摘要
目的:探究睡眠干预联合疼痛管理对老年髋部骨折术后睡眠质量及疼痛程度的影响。方法:选取2024年1月至2025年2月泉州市第一医院收治的髋部骨折老年患者110例作为研究对象,按照随机数字表法分为对照组和观察组,每组55例,对照组给予常规护理干预,观察组给予睡眠干预联合疼痛管理。干预前后,采用匹兹堡睡眠质量指数(PSQI)比较2组患者的睡眠质量,采用心理弹性量表(CD-RISC)比较2组患者干预前后心理弹性能力,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁状态的改善效果,采用视觉模拟评分法(VAS)比较2组患者的疼痛感受。结果:干预后,观察组PSQI评分、SAS评分、SDS评分均显著低于对照组,观察组心理弹性CD-RISC评分显著高于对照组,观察组VAS评分显著低于对照组,差异均有统计学意义(均P<0.05)。结论:睡眠干预联合疼痛管理措施可提高老年髋部骨折术患者睡眠质量,增强心理弹性,改善焦虑、抑郁状态,并有效降低术后疼痛程度,值得临床推广应用。
Objective:To explore the effect of sleep intervention combined with pain management on sleep quality and pain intensity in elderly patients with hip fractures after surgery.Methods:A total of 110 elderly patients with hip fractures admitted to Quanzhou First Hospital from January 2024 to February 2025 were selected as the research subjects.They were randomly divided into a control group and an observation group by random number table,with 55 patients in each group.The control group received routine nursing intervention,while the observation group received sleep intervention combined with pain management.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the sleep quality of patients in the two groups before and after the intervention and the CD-RISC was used to compare the psychological resilience before and after intervention.The Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)were used to compare the changes in anxiety and depression of the two groups,and the Visual Analog Scale(VAS)was used to compare the pain intensity of patients in the two groups.Results:The PSQI score,SAS score,and SDS score of the observation group after the intervention,were significantly lower than those of the control group;the CD-RISC score for psychological resilience in the observation group was significantly higher than that of the control group;and the VAS score in the observation group was significantly lower than that of the control group.The differences between the two groups were statistically significant(P<0.05).Conclusion:Sleep intervention combined with pain management can improve the sleep quality,enhance psychological resilience,relieve anxiety and depression in elderly patients undergoing hip fracture surgery,and effectively reduce postoperative pain intensity.It is worthy of clinical promotion and application.
作者
曾全婷
颜荣耀
ZENG Quanting;YAN Rongrong(Quanzhou First Hospital,Fujian Province,Quanzhou 362000,China)
出处
《世界睡眠医学杂志》
2025年第4期836-839,共4页
World Journal of Sleep Medicine
关键词
睡眠干预
疼痛管理
髋部骨折
睡眠质量
疼痛程度
心理状态
心理弹性
焦虑
抑郁
Sleep intervention
Pain management
Hip fracture
Sleep quality
Pain intensity
Psychological state
Psychological resilience
Anxiety
Depression
