世界睡眠医学杂志2024,Vol.11Issue(4) :851-854,858.DOI:10.3969/j.issn.2095-7130.2024.04.040

分析优质护理对肠镜下直肠息肉切除术患者围手术期并发症、心理状态及睡眠质量的影响

Analyzing the Impact of High-quality Nursing on Perioperative Complications,Psychological Status,and Sleep Quality in Patients Undergoing Colonoscopic Rectal Polypectomy

夏楠 杨小英 沈冬萍 汤得真
世界睡眠医学杂志2024,Vol.11Issue(4) :851-854,858.DOI:10.3969/j.issn.2095-7130.2024.04.040

分析优质护理对肠镜下直肠息肉切除术患者围手术期并发症、心理状态及睡眠质量的影响

Analyzing the Impact of High-quality Nursing on Perioperative Complications,Psychological Status,and Sleep Quality in Patients Undergoing Colonoscopic Rectal Polypectomy

夏楠 1杨小英 1沈冬萍 1汤得真1
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作者信息

  • 1. 联勤保障部队第909医院/厦门大学附属东南医院,漳州,363000
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摘要

目的:分析优质护理对肠镜下直肠息肉切除术患者围手术期并发症、心理状态及睡眠质量的影响.方法:选取2021年6月至2022年6月联勤保障部队第909医院收治的肠镜下行直肠息肉切除术患者251例作为研究对象,按照随机数字表法分为对照组(n=120)和观察组(n=131),对照组给予常规护理干预,观察组给予优质护理干预.采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用生命质量综合评定问卷(GQOLI-74)比较2组患者干预前后生命质量的变化.结果:干预后,观察组SAS评分、SDS评分、PSQI评分均显著低于对照组,观察组GQOLI-74各指标评分显著高于对照组,差异均有统计学意义(均P<0.05).结论:肠镜下直肠息肉切除术围手术期实施优质护理,利于缓解患者心理状态,有效改善患者睡眠质量,预防并发症的发生,提升生命质量,且对于预后的改善有着积极的作用,值得临床推广应用.

Abstract

Objective:To analyze the impact of high-quality nursing on perioperative complications,psychological status,and sleep quality of patients undergoing colonoscopic rectal polypectomy.Methods:A total of 251 patients who underwent colonoscop-ic rectal polypectomy at the Joint Logistics Support Force 909th Hospital from June 2021 to June 2022 were selected as the study subjects.They were randomly divided into a control group(n=120)and an observation group(n=131)using a random number table method.The control group received routine nursing intervention,while the observation group received high-quality nursing in-tervention.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups of patients.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms in the two groups of patients.The Generic Quality of Life Inventory-74(GQOLI-74)comprehen-sive quality of life questionnaire was used to compare the changes in quality of life before and after intervention.Results:After in-tervention,the SAS score,SDS score,and PSQI score of the observation group were significantly lower than those of the control group.The GQOLI-74 index scores of the observation group were significantly higher than those of the control group,and the differences between the two groups were statistically significant(Ps<0.05).Conclusion:The implementation of high-quality nursing during the perioperative period of colonoscopic rectal polypectomy is beneficial for alleviating the psychological state of pa-tients,effectively improving their sleep quality and preventing complications,enhancing their quality of life,and has a positive effect and influence on the prognosis.It is worthy of clinical promotion and application.

关键词

优质护理/直肠息肉切除术/围手术期/并发症/焦虑/抑郁/睡眠质量

Key words

High-quality nursing/Rectal polypectomy/Perioperative period/Complications/Anxiety/Depression/Sleep quality

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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