观察评判性护理干预对乳腺癌手术后患者疼痛和睡眠质量的影响

目的:观察评判性护理干预对乳腺癌手术后患者疼痛和睡眠质量的影响。方法:选取2019年1月至2020年5月蚌埠医学院第一附属医院肿瘤内科收治的乳腺癌手术患者126例作为研究对象,按照随机数字表法分为观察组和对照组,每组63例。对照组给予常规护理干预,观察组给予评判性护理干预。采用抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)比较2组患者干预前后抑郁、焦虑状态改善情况,采用匹兹堡睡眠指数量表(Pittsburgh Sleep Quality Index,PSQI)比较2组患者睡眠质量变化,同时观察2组患者并发症发生率、中度、重度疼痛患者所占比例。结果:干预后,观察组SAS评分、SDS评分显著低于对照组,观察组PSQI评分显著低于对照组,患者中度、重度疼痛比例降低,并发症发生率降低,观察组的干预效果优于对照组,2组比较差异有统计学意义(P<0.05)。结论:对乳腺癌患者手术后采用评判性护理,可有效缓解患者手术后疼痛程度,改善患者睡眠质量,降低患者焦虑及抑郁情绪,降低并发症发生风险,值得推广使用。

To Observe the Effect of Critical Nursing Intervention on Postoperative Pain and Sleep Quality to Breast Cancer Patients

Objective:To observe the effect of critical nursing intervention on postoperative pain and sleep quality of patients with breast cancer.Methods:A total of 126 breast cancer patients admitted to the Department of Oncology in the First Affiliated Hospital of Bengbu Medical College from January 2019 to May 2020 were selected as the research objects,and were divided into observation group and control group according to the random number table method,with 63 patients in each group.The control group was given routine nursing intervention and the observation group was given critical nursing intervention.Self-rating Depression Scale(SDS)and self-rating Anxiety Scale(SAS)were used to compare the improvement of depression and Anxiety between 2 groups before and after intervention.Pittsburgh Sleep Quality Index(PSQI)was used to compare the changes of sleep quality,and the incidence of complications and the proportion of moderate and severe pain between 2 groups were observed.Results:After intervention,SAS and SDS scores in the observation group were significantly lower than those in the control group,PSQI scores in the observation group were significantly lower than those in the control group,the proportion of patients with moderate and severe pain was reduced,and the incidence of complications was reduced.The effect of the observation group was better than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Critical nursing for breast cancer patients after surgery can effectively relieve postoperative pain,improve sleep quality,reduce anxiety and depression,and reduce the risk of complications,which is worthy of promoting.