补充替代医学心身护理对胆囊结石患者腹腔镜术后疼痛及生活质量的影响

Effect of Psychosomatic Nursing of Complementary and Alternative Medicine on Pain Degree and Quality of Life of Patients with Cholecystolithiasis after Laparoscopic Surgery

目的:探讨补充替代医学心身护理对胆囊结石患者腹腔镜术后疼痛及生活质量的影响。方法:选取2019年3月1日~2022年3月1日接受治疗的100例胆囊结石患者作为研究对象,根据随机数字表法分为对照组和研究组各50例,两组均接受腹腔镜胆囊切除术,对照组实施术后常规疼痛护理,研究组在此基础上实施补充替代医学心身护理;比较两组术后次日、出院前日疼痛控制情况[采用休斯顿疼痛情况调查表(HPOI)]、睡眠质量[采用匹兹堡睡眠质量指数(PSQI)]及生活质量[采用世界卫生组织生存质量测定量表(WHOQOL-100)]。结果:出院前日,两组HPOI、WHOQOL-100评分均高于术后次日(P<0.05),且研究组高于对照组(P<0.05);出院前日,两组PSQI评分低于术后次日(P<0.05),且研究组低于对照组(P<0.05)。结论:对胆囊结石行腹腔镜胆囊切除术患者实施补充替代医学心身护理,可有效减轻术后疼痛,提升患者对疼痛控制满意度和睡眠质量,从而改善生活质量。

Objective:To investigate the effect of psychosomatic nursing by complementary and alternative medicine on postoperative pain and quality of life of patients with cholelithiasis after laparoscopic surgery.Methods:100 patients with cholelithiasis who received treatment from March 1,2019 to March 1,2022 were selected as the research subjects and divided into the control group and the research group by random number table method,with 50 patients in each group.The patients in both groups received laparoscopic cholecystectomy,and the routine postoperative pain care was taken in the control group,while the psychosomatic nursing by complementary and alternative medicine was applied in the research group.The Houstion pain out come instrument(HPOI),Pittsburgh sleep quality Index(PSQI)and WHO Quality of Life-100(WHOQOL-100)were compared between the two groups the next day after surgery and the day before discharge.Results:The scores of HPOI and WHOQOL-100 in the two groups were higher on the day before discharge than those the next day after surgery(P<0.05),the scores were higher in the research group than the control group(P<0.05),the PSQI scores in both groups were lower on the day before discharge than the next day after surgery(P<0.05),and the research group was lower than the control group(P<0.05).Conclusion:The psychosomatic nursing of complementary and alternative medicine,applied to patients with laparoscopic surgery,can effectively alleviate postoperative pain,improve patients′satisfaction with pain control and sleep quality,and thus improve quality of life.