心理护理联合疼痛护理对改善宫颈癌患者围手术期睡眠质量的效果观察

Observation on the effect of psychological nursing combined with pain nursing on improving sleep quality of patients with cervical cancer during perioperative period

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2019, 46(4)
作者
作者单位

河南省安阳市肿瘤医院 ;

摘要
目的:探讨宫颈癌患者围手术期重视开展心理、疼痛联合护理干预模式对睡眠质量及预后影响。方法:选取我院于2018年2月至2019年2月期间收治的98例宫颈癌患者作为研究对象,应用随机数字表抽取法分组,就采取心理、疼痛联合护理干预模式方案(观察组,n=49)与采用常规护理方案(n=49)疼痛控制满意度、自我护理能力评分、睡眠质量评分、细胞免疫相关指标水平展开对比。结果:观察组宫颈癌患者疼痛控制满意度经评估为93.88%,高于对照组79.59%(P<0.05);两组干预前,自我护理能力各维度即自我概念、自我护理技能、自护责任感、健康知识水平评分无差异(P>0.05);干预后,各项评分经评定较前均有升高,观察组较对照组升高程度更为显著(P<0.05);两组干预前,匹兹堡睡眠质量指数量表评分无差异(P>0.05),干预后评分较前均有降低,观察组较对照组降低程度更为显著(P<0.05);两组干预前,免疫指标NK细胞活性水平无差异(P>0.05),干预后观察组无明显变化,对照组明显降低,两组干预后此指标水平比较具统计学意义(P<0.05)。结论:宫颈癌患者围手术期重视心理、疼痛联合护理干预模式的实施,可提高疼痛控制满意度,增强自我护理水平,改善睡眠质量,调节机体免疫功能,临床指导意义显著。
Abstract
Objective: To explore the effect of psychological and pain combined nursing intervention on sleep quality and prognosis of patients with cervical cancer during perioperative period. Methods: 98 patients with cervical cancer admitted to our hospital from February 2018 to February 2019 were selected as the research object. Random number table extraction method was used to group them. The psychological and pain combined nursing intervention scheme (observation group, n=49) was related to pain control satisfaction, self-care ability score, sleep quality score and cellular immunity with routine nursing scheme (n=49). The index level is compared. Results: The satisfaction of pain control of cervical cancer patients in the observation group was 93.88%, higher than 79.59% in the control group (P < 0.05). Before intervention, there was no difference in the scores of self-concept, self-care skills, self-care responsibility and health knowledge between the two groups (P > 0.05). After intervention, all the scores were higher than before, and the observation group was higher than the control group. The scores of Pittsburgh Sleep Quality Index Scale had no difference between the two groups before intervention (P > 0.05). After intervention, the scores of Pittsburgh Sleep Quality Index Scale were lower than before, and the decrease of NK activity in the observation group was more significant than that in the control group (P < 0.05). Before intervention, there was no difference in NK activity between the two groups (P > 0.05). After intervention, there was no significant change in the observation group, the control group, and the two groups were dry. The prognostic index level was statistically significant (P < 0.05). Conclusion: Paying attention to the implementation of psychological and pain combined nursing intervention mode in perioperative period of cervical cancer patients can improve the satisfaction of pain control, enhance the level of self-care, improve the quality of sleep, and regulate the immune function of the body. The clinical guidance is significant.
关键词
宫颈癌;围手术期;心理护理;疼痛护理;疼痛控制满意度;睡眠质量
KeyWord
cervical cancer; perioperative period; psychological nursing; pain nursing; pain control satisfaction; sleep quality
基金项目
页码 751-754
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张一红*. 心理护理联合疼痛护理对改善宫颈癌患者围手术期睡眠质量的效果观察 [J]. 国际精神病学杂志. 2019; 46; (4). 751 - 754.

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