目的 探讨个体化护理干预措施对肝内胆管结石患者围手术期负性情绪及睡眠质量的影响.方法 对肝内胆管结石手术患者89例实施个体化护理干预,观察护理干预前后患者焦虑、抑郁状态和睡眠质量的改善情况.结果 剔除无效问卷1份,有效问卷为88份,有效率为98.88％.干预前患者焦虑自评量表(SAS)和抑郁自评量表(SDS)得分分别为(38.16 ±5.13),(39.89±7.41)分,干预后分别为(30.02±5.31),(30.87±6.32)分,差异有统计学意义(t值分别为4.393,6.679;P ＜0.05).干预前、后患者的睡眠总质量评分分别为(39.86±11.32),(69.32±12.31)分,干预前后比较差异有统计学意义(t=4.654,P＜0.05).结论 对肝内胆管结石手术患者实施个体化护理干预措施能明显改善患者的睡眠质量,有效缓解患者的焦虑和紧张情绪,为手术的顺利进行和成功创造条件。
Objective To explore the effect of individualized nursing interventions on the negative mood and sleep quality of peri-operation patients with hepatolithiasis.Methods Totals of 88 cases with hepatolithiasis were given individualized nursing intervention.Before and after nursing intervention,anxiety and depression scores,sleep quality of patients were observed and compared.Results SAS and SDS scores of the patients,before intervention,respectively were (38.16 ± 5.13) and (39.89 ± 7.41),while after the intervention,that respectively were (30.02 ±5.31) and (30.87 ±6.32),and the differences were statistically significant (t =4.393,6.679 ; P ＜ 0.05).After the intervention,the sleep quality score of patients was significantly higher than that before intervention [(69.32 ± 12.31) vs (39.86 ± 11.32) ; t =4.654,P ＜0.05].Conclusions The implementation of individualized nursing intervention for the patients with hepatolithiasis can significantly improve their sleep quality of patients,relieve their anxiety and tension,and create conditions for the operation carried out smoothly and successfully.
徐庆,李跃荣. 个体化护理干预对肝内胆管结石手术患者负性情绪及睡眠质量的影响 : [J]. 中华现代护理杂志,2013,19(05)：509-511.
DOI:10.3760/cma.j.issn.1674-2907.2013.05.004
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