摘要
目的:探究鼓励性护理对肝癌介入术患者睡眠质量和社会支持的影响。方法:选取2019年1月至2020年12月福建医科大学附属肿瘤医院收治的肝癌介入术治疗患者88例作为研究对象,按照随机数字表法分为对照组和观察组,每组44例。对照组实施常规护理,观察组采用常规护理+鼓励性护理,比较2组患者护理前后睡眠质量(PSQI评分)、社会支持(SSRS评分)、情绪状态(SDS、SAS评分)及并发症发生率。结果:护理前,2组患者匹兹堡睡眠质量指数量表(PSQI)各条目评分比较,差异均无统计学意义(均P>0.05);护理后,观察组PSQI各条目评分均比对照组低,2组比较差异均有统计学意义(均P<0.05);护理前,2组社会支持评定量表(SSRS)评分比较,差异无统计学意义(P>0.05);护理后,观察组SSRS评分均较对照组高,2组比较差异有统计学意义(P<0.05);护理前,2组患者抑郁自评量表(SDS)评分及焦虑自评量表(SAS)评分比较,差异均无统计学意义(均P>0.05);护理后,观察组患者SDS评分及SAS评分均较对照组低,2组比较差异均有统计学意义(P<0.05);观察组并发症发生率为6.82%,对照组为25.00%,2组比较差异有统计学意义(P<0.05)。结论:在肝癌介入术患者的护理中,实施鼓励性护理干预,可更好改善其睡眠质量,提升其社会支持度,改善其情绪状态,降低术后并发症发生率。
Objective:To explore the effect of encouraging care on sleep quality and social support of patients with liver cancer undergoing interventional therapy.Methods:Choose 88 cases between January 2019 to December 2020 interventional treatment of liver cancer patients,by random number table method into control group(44 cases)and observation groupB(44 cases),The control group received routine nursing,while the observation group received routine nursing+encouraging nursing,compare the two groups of patients before and after nursing sleep quality(PSQI),social support(SSRS),emotional state(SDS,SAS)and complication rate.Results:All entries in the Pittsburgh Sleep Quality Index(PSQI)scale were similar to those in control group,There was no significant difference(P>0.05);The scores of all items in the PSQI scale of postnursing observation group were lower than those in control group,The difference was statistically significant(P<0.05);The pre-care observation group Social Support Assessment Scale(SSRS)score was similar to that of control group,There was no significant difference(P>0.05);Higher SSRS scores in observation group compared with control group,The difference was statistically significant(P<0.05);The pre-nursing observation group depression self-assessment scale(SDS)and anxiety self-assessment scale(SAS)scores were all similar to those of control group,There was no significant difference(P>0.05);SDS and SAS scores in observation group were lower than control group,The difference was statistically significant(P<0.05);The complication rate of observation group was 6.82%,Compared with the 25.00%lower than that in control group,The difference was statistically significant(P<0.05).Conclusion:The encouraging postoperative nursing intervention of HCC patients can improve their sleep quality,enhance their social support sense,improve their emotional state,and reduce the incidence of postoperative complications.
作者
薛郑琼
邱志锋
张露
XUE Zhengqiong;QIU Zhifeng;ZHANG Lu(The Affiliated Cancer Hospital of Fujian Medical University/Fujian Provincial Cancer Hospital,Fuzhou 350014,China)
出处
《世界睡眠医学杂志》
2022年第12期2452-2455,共4页
World Journal of Sleep Medicine
关键词
肝癌
睡眠质量
社会支持
焦虑
抑郁
鼓励性护理
Liver cancer
Sleep quality
Social support
Anxiety
Depression
Encouraging care
