世界睡眠医学杂志2024,Vol.11Issue(6) :1306-1309.DOI:10.3969/j.issn.2095-7130.2024.06.035

渐进性肌肉放松干预与心理调适对甲状腺癌根治术患者睡眠的影响

Effect of Progressive Muscle Relaxation Intervention and Psychological Adjustment on Sleep in Patients Undergoing Radical Thyroidectomy

蔡丽君 林燕育
世界睡眠医学杂志2024,Vol.11Issue(6) :1306-1309.DOI:10.3969/j.issn.2095-7130.2024.06.035

渐进性肌肉放松干预与心理调适对甲状腺癌根治术患者睡眠的影响

Effect of Progressive Muscle Relaxation Intervention and Psychological Adjustment on Sleep in Patients Undergoing Radical Thyroidectomy

蔡丽君 1林燕育1
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作者信息

  • 1. 厦门大学附属第一医院,厦门,361005
  • 折叠

摘要

目的:探究渐进性肌肉放松干预联合心理调适对甲状腺癌根治术患者睡眠质量的影响.方法:选取2021年1月至2023年1月厦门大学附属第一医院接受甲状腺根治术治疗的患者83例作为研究对象,随机分为对照组(n=41)和观察组(n=42).对照组接受常规护理,观察组接受渐进性肌肉放松干预联合心理调适护理,护理周期为1周.比较2组患者干预前后睡眠质量[匹兹堡睡眠质量指数(PSQI)],疼痛程度[疼痛程度数字评估量表(NRS)],心理状态[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)],颈部康复锻炼依从性.结果:干预后,观察组患者PSQI评分低于对照组(P<0.05);观察组患者VAS评分低于对照组(P<0.05);观察组患者HAMA、HAMD评分均低于对照组(P<0.05);观察组患者颈部康复锻炼依从性高于对照组(P<0.05).结论:渐进性肌肉放松干预联合心理调适能够提高甲状腺癌根治术患者睡眠质量、缓解术后疼痛程度、改善心理状态和颈部康复锻炼依从性.

Abstract

Objective:To explore the effect of progressive muscle relaxation intervention combined with psychological adjustment on sleep quality in patients undergoing radical thyroidectomy.Methods:A total of 83 patients who received radical thyroidectomy in our hospital from January 2021 to January 2023 were included in the study.Patients receiving routine nursing programs were in-cluded in the routine nursing group(41 cases),and patients receiving progressive muscle relaxation intervention combined with psychological adjustment nursing programs were included in the combined nursing group(42 cases).The nursing cycle was 1 week.Sleep quality[Pittsburgh Sleep Quality Index(PSQI)],pain degree[Digital Assessment Scale of pain Degree(NRS)],men-tal state[Hamilton Anxiety Scale(HAMA)and Hamilton Depression Scale(HAMD)],compliance with neck rehabilitation exer-cise of the two groups were compared before and after intervention.Results:After intervention,PSQI score of combined nursing group was lower than that of conventional nursing group(P<0.05);the VAS score of combined nursing group was lower than that of conventional nursing group(P<0.05).The HAMA and HAMD scores in the combined nursing group were lower than those in the conventional nursing group(P<0.05).The compliance of the combined nursing group was higher than that of the conventional nursing group(P<0.05).Conclusion:Progressive muscle relaxation intervention combined with psychological ad-justment can improve sleep quality,relieve postoperative pain,improve mental state and compliance with neck rehabilitation exer-cise in patients undergoing radical thyroidectomy.

关键词

渐进性肌肉放松干预/心理调适/甲状腺癌根治术/睡眠质量/术后疼痛/心理状态/锻炼依从性

Key words

Progressive muscle relaxation intervention/Psychological adjustment/Radical operation of thyroid carcinoma/Sleep quality/Postoperative pain/Mental state/Exercise compliance

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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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参考文献量20
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