应用。

Objective:To analyze the impact of staged positioning on sleep quality and complications in postoperative patients with rectal cancer.Methods:A total of 106 patients who underwent rectal cancer surgery at the First Affiliated Hospital of Xiamen University from March 2022 to June 2023 were selected as the study subjects.Using a random number table method,they were randomly divided into an observation group and a control group,with 53 cases in each group.The control group was given routine positioning,while the observation group received phased positioning intervention based on the control group's operation.Patients'comfort level was evaluated using the Surgical Posture Comfort Scale(OPCQ),and the pain perception of two groups of patients was compared using the Pain Visual Analog Scale(VAS).The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality before and after intervention,and the incidence of complications was compared between the two groups of patients.Results:After intervention,the OPCQ scores and total scores of the observation group were significantly higher than those of the control group,and the difference between the two groups was statistically significant(P<0.05).At 12 and 48 hours postoperatively,both groups showed a decrease in VAS scores,and the observation group had significantly lower scores than the control group at 12 and 48 hours postoperatively.The difference between the two groups was statistically significant(P<0.05).On the 2nd and 3rd day after surgery,the PSQI scores of both groups of patients decreased,and the observation group was significantly lower than the control group(P<0.05).Moreover,the observation group had lower scores than the control group on the 2nd and 3rd day after surgery,and the difference between the two groups was statistically significant(P<0.05);After treatment,the incidence of positional complications in the observation group was significantly lower than that in the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Implementing staged positional placement after rectal cancer surgery can improve intraoperative positional comfort,improve postoperative pain,and sleep quality,and reduce the risk of positional complications.It is worth promoting and applying.