现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
9期
1-3,4
,共4页
外科%住院患者%围手术期%睡眠质量
外科%住院患者%圍手術期%睡眠質量
외과%주원환자%위수술기%수면질량
department of surgery%inpatients%perioperative period%sleep quality
目的：探讨外科住院患者术前睡眠状况及其影响因素。方法采用匹兹堡睡眠质量指数（Pittsburgh sleep quality index，PSQI）量表及自行设计睡眠影响因素调查表和焦虑自评量表（self-rating anxiety scale，SAS）对在本院外科住院的手术前114例患者进行调查。了解其睡眠情况，与正常成人、外科住院患者、失眠症患者PSQI 得分比较，影响睡眠质量的相关因素及患者焦虑情况。结果术前患者睡眠质量不良发生率为72.81%，术前患者PSQI得分明显高于正常人，低于失眠症患者（均P＜0.01）；影响术前患者睡眠质量的主要因素依次为害怕手术、病痛不适、病房陌生感和担心预后4项，共占89.47%；睡眠不良患者焦虑发生率明显高于睡眠良好患者焦虑发生率（P＜0.01）。结论外科住院患者术前睡眠不良发生率较高，主要与患者害怕手术、病痛不适有关。应对外科术前患者进行针对性的心理与舒适干预，以改善患者的睡眠质量。
目的：探討外科住院患者術前睡眠狀況及其影響因素。方法採用匹玆堡睡眠質量指數（Pittsburgh sleep quality index，PSQI）量錶及自行設計睡眠影響因素調查錶和焦慮自評量錶（self-rating anxiety scale，SAS）對在本院外科住院的手術前114例患者進行調查。瞭解其睡眠情況，與正常成人、外科住院患者、失眠癥患者PSQI 得分比較，影響睡眠質量的相關因素及患者焦慮情況。結果術前患者睡眠質量不良髮生率為72.81%，術前患者PSQI得分明顯高于正常人，低于失眠癥患者（均P＜0.01）；影響術前患者睡眠質量的主要因素依次為害怕手術、病痛不適、病房陌生感和擔心預後4項，共佔89.47%；睡眠不良患者焦慮髮生率明顯高于睡眠良好患者焦慮髮生率（P＜0.01）。結論外科住院患者術前睡眠不良髮生率較高，主要與患者害怕手術、病痛不適有關。應對外科術前患者進行針對性的心理與舒適榦預，以改善患者的睡眠質量。
목적：탐토외과주원환자술전수면상황급기영향인소。방법채용필자보수면질량지수（Pittsburgh sleep quality index，PSQI）량표급자행설계수면영향인소조사표화초필자평량표（self-rating anxiety scale，SAS）대재본원외과주원적수술전114례환자진행조사。료해기수면정황，여정상성인、외과주원환자、실면증환자PSQI 득분비교，영향수면질량적상관인소급환자초필정황。결과술전환자수면질량불량발생솔위72.81%，술전환자PSQI득분명현고우정상인，저우실면증환자（균P＜0.01）；영향술전환자수면질량적주요인소의차위해파수술、병통불괄、병방맥생감화담심예후4항，공점89.47%；수면불량환자초필발생솔명현고우수면량호환자초필발생솔（P＜0.01）。결론외과주원환자술전수면불량발생솔교고，주요여환자해파수술、병통불괄유관。응대외과술전환자진행침대성적심리여서괄간예，이개선환자적수면질량。
Objective To evaluate the preoperative sleep quality of inpatients and analyze its influencing factors.Methods A self-designed questionnaire,Pittsburgh sleep quality index(PSQI)and self-rating anxiety scale(SAS)were used to investigate the sleep quality and anxiety of 114 inpatients before operation.The two groups were compared in terms of sleep quality and anxiety.The factors influencing the sleep quality were analyzed.Results Of the 114 preoperative inpatients,72.81%(83 cases)had poor sleep quality.The PSQI scores of preoperative inpatients were significantly higher than that in the healthy individuals,but significantly lower than that in the patients with insomnia(P<0.01).The main factors affecting the quality of sleep were fear of surgery,pain and discomfort,feeling strange with the ward settings,and worry about prognosis,totally causing 89.47%of the sleep disorders. Inpatients with poor sleep quality,37.3%was found suffering from anxiety.The rate was significantly higher than that of patients with good sleep quality(P<0.01).Conclusions The incidence of poor sleep quality is relatively high among the preoperative inpatients, mainly caused by fear of surgery,pain and discomfort.In order to improve the sleep quality,it is necessary to perform psychological and comfort intervention according to the sleep status of the patients.
