首页|标准化模式联合3H干预对胃癌手术患者睡眠质量、心理状态及应激反应指标的影响

标准化模式联合3H干预对胃癌手术患者睡眠质量、心理状态及应激反应指标的影响

Effect of standardized mode combined with 3H intervention on sleep quality,mental state and stress response indexes in patients undergoing gastric cancer surgery

扫码查看
目的 探讨标准化模式联合3H干预对胃癌手术患者睡眠质量、心理状态及应激反应指标的影响.方法 根据干预方式的不同将80例胃癌手术患者分为常规组(n=39,常规干预)和3H组(n=41,标准化模式联合3H干预).比较两组患者的术后恢复指标、睡眠质量[匹兹堡睡眠质量指数(PSQI)]、心理状态[抑郁自评量表(SDS)和焦虑自评量表(SAS)]、应激反应指标[白细胞介素-6(IL-6)、C反应蛋白(CRP)]及并发症发生情况.结果 3H组患者首次排气时间、首次进食时间、首次下床活动时间、术后住院时间均明显短于常规组,差异均有统计学意义(P﹤0.01).干预后,两组患者PSQI、SDS、SAS评分均低于本组干预前,3H组患者PSQI、SDS、SAS评分均低于常规组,差异均有统计学意义(P﹤0.05).干预后,两组患者IL-6、CRP水平均高于本组干预前,3H组患者IL-6、CRP水平均低于常规组,差异均有统计学意义(P﹤0.05).3H组患者的并发症总发生率明显低于常规组(P﹤0.01).结论 标准化模式联合3H干预可改善胃癌手术患者的睡眠质量及心理状态,降低应激反应指标,缩短住院时间,有利于患者术后康复.
Objective To explore the effect of standardized mode combined with 3H intervention on sleep quality,mental state and stress response indexes in patients undergoing gastric cancer surgery.Method A total of 80 patients with gastric cancer surgery were divided into conventional group(n=39,conventional intervention)and 3H group(n=41,standardized mode combined with 3H intervention)according to the different intervention methods.The postoperative re-covery indexes,sleep quality[Pittsburgh sleep quality index(PSQI)],mental state[self-rating depression scale(SDS)and self-rating anxiety scale(SAS)],stress response indexes[interleukin-6(IL-6),C-reactive protein(CRP)]and incidence of complications were compared between the two groups.Result The first exhaust time,first feeding time,first getting out of bed time and postoperative hospital stay in 3H group were significantly shorter than those in conventional group,and the differences were statistically significant(P<0.01).After intervention,the PSQI,SDS and SAS scores in the two groups were lower than those before intervention,and the PSQI,SDS and SAS scores in the 3H group were lower than those in the conventional group,and the differences were statistically significant(P<0.05).After intervention,the levels of IL-6 and CRP in the two groups were higher than those before intervention,and the levels of IL-6 and CRP in the 3H group were lower than those in the conventional group,and the differences were statistically significant(P<0.05).The to-tal incidence of complications in the 3H group was significantly lower than that in the conventional group(P<0.01).Con-clusion Standardized mode combined with 3H intervention can improve the sleep quality and mental state of patients un-dergoing gastric cancer surgery,reduce the stress response indexes,shorten hospital stay,and facilitate the postoperative rehabilitation of patients.

gastric cancerstandardization model3H interventionsleep qualitymental statestress response index

徐珂、张静文、李建利、沈裕厚

展开 >

新乡市中心医院/新乡医学院第四临床学院肿瘤外科,河南 新乡 453000

胃癌 标准化模式 3H干预 睡眠质量 心理状态 应激反应指标

河南省医学科技攻关计划联合共建项目

LHGJ20210913

2024

癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
年,卷(期):2024.22(6)
  • 21