基于护理团队策略下疼痛干预联合焦点式心理疏导对胃癌术后睡眠质量及并发症的影响

Effects of Pain Intervention Combined with Focused Psychological Counseling Based on Nursing Team Strategy on Sleep Quality and Complications in Patients after Gastric Cancer Surgery

目的:基于护理团队策略下的疼痛干预联合焦点式心理疏导对胃癌术后患者睡眠质量及并发症的影响。方法:选取2021年9月至2023年12月福建省龙岩人民医院外二科住院治疗的胃癌术后患者90例作为研究对象,使用抛硬币法分为对照组和观察组,每组45例。对照组给予常规护理,观察组给予基于护理团队策略下的疼痛干预联合焦点式心理疏导,比较2组对患者睡眠质量及并发症的影响。结果:干预后,观察组术后24、72 h及术后1周疼痛模拟视觉评分法(VAS)评分均低于对照组同期;干预后,2组匹兹堡睡眠质量指数(PSQI)各维度评分与本组干预前比较均降低,且观察组干预后均低于对照组(均P<0.05)。观察组切口、腹腔感染、腹泻以及肠粘连并发症发生率均低于对照组(均P<0.05)。结论:护理团队策略下疼痛干预联合焦点式心理疏导护理,可显著减轻患者疼痛程度,提高患者睡眠质量,减少术后并发症。

Objective:To study the effects of pain intervention combined with focused psychological counseling based on nursing team strategy on sleep quality and complications in patients with gastric cancer after surgery.Methods:A total of 90 patients with gastric cancer who were hospitalized in the Second Department of Surgery in Longyan People′s Hospital of Fujian Province from September 2021 to December 2023 were selected as the study objects.They were divided into control group and observation group by coin toss method,with 45 cases in each group.The control group was given routine nursing,and the observation group was given pain combined with focused psychological counseling based on the nursing team strategy.The effects of the two groups on sleep quality and complications were compared.Results:After intervention,the Visual Analogue Scale(VAS)scores of observation group were lower than those of control group at 24,72 h and 1 week after operation.After intervention,Pittsburgh Sleep Quality Index(PSQI)scores in all dimensions of the 2 groups were lower than before intervention,and the observation group was lower than the control group after intervention(P<0.05).The incidence of incision,abdominal infection,diarrhea and intestinal adhesion complications in observation group was lower than that in control group(P<0.05).Conclusion:Pain intervention combined with focused psychological guidance nursing under the nursing team strategy can significantly reduce the pain degree,improve the sleep quality and reduce postoperative complications of patients.