摘要
目的:探究术前行为训练配合术后冰敷对鼻内镜术后疼痛及睡眠的影响。方法:选取厦门大学附属第一医院2020年1月至2021年12月期间收治的86例接受鼻内镜术治疗患者,以随机数字表法分为对照组、观察组,各43例。对照组患者实施术后冰敷,观察组患者采用术前行为训练配合术后冰敷干预,比较两组患者术后不同时间段(术后2 h、4 h、6 h、8 h、10 h)的视觉模拟评分法(VAS)、护理前后匹兹堡睡眠质量指数(PSQI)、情绪状态〔焦虑自评量表(SAS)评分、抑郁自评量表(SDS)评分〕及不良反应发生率。结果:观察组患者术后2 h、4 h、6 h、8 h、10 h的VAS评分均低于对照组,差异具有统计学意义(P<0.05);观察组患者术后鼻孔填塞期间PSQI各维度评分均低于对照组,差异具有统计学意义(P<0.05);观察组患者出院时SAS、SDS评分均低于对照组,差异具有统计学意义(P<0.05);观察组患者不良反应发生率为18.60 %,低于对照组的39.53 %,差异具有统计学意义(P<0.05)。结论:对鼻内镜手术患者的护理中,实施术前行为训练配合术后冰敷,可缓解患者术后疼痛程度,改善其睡眠质量及情绪状态,降低不良反应发生率。
Objective To explore the effect of preoperative behavior training combined with postoperative ice compress on pain and sleep in patients after nasal endoscopy.Methods A total of 86 patients treated with nasal endoscopy in the First Affiliated Hospital of Xiamen University from January 2020 to December 2021 were selected and divided into a control group and an observation group by random number table method,with 43 cases in each group.The control group received postoperative ice compress,and the observation group received preoperative behavioral training combined with postoperative ice compress intervention.Visual analog scale (VAS),Pittsburgh sleep quality index (PSQI) scores,emotional state[(self-rating anxiety scale (SAS) score,self-rating depression scale (SDS) score]and the incidence of adverse reactions were compared between the two groups at 2 h,4 h,6 h,8 h and 10 h after surgery.Results The VAS scores of 2 h,4 h,6 h,8 h and 10 h in the observation group were lower than those in the control group,the differences were statistically significant (P < 0.05).PSQI scores of all dimensions in the observation group during postoperative nostril tamponage were lower than those in the control group,the differences were statistically significant (P < 0.05).SAS and SDS scores in the observation group were lower than those in the control group at discharge,the differences were statistically significant (P < 0.05).The incidence of adverse reactions in the observation group was 18.60%,lower than 39.53% in the control group,and the difference was statistically significant (P < 0.05).Conclusion In the nursing of patients undergoing nasal endoscopic surgery,preoperative behavior training combined with postoperative ice compress can relieve postoperative pain,improve their sleep quality and emotional state,improve prognosis,and reduce the incidence of adverse reactions.
作者
李秋蝉
郭巧玲
LI Qiu-chan;GUO Qiao-ling(The First Affiliated Hospital of Xiamen University,Fujian Xiamen 361000)
出处
《深圳中西医结合杂志》
2022年第9期16-19,共4页
Shenzhen Journal of Integrated Traditional Chinese and Western Medicine
关键词
鼻内镜术
行为训练
冰敷
Nasal endoscopy
Behavioral training
Ice compress
