| 刘皓昕,宁松毅.多模式镇痛对胆囊切除术病人心理负担与睡眠质量的影响[J].安徽医药,2022,26(2):394-398. |
| 多模式镇痛对胆囊切除术病人心理负担与睡眠质量的影响 |
| Effect of multimodal pain intervention on psychological burden and sleep quality of patients underwent cholecystectomy |
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| DOI：10.3969/j.issn.1009-6469.2022.02.044 |
| 中文关键词: 围手术期医护 镇痛 多模式疼痛干预 胆囊切除术 心理负担 睡眠质量 疼痛管理 |
| 英文关键词: Perioperative care Analgesia Multimodal pain intervention Cholecystectomy Psychological burden Sleep quality Pain management |
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| 中文摘要: |
| 目的探讨多模式疼痛干预对行胆囊切除术病人心理负担与睡眠质量的影响。方法选取 2018年 9月至 2019年 6月东部战区总医院收治的 220例行腹腔镜胆囊切除术病人，根据随机数表法将病人分成观察组和对照组，各 110例。对照组病人给予常规疼痛护理模式，而观察组病人在对照组基础上辅以多模式疼痛干预。评估和对比两组病人围术期手术指标、疼痛程度、睡眠质量、术后并发症、心理负担及护理满意度等指标。结果干预期间，观察组在进食时间、排便时间、下床活动及住院天数等围术期指标值均明显低于对照组(P<0.05)且两组病人均出现尿潴留和切口感染等并发症；观察组在术后 12、24及 72 h视觉模拟评分、睡眠质量评分、焦虑抑郁评分均明显，低于对照组( P<0.05)；观察组病人满意度为 89.09%，明显高于对照组的 |
| 英文摘要: |
| Objective To explore the effect of multimodal pain intervention on psychological burden and sleep quality of patientsunderwent cholecystectomy.Methods A total of 220 patients underwent cholecystectomy in Eastern Theater General Hospital fromSeptember 2018 to June 2019 were selected as the observation subjects, and they were divided into the control group and the observa.tion group according to the random number table method, with 110 cases in each group. The patients in the control group were givenroutine pain nursing mode, while the patients in the observation group were supplemented by multi-mode pain intervention on the basisof the control group. Perioperative operation index, pain degree, sleep quality, postoperative complications, psychological burden andnursing satisfaction between the two groups were evaluated and analyzed.Results During the intervention period, the perioperative in. dexes such as eating time, defecation time, out-of-bed activity and hospitalization days in the observation group were significantly lower than those in the control group (P<0.05). Complications such as urinary retention and incision occurred in both groups. The VAS scoreand PSQI score of the observation group were significantly lower than those of the control group at 12 h, 24 h and 72 h after operation.The scores of anxiety and depression in the observation group at 12 h, 24 h and 72 h after operation were significantly lower than thosein the control group (P<0.05), and the satisfaction rate in the observation group was 89.09%, which was significantly higher than that inthe control group (78.18%) (P<0.05).Conclusion Multimodal pain intervention can effectively improve perioperative surgical indica.tors, reduce the degree of pain, improve sleep quality and nursing satisfaction, optimize the psychological status of patients, which isworthy of clinical promotion. |
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