分析活动性疼痛评估联合心理支持改善腰椎骨折术后患者睡眠质量的效果

Analysis of the Effect of Active Pain Assessment Combined with Psychological Support on Improving Sleep Quality in Postoperative Patients with Lumbar Spine Fractures

目的:分析活动性疼痛评估联合心理支持改善腰椎骨折术后患者睡眠质量的效果。方法:选取2023年3月至2024年3月厦门大学附属第一医院杏林分院收治的腰椎骨折患者80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40例。对照组给予常规护理干预,观察组给予活动性疼痛评估联合心理支持,采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用瑞思迈多岛睡眠呼吸检测仪进行睡眠监测。结果:干预后,观察组PSQI评分显著低于对照组,观察组呼吸紊乱次数、氧减指数显著低于对照组,最低血氧饱和度、平均血氧饱和度均显著高于对照组,差异均有统计学意义(均P<0.05)。结论:对腰椎骨折术后患者的护理应用活动性疼痛评估联合心理支持可降低疼痛以及心理负性情绪对睡眠的影响,有利于患者睡眠监测指标改善,睡眠质量提高,患者可稳定休养,尽早实现躯体舒适和转归。

Objective:To analyze the effect of active pain assessment combined with psychological support on improving sleep quality in patients after lumbar spine fracture surgery.Methods:A total of 80 patients with lumbar spine fractures admitted to the Xinglin Branch of Xiamen University Affiliated First Hospital from March 2023 to March 2024 were selected as the study subjects.They were randomly divided into a control group and an observation group,with 40 cases in each group,using a random number table method.The control group received routine nursing intervention,while the observation group received active pain assessment combined with psychological support.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between the two groups of patients,and the Ruismai Multi Island Sleep Respiratory Monitor was used for sleep monitoring.Results:After intervention,the PSQI score of the observation group was significantly lower than that of the control group.The number of respiratory disorders and oxygen depletion index in the observation group were significantly lower than those of the control group.The lowest and average blood oxygen saturation were significantly higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:The application of active pain assessment combined with psychological support in the nursing of postoperative patients with lumbar spine fractures can reduce pain and the impact of negative psychological emotions on sleep.This is beneficial for improving sleep monitoring indicators,improving sleep quality,allowing patients to rest stably,and achieving physical comfort and recovery as early as possible.