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全身麻醉术后患者睡眠障碍的影响因素分析

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目的 探讨500例全身麻醉手术后患者出现睡眠障碍的影响因素.方法 选择2021年1月~2022年12月我院收治的采取全身麻醉进行手术的500例患者,以问卷调查方式对患者睡眠质量进行调查分析,明确其术后出现睡眠障碍发生率,及其发生原因,给予针对性治疗方案.明确护理前后患者痛觉视觉模拟评分法(visual analogue scale,VAS),焦虑自评量表(Self-Rating Anxiety Scale,SAS)、抑郁自评量表(Self-rating depression scale,SDS)、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分.结果 以术后第7天PSQI评分>7分为术后睡眠障碍发生标准,500例全身麻醉患者术后睡眠障碍的发生率为29.00%,依照术后睡眠障碍发生情况将患者分为对照组(无全身麻醉术后睡眠障碍,n=355)与研究组(有全身麻醉术后睡眠障碍,n=145),研究组患者患者VAS评分、SAS评分、SDS评分均高于对照组(P<0.05),145例睡眠障碍患者中,占比最高的为疼痛,比例为17.24%;其次为体位不适,占比为15.86%;后续依次为心理问题(13.10%)、呼吸困难(11.03%)、药物因素(9.66%)、护理不到位(7.59%)、并发症(6.69%).结论 疼痛、体位不适、心理问题是导致全身麻醉手术后患者出现睡眠障碍的主要影响因素,临床中给予针对性干预、一对一心理疏导、体位干预以及疼痛干预等可显著改善患者的睡眠质量.
Analysis of the influencing factors of sleep disturbance in patients after general anesthesia
Objective To investigate the causes of sleep disorders in 500 patients after general anesthesia surgery.Methods From January 2021 to December 2022,500 patients who were treated in our hospital with general anesthe-sia for surgery were selected,and their sleep quality was investigated and analyzed by questionnaire.The incidence of postoperative Sleep disorder and its causes were identified,and nursing was given.Before and after nursing,the scores of visual analog scale(VAS),Self Rating Anxiety Scale(SAS),Self Rating Depression Scale(SDS)and Pittsburgh Sleep Quality Index(PSQI)were determined.Results The incidence of postoperative sleep disorders was 29.00%in 500 patients after general anesthesia,and the patients were divided into a control group(no postoperative sleep disorders after general anesthesia,n=355)and a study group(postoperative sleep disorders after general anesthesia,n=145)ac-cording to the incidence of postoperative sleep disorders.VAS score,SAS score,and SDS score were higher than those of the control group(P<0.05).Among 145 patients with sleep disorders,the highest proportion was pain(17.24%).The second was postural discomfort,accounting for 15.86%.Followed by psychological problems(13.10%),breathing difficulties(11.03%),frequent medical intervention(9.66%),inadequate care(7.59%),complications(6.69%).Conclusion Pain,postural discomfort,and psychological problems are the main causes of sleep disorders in patients after general anesthesia surgery,and targeted interventions,one-on-one psychological counseling,postural interven-tions,and pain interventions can significantly improve the sleep quality of patients in clinical practice.

General anesthesia surgeryPatientsSleep disordersCauses

魏玲、郭全周、吴梦淏、李佩

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河北省邢台市第三医院麻醉科(邢台,054000)

全身麻醉手术 患者 睡眠障碍 原因

邢台市重点研发计划自筹项目

2021ZC106

2024

国际精神病学杂志
中南大学

国际精神病学杂志

CSTPCD
影响因子:1.426
ISSN:1673-2952
年,卷(期):2024.51(3)
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