规范化护理对食管癌术后患者负性情绪、疼痛和睡眠质量的影响OACSTPCD
Nursing factors analysis of curative effect in patients with esophageal cancer
目的 分析规范化护理对食管癌术后患者负性情绪、疼痛和睡眠质量的影响.方法 选取2018年1月1日-2021年12月31日在空军军医大学第二附属医院就诊且进行食管癌根治术的157例食管癌患者为研究对象,采用随机数字表法分为研究组(79例)和对照组(78例).对照组患者接受常规护理干预,研究组患者在常规护理基础上接受规范化护理干预.比较2组患者干预前后的负性情绪评分、疼痛评分及睡眠质量评分.采用多因素非条件Logistic回归模型分析食管癌患者术后生活质量的影响因素.结果 经有效的规范化护理干预后,2组患者的负性情绪评分、疼痛评分以及睡眠质量评分均低于干预前,且研究组低于对照组,差异均有统计学意义(P<0.001).多因素Logistic回归分析结果显示,城市居住(OR=1.873,95%CI:1.637~1.994)、年龄<50 岁(OR=1.586,95%CI:0.397~0.605)、有医疗保险(OR=1.752,95%CI:1.702~1.928)是影响食管癌患者术后生活质量的保护因素,疼痛程度中重度(OR=0.493,95%CI:0.395~0.696)、焦虑程度轻中重度(OR=0.482,95%CI:0.206~0.596)是影响食管癌患者术后生活质量的危险因素.结论 对接受食管癌根治术后的患者实行规范化护理,可有效缓解患者的负性情绪和疼痛,改善患者的睡眠质量,提高患者的生存质量.
Objective To analyze the impact of standardized nursing on negative emotions,pain,and sleep quality in patients after e-sophageal cancer surgery.Methods A total of 157 patients with esophageal cancer who underwent radical surgery for esophageal canc-er at the Second Affiliated Hospital of the Air Force Medical University from January 1,2018,to December 31,2021,were selected as the study participants.They were randomly assigned to a study group and a control group using a random number table.The con-trol group received routine nursing intervention,while the study group received standardized nursing intervention on the basis of rou-tine nursing.The negative emotion scores,pain scores,and sleep quality scores before and after intervention were compared between the two groups.A multifactorial unconditional logistic regression model was adopted to analyze the influencing factors of postoperative quality of life in patients with esophageal cancer.Results After effective standardized nursing intervention,the negative emotion scores,pain scores,and sleep quality scores of both groups were lower than before intervention,and the study group was lower than the control group,with statistically significant differences(P<0.001).The results of the multifactorial logistic regression analysis showed that urban patients(OR=1.873,95%CI:1.637-1.994),age(OR=1.586,95%CI:0.397-0.605),and medical insur-ance(OR=1.752,95%CI:1.702-1.928)were protective factors of the postoperative quality of life in patients with esophageal cancer,while pain intensity(OR=0.493,95%CI:0.395-0.696)and anxiety level(OR=0.482,95%CI:0.206-0.596)were risk factors of the postoperative quality of life in patients with esophageal cancer.Conclusion Implementing standardized nursing for patients after esophageal cancer surgery can effectively alleviate negative emotions and pain,promote sleep quality,and raise the quali-ty of life for patients.
王小桐;吴昊;丁怡琼
空军军医大学第二附属医院中医科,西安 713800空军军医大学第二附属医院中医科,西安 713800空军军医大学第二附属医院中医科,西安 713800
临床医学
食管癌负性情绪疼痛睡眠质量规范化护理Logistic
Esophageal cancerNegative emotionsPainSleep qualityStandardized careLogistic regression analysis
《保健医学研究与实践》 2023 (z2)
146-149,4
国家自然科学基金青年科学基金项目(81703924).
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