世界睡眠医学杂志2024,Vol.11Issue(4) :919-922.DOI:10.3969/j.issn.2095-7130.2024.04.059

分析数字疼痛量化联合提肛运动对混合痔术后患者睡眠质量的改善作用

Analysis of the Improvement Effect of Digital Pain Quantification Combined with Anal Sphincter Lifting Exercise on Sleep Quality in Patients after Mixed Hemorrhoid Surgery

詹海霞 王启华 吴仙娥 蔡万秀 陈玲
世界睡眠医学杂志2024,Vol.11Issue(4) :919-922.DOI:10.3969/j.issn.2095-7130.2024.04.059

分析数字疼痛量化联合提肛运动对混合痔术后患者睡眠质量的改善作用

Analysis of the Improvement Effect of Digital Pain Quantification Combined with Anal Sphincter Lifting Exercise on Sleep Quality in Patients after Mixed Hemorrhoid Surgery

詹海霞 1王启华 1吴仙娥 1蔡万秀 1陈玲1
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作者信息

  • 1. 福建省邵武市立医院,邵武,354000
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摘要

目的:观察对混合痔手术患者护理过程中开展数字疼痛量化护理联合提肛运动对于患者疼痛程度以及睡眠质量的改善作用.方法:选取2021年1月至2023年1月邵武市立医院收治的混合痔手术患者80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40例.对照组给予常规护理干预,观察组给予数字疼痛量化护理联合提肛运动干预.采用数字模拟评分法(NRS)比较2组患者的疼痛感受,采用匹兹堡睡眠质量指数(PSQI)比较2组患者干预前后的睡眠质量,针对患者在恢复期间肛管最大收缩压、肛管最大收缩长度以及肛管静压进行测量,以肛肠压力检测评估肛门功能,采用汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)比较2组患者干预前后焦虑、抑郁状态的改善效果.结果:干预后,观察组PSQI评分、HAMA评分、HAMD评分、NRS评分均显著低于对照组,观察组最大收缩压、肛管最大收缩长度以及肛管静压均显著高于对照组,差异均有统计学意义(均P<0.05).结论:在对混合痔手术患者护理过程中开展数字疼痛量化护理联合提肛运动,可以降低患者术后的疼痛程度,提升患者的睡眠质量,改善患者肛门功能,缓解患者负面情绪,有助于患者恢复,值得临床推广应用..

Abstract

Objective:To observe the improvement effect of digital pain quantification nursing combined with anal sphincter lift-ing exercise on the degree of pain and sleep quality in patients undergoing mixed hemorrhoid surgery.Methods:A total of 80 pa-tients who underwent mixed hemorrhoid surgery at Shaowu Municipal Hospital from January 2021 to January 2023 were selected as the study subjects.They were randomly divided into control and observation groups using a random number table method,with 40 cases in each group.The control group received routine nursing intervention,while the observation group received digital pain quantification nursing combined with anal lifting exercise intervention.The pain perception of two groups of patients was compared using the Digital Analog Scale(NRS).The Pittsburgh Sleep Quality Index(PSQI)was used to compare the sleep quality of the two groups of patients before and after intervention.The maximum anal systolic pressure,maximum anal systolic length,and anal static pressure were measured during the recovery period.Anorectal pressure was measured to evaluate anal function.The Hamil-ton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)were used to compare the improvement effect of communi-cation and depression status between the two groups of patients before and after intervention.Results:After the intervention,the PSQI score,HAMA score,HAMD score,and NRS score of the observation group were significantly lower than those of the control group.The maximum systolic pressure,maximum anal contraction length,and anal static pressure of the observation group were significantly higher than those of the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion:Digital pain quantification nursing combined with anal sphincter lifting exercise can reduce postoperative pain,improve sleep quality,improve anal function,alleviate negative emotions,and aid in patient recovery during mixed hemor-rhoid surgery.It is worthy of clinical promotion and application.

关键词

数字疼痛量化护理/提肛运动/混合痔术/睡眠质量/焦虑/抑郁/肛门功能/疼痛/康复进程

Key words

Digital pain quantification nursing/Anal lifting exercise/Mixed hemorrhoid surgery/Sleep quality/Anxiety/De-pression/Anal function/Pain/Rehabilitation process

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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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