摘要
目的:探讨在急性痛风性关节炎患者干预中,实施授权理论模式下的活动性疼痛评估对患者睡眠质量的影响。方法:选取2024年1—12月贵州医科大学附属医院收治的急性痛风性关节炎患者60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30例。对照组给予基于NRS评估下疼痛护理,观察组给予基于FAS结合NRS评分疼痛护理干预。采用匹兹堡睡眠质量指数(PSQI)比较2组患者睡眠质量的差异,采用数字分级评分法(NRS)比较2组患者干预前后疼痛的改善效果,采用FAS疼痛评级(FAS)比较2组患者的疼痛改善效果,并比较2组患者睡眠时长的变化。结果:入院1 d、3 d后,观察组患者NRS疼痛评分、FAS疼痛评级均显著低于对照组,差异有统计学意义(P<0.05);入院1 d、3 d后,观察组PSQI睡眠质量评分显著低于对照组,差异有统计学意义(P<0.05);入院1 d、3 d后,观察组睡眠时长均显著高于对照组,差异有统计学意义(P<0.05)。结论:授权理论模式下的活动性疼痛评估可提升对疼痛的管控效果,促使患者睡眠质量得到改善,值得推广。
Objective:To explore the impact of activity pain assessment under the authorization theory model on sleep quality in patients with acute gouty arthritis.Methods:A total of 60 patients with acute gouty arthritis admitted to the Affiliated Hospital of Guizhou Medical University from January to December 2024 were selected and were randomly divided into a control group and an observation group using a random number table method,with 30 patients in each group.The control group received pain care based on the Numerical Rating Scale(NRS)assessment,while the observation group received pain care intervention based on the Functional Activity Scale(FAS)combined with NRS score.The Pittsburgh Sleep Quality Index(PSQI)was used to compare the differences in sleep quality between two groups.The Numerical Rating Scale(NRS)was used to compare the pain improvement effect before and after intervention between the two groups.The FAS(FAS)was used to compare the pain improvement effects between the two groups,and changes in sleep duration were compared.Results:After admission for 1 and 3 days,the NRS pain score and FAS pain ratings of the observation group were significantly lower than those of the control group,and the differences between the two groups were statistically significant(P<0.05).After admission for 1 day and 3 days,the PSQI sleep volume score of the observation group was significantly lower than that of the control group,and the difference between the two groups was statistically significant(P<0.05).After admission for 1 day and 3 days,the sleep duration of the observation group was significantly longer than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion:Activity pain assessment under the authorization theory model can improve the effectiveness of pain management and promote the improvement of patients′sleep quality,which is worthy of promotion.
作者
王秀萍
杨仕容
苏梅
陈兰
莫朝英
汤兴莉
张华军
WANG Xiuping;YANG Shirong;SU Mei;CHEN Lan;MO Chaoying;TANG Xingli;ZHANG Huajun(Emergency Department,Affiliated Hospital of Guizhou Medical University,Guiyang 550001,China;School of Nursing,Guizhou Medical University,Guiyang 550001,China)
出处
《世界睡眠医学杂志》
2025年第7期1587-1590,共4页
World Journal of Sleep Medicine
基金
贵州医科大学护理学科专项项目(YJ21061)。
