世界睡眠医学杂志2024，Vol.11Issue(6) ：1364-1367.DOI:10.3969/j.issn.2095-7130.2024.06.052

体温管理联合术前体验式护理对全麻手术患者苏醒及睡眠质量的影响

Effects of Temperature Management Combined with Preoperative Experiential Nursing on Awakening and Sleep Quality of Patients Undergoing General Anesthesia

陈丽平 王清
世界睡眠医学杂志2024，Vol.11Issue(6) ：1364-1367.DOI:10.3969/j.issn.2095-7130.2024.06.052
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体温管理联合术前体验式护理对全麻手术患者苏醒及睡眠质量的影响

Effects of Temperature Management Combined with Preoperative Experiential Nursing on Awakening and Sleep Quality of Patients Undergoing General Anesthesia

陈丽平 1王清2
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作者信息

  • 1. 厦门大学附属第一医院杏林分院,厦门,361000
  • 2. 厦门大学附属第一医院,厦门,361000
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摘要

目的:观察全麻手术患者接受体温管理联合术前体验式护理对苏醒及睡眠质量的影响.方法:选取2022年9月至2023年9月厦门大学附属第一医院杏林分院开展全麻手术的患者130例作为研究对象,依据入院次序按照数字表法随机分为对照组和观察,每组65例.对照组实施常规护理,观察组实施体温管理联合术前体验式护理.从2组苏醒质量、睡眠质量评分、6-羟基硫酸褪黑素(aMT6s)水平进行综合评估.结果:观察组自主呼吸时间、恢复意识时间、导管撤出时间、麻醉恢复室(PACU)停留时间较对照组有更明显降低(P＜0.05);观察组较对照组,干预后匹兹堡睡眠质量指数量表(PSQI)各维度得分均显著减少(P＜0.05);观察组较对照组,术后1 d、3 d、5 d时aMT6s浓度均显著升高(P＜0.05).结论:全麻手术患者接受体温管理联合术前体验式护理,可明显缩短苏醒时间,稳定aMT6s水平,改善术后主观睡眠质量.

Abstract

Objective:To observe the effects of temperature management combined with preoperative experiential nursing on a-wakening and sleep quality in patients undergoing general anesthesia.Methods:A total of 130 patients undergoing general anes-thesia surgery in Xinglin Branch of the First Affiliated Hospital of Xiamen University were selected,and the samples were included from September 2022 to September 2023.All cases were randomly divided into 2 groups according to the reference admission or-der,with 65 cases in each group.The control group received routine nursing,and the observation group received temperature man-agement combined with preoperative experiential nursing.The wake quality,sleep quality score and the level of 6-hydroxymelato-nin sulfate(aMT6s)were evaluated comprehensively.Results:The spontaneous breathing time,consciousness recovery time,cath-eter withdrawal time and PACU residence time in the observation group were significantly reduced compared with the control group(P＜0.05).Compared with the control group,the scores of Pittsburgh Sleep Quality Index(PSQI)were significantly reduced in the observation group after intervention(P＜0.05).Compared with control group,aMT6s concentration in observation group was significantly increased at 1 d,3 d and 5 d after operation(P＜0.05).Conclusion:Temperature management combined with pre-operative experiential nursing can significantly reduce recovery time,stabilize aMT6s level and improve subjective sleep quality in patients undergoing general anesthesia.

关键词

全身麻醉/手术/体温管理/低体温/术前体验式护理/苏醒质量/睡眠质量/6-羟基硫酸褪黑素

Key words

General anesthesia/Surgery/Body temperature management/Hypothermia/Preoperative experiential nursing/A-wakening quality/Sleep quality/Melatonin 6-hydroxysulfate

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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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