加速康复肝胆外科患者围术期睡眠状况的监测研究

目的 了解加速康复肝胆外科患者围术期的睡眠状况,为进一步制定睡眠管理策略提供理论依据。方法 选取肝胆外科实施加速康复手术治疗的患者200例为研究对象,采用睡眠监测手环对围术期患者的睡眠状况进行动态监测。结果 加速康复肝胆外科患者围术期睡眠不足发生率达73%。胰腺手术患者围术期睡眠状况最差。开腹手术围术期睡眠时长低于腔镜手术患者(P＜0.05)。四级手术患者围术期睡眠时长低于三级手术者(P＜0.05)。结论 加速康复肝胆外科患者围术期睡眠问题不容乐观。不同手术类型、不同手术方式、不同手术分级的患者围术期睡眠状况存在差异。医护人员应高度重视围术期患者的睡眠状况,进一步探讨睡眠问题的影响因素,并采取积极有效的护理干预措施。

Monitoring of perioperative sleep status of patients undergoing hepatobiliary surgery for accelerated rehabilitation

Objective To understand the perioperative sleep status of patients undergoing accelerated rehabilitation hepatobiliary surgery, and provide theoretical basis for the further development of sleep management strategies. Methods Two Hundred cases of patients undergoing accelerated rehabilitation surgery were selected as the study subjects. Sleep monitoring bracelet was used to dynamically monitor the sleep status of perioperative patients. Results The incidence of perioperative sleep insufficiency in patients with accelerated hepatobiliary surgery reached up to 73%. Perioperative sleep of patients with pancreatic surgery was the worst. Perioperative sleep duration of open surgery was lower than that of laparoscopic surgery (P<0.05). The perioperative sleep duration of patients undergoing grade Ⅳ surgery was lower than that of patients undergoing grade Ⅲ surgery (P<0.05). Conclusion The perioperative sleep problem of patients in hepatobiliary surgery was not optimistic. There were differences in perioperative sleep status among patients with different operation types, surgical methods and surgical grades. Medical staff should pay great importance to the sleep status of perioperative patients, further explore the influencing factors of sleep problems, and take active and effective nursing intervention measures.