标准作业程序优化手术室配合对胃肠外科患者手术风险及睡眠质量的影响研究

Standard Operating Procedure Optimization of Operating Room Combined with the Study of Surgical Risk and Sleep Quality in Gastrointestinal Surgery Patients

目的:分析标准作业程序优化手术室配合对胃肠外科患者手术风险及睡眠质量的影响。方法:选取2022年11月至2023年11月厦门大学附属第一医院肠胃外科收治的患者114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57例。对照组给予常规手术室护理干预,观察组实施标准作业程序优化手术室配合干预。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,使用多导睡眠监测仪监测2组患者的总睡眠时间、睡眠效率、睡眠潜伏期,统计术后胃肠功能恢复指标,包括肠鸣音恢复时间、首次通气时间、恢复进食时间,并比较2组患者手术不良反应发生率。结果:干预后,观察组总睡眠时间、睡眠效率显著高于对照组,睡眠潜伏期显著低于对照组,差异均有统计学意义(均P<0.05);干预后,观察组PSQI评分显著低于对照组,差异均有统计学意义(均P<0.05);干预后,观察组肠鸣音恢复时间、首次通气时间、恢复进食时间均显著低于对照组,观察组不良反应发生率低于对照组,差异均有统计学意义(均P<0.05)。结论:胃肠外科患者接受标准作业程序优化手术室配合能明显改善整体睡眠质量,减少睡眠障碍,降低手术风险,促进胃肠功能恢复,值得临床推广应用。

Objective:To analyze the effects of standard operating procedure optimization in operating room on surgical risk and sleep quality in gastrointestinal surgery patients.Methods:A total of 114 patients admitted to the Department of Gastrointestinal Surgery of the First Affiliated Hospital of Xiamen University from November 2022 to November 2023 were selected as the study objects,and were divided into control group and observation group according to random number table method,with 57 cases in each group.The control group was given routine nursing intervention in the operating room,and the observation group was given standard operating procedures to optimize cooperative intervention in the operating room.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality before and after the intervention between the two groups.The total sleep time,sleep efficiency and sleep latency of the two groups were monitored with polysleep monitor.The indexes of postoperative gastrointestinal function recovery,including bowel sound recovery time,first ventilation time and food recovery time,were counted.The incidence of postoperative adverse reactions was compared between the two groups.Results:After the intervention,the total sleep time and sleep efficiency of the observation group were significantly higher than those of the control group,and the sleep latency was significantly lower than that of the control group,the difference between the two groups was statistically significant(P<0.05).After intervention,the PSQI score of the observation group was significantly lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).After intervention,the recovery time of bowel sound,first ventilation time and resumed feeding time in the observation group were significantly lower than those in the control group,and the incidence of adverse reactions in the observation group was lower than that in the control group,with statistical significance between the two groups(P<0.05).Conclusion:Standard operating procedure optimization in the operating room can significantly improve the overall sleep quality,reduce sleep disorders,reduce the risk of surgery,and promote the recovery of gastrointestinal function in gastrointestinal surgery patients,which is worthy of clinical application.