观察多元化术前访视联合手术室保温护理改善患者心理状态及睡眠质量的效果

Observation of the Effect of Diversified Preoperative Visits Combined with Operating Room Insulation Nursing on Improving Patient′s Psychological State and Sleep Quality

目的:观察多元化术前访视联合手术室保温护理改善患者心理状态及睡眠质量的效果。方法:选取2023年1月至12月厦门大学附属第一医院收治的手术治疗患者86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43例。对照组给予常规护理干预,观察组给予多元化术前访视联合手术室保温护理干预。采用CD-RISC量表对患者在手术期间心理状态进行评估,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组患者干预前后应激指标肾上腺素、去甲肾上腺素水平的变化。结果:干预后,观察组CD-RISC量表评分显著高于对照组,观察组PSQI量表评分显著低于对照组,观察组肾上腺素、去甲肾上腺素水平均低于对照组,差异均有统计学意义(均P<0.05)。结论:在对手术患者进行护理时开展多元化术前访视联合手术室保温护理,可以有效提升患者睡眠质量,改善患者心理状态,降低手术期间应激反应,值得临床推广应用。

Objective:To observe the effect of diversified preoperative visits combined with operating room insulation nursing on improving the psychological state and sleep quality of patients.Methods:A total of 86 surgical treatment patients admitted to the First Affiliated Hospital of Xiamen University from January to December 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group,with 43 cases in each group,using a random number table method.The control group received routine nursing intervention,while the observation group received diversified preoperative visits combined with operating room insulation nursing intervention.The CD-RISC scale was used to evaluate the psychological status of patients during surgery.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes in sleep quality between two groups of patients before and after intervention,and the changes in stress indicators such as adrenaline and norepinephrine levels were compared between the two groups of patients before and after intervention.Results:After intervention,the CD-RISC scale score in the observation group was significantly higher than that in the control group,and the PSQI scale score in the observation group was significantly lower than that in the control group.The levels of adrenaline and norepinephrine in the observation group were lower than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Diversified preoperative visits combined with operating room insulation care can effectively improve the sleep quality of patients,improve their psychological state,and reduce stress reactions during surgery when caring for surgical patients.It is worthy of clinical promotion and application.