世界睡眠医学杂志2024,Vol.11Issue(9) :2062-2064,2068.DOI:10.3969/j.issn.2095-7130.2024.09.042

一体化保温方案联合ERAS护理对手术患者睡眠质量的影响

Effect of Integrated Warming Scheme Combined with ERAS Nursing on Sleep Quality in Surgical Patients

孙丽珍 刘晓斌 郭婷婷
世界睡眠医学杂志2024,Vol.11Issue(9) :2062-2064,2068.DOI:10.3969/j.issn.2095-7130.2024.09.042

一体化保温方案联合ERAS护理对手术患者睡眠质量的影响

Effect of Integrated Warming Scheme Combined with ERAS Nursing on Sleep Quality in Surgical Patients

孙丽珍 1刘晓斌 1郭婷婷1
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作者信息

  • 1. 厦门大学附属第一医院麻醉手术室,厦门,361003
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摘要

目的:观察手术患者应用一体化保温方案联合加速康复外科(ERAS)护理对睡眠质量的影响.方法:选取2022年5月至2023年12月厦门大学附属第一医院接受手术治疗的患者86例作为研究对象,按照Excel表排序分为对照组和观察组,每组43例.对照组开展常规护理,观察组开展一体化保温方案联合ERAS护理.对2组患者术中体温变化情况、围术期睡眠质量[匹兹堡睡眠质量指数量表(PSQI)]、术后恢复指标等进行比较.结果:术前2组体温指数比较,差异无统计学意义(P>0.05),术后手术10 min、20 min、30 min观察组体温比对照组高(P<0.05);护理前,2组PSQI评分比较,差异无统计学意义(P>0.05),护理后,观察组PSQI评分比对照组低,差异有统计学意义(P<0.05);患者术后住院时间、下床活动时间、排气时间以及拔管时间观察组比对照组短,差异有统计学意义(P<0.05).结论:在对手术患者进行护理时开展一体化保温方案联合ERAS护理,可以稳定患者手术期间体温情况,改善睡眠质量,更利于术后恢复.

Abstract

Objective:To observe the effect of an integrated warming scheme combined with enhanced recovery after surgery(ERAS)nursing on sleep quality in surgical patients.Methods:A total of 86 patients undergoing surgery at the First Affiliated Hospital of Xiamen University between May 2022 and December 2023 were selected as research subjects and randomly divided in-to a control group and an observation group,with 43 patients in each group.The control group received routine care,while the ob-servation group received an integrated warming scheme combined with ERAS nursing.The two groups were compared in terms of intraoperative temperature changes,perioperative sleep quality[measured by the Pittsburgh Sleep Quality Index(PSQI)],and postoperative recovery indicators.Results:Before surgery,there was no significant difference in temperature indices between the two groups(P>0.05).However,at 10,20,and 30 minutes post-surgery,the observation group's body temperature was significant-ly higher than that of the control group(P<0.05).Before nursing,there was no significant difference in PSQI scores between the two groups(P>0.05).After nursing,the PSQI scores of the observation group were significantly lower than those of the control group(P<0.05).Additionally,postoperative hospitalization time,time to mobilization,time to flatus,and time to extubation were all shorter in the observation group compared to the control group,with significant differences(P<0.05).Conclusion:Implemen-ting an integrated warming scheme combined with ERAS nursing for surgical patients can stabilize intraoperative body tempera-ture,improve sleep quality,and promote faster postoperative recovery.

关键词

一体化保温方案/ERAS护理/手术/体温变化/睡眠质量

Key words

Integrated warming scheme/ERAS nursing/Surgery/Temperature changes/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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