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耳穴揿针改善胃癌术后患者睡眠质量的效果观察
引用本文:蔡建利,周勤学,李思娇,毛芳群,谢晶军,沈丽娟.耳穴揿针改善胃癌术后患者睡眠质量的效果观察[J].中华现代护理杂志,2021(10):1345-1349.
作者姓名:蔡建利  周勤学  李思娇  毛芳群  谢晶军  沈丽娟
作者单位:浙江省湖州市第一人民医院胃肠外科;浙江省湖州市第一人民医院重症监护室;湖州师范学院医学院;浙江省湖州市第一人民医院中医科;浙江省湖州市第一人民医院护理部
基金项目:湖州市科技计划项目(2017GY45)。
摘    要:目的观察耳穴揿针在改善胃癌术后患者睡眠质量中的效果。方法采用便利抽样法,选择浙江省湖州市第一人民医院2017年10月—2019年3月行胃癌根治术的80例患者,采用随机数字表法分为观察组和对照组,各40例。对照组采取常规护理措施,观察组在此基础上予耳穴揿针。采用睡眠监测手环监测两组患者的睡眠质量。在研究过程中,观察组中2例患者发生手术并发症,最终35例完成实验;对照组中2例患者发生手术并发症,共33例完成实验。结果从干预第6天(即术后第4天)开始,观察组患者的睡眠时长长于对照组,差异有统计学意义(P<0.05),组别效应、时间效应和交互效应有统计学意义(P<0.05)。从干预第6天(即术后第4天)开始,观察组患者的深睡眠比例高于对照组,差异有统计学意义(P<0.05),组别效应、时间效应和交互效应有统计学意义(P<0.05)。结论耳穴揿针能有效改善胃癌术后患者的睡眠质量。

关 键 词:胃肿瘤  胃切除术  迷走神经  睡眠障碍  耳穴  揿针

Effect of auricular point press needle on improving sleep quality of postoperative patients with gastric cancer
Cai Jianli,Zhou Qinxue,Li Sijiao,Mao Fangqun,Xie Jingjun,Shen Lijuan.Effect of auricular point press needle on improving sleep quality of postoperative patients with gastric cancer[J].Chinese Journal of Modern Nursing,2021(10):1345-1349.
Authors:Cai Jianli  Zhou Qinxue  Li Sijiao  Mao Fangqun  Xie Jingjun  Shen Lijuan
Institution:(Department of Gastrointestinal Surgery,the First People's Hospital of Huzhou,Zhejiang,Huzhou 313000,China;ICU,the First People's Hospital of Huzhou,Zhejiang,Huzhou 313000,China;Medical School,Huzhou University,Zhejiang,Huzhou 313000,China;Department of Traditional Chinese Medicine,the First People's Hospital of Huzhou,Zhejiang,Huzhou 313000,China;Nursing Department,the First People's Hospital of Huzhou,Zhejiang,Huzhou 313000,China)
Abstract:Objective To observe the effect of auricular point press needle on sleep quality of patients with gastric cancer after operation.Methods From October 2017 to March 2019,a total of 80 patients underwent radical gastrectomy for gastric cancer in the First People's Hospital of Huzhou,Zhejiang Province were selected by using convenience sampling method,and divided into observation group and control group by random number table method,with 40 cases in each group.The control group received routine nursing,while the observation group received auricular point press needle on the basis of routine nursing.Sleep quality was monitored in both groups using sleep monitoring bracelets.In the course of the study,2 patients in the observation group had surgical complications,and finally 35 patients completed the experiment;2 patients in the control group had surgical complications,and a total of 33 patients completed the experiment.Results From the 6th day of intervention(the 4th day after operation),the sleep duration of the observation group was longer than that of the control group,and the difference was statistically significant(P<0.05),the group effect,time effect and interaction effect were statistically significant(P<0.05).From the 6th day of intervention(the 4th day after operation),the proportion of deep sleep of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05),the group effect,time effect and interaction effect were statistically significant(P<0.05).Conclusions Auricular point press needle can effectively improve the sleep quality of patients with gastric cancer after operation.
Keywords:Stomach neoplasms  Gastrectomy  Vagus nerve  Sleep disorders  Auricular points  Press needle
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