摘要
目的:探讨NBAS-APS干预模式对围术期三叉神经痛患者睡眠及抑郁情绪的影响。方法:选取100例拟行射频热凝术治疗三叉神经痛的患者为研究对象,根据护理方式不同分为研究组及对照组,每组各50例。对照组采用常规护理干预;研究组在对照组基础上采用NBAS-APS护理干预。比较两组患者入院时及术后护理2 d、6 d、出院后1周疼痛程度[视觉模拟评分法(VAS)评分]、抑郁程度[抑郁程度仲氏焦虑自评量表(SAS)评分及抑郁自评量表(SDS)评分]、睡眠质量[匹茨堡睡眠质量指数量表(PSQI)评分]、不良反应发生情况及护理满意度。结果:术后护理2 d及6 d,两组患者VAS评分均降低,且研究组低于对照组(P<0.05);出院后1周,两组患者VAS分级比较,差异有统计学意义(P<0.05)。术后护理2 d及6 d,两组患者SAS、SDS及PSQI评分均降低,且研究组低于对照组(P<0.05)。两组患者术后并发症发生率比较,差异无统计学意义(P>0.05)。观察组术后护理满意率高于对照组(P<0.05)。结论:NBAS-APS干预模式对改善三叉神经痛患者围术期睡眠质量及抑郁情绪有显著的促进作用,可提高护理满意度,值得临床推广。
Objective:To explore the effect of NBAS-APS intervention mode on sleep and depression of patients with trigeminal neuralgia during perioperative period.Methods:A total of 100 patients who were planned to undergo radiofrequency thermocoagulation for the treatment of trigeminal neuralgia were selected as the research objects.According to different nursing methods,they were divided into study group and control group,with 50 cases in each group.The control group used routine nursing intervention,and the study group used NBAS-APS nursing intervention on the basis of the control group.The Visual analogue scale(VAS)score,Chung’s Self-Rating Anxiety Scale(SAS),and Self-Rating Depression Scale(SDS),pittsburgh Sleep Quality Index(PSQI),occurrence of adverse reactions and nursing satisfaction evaluation were compared between the two groups at admission,2 and 6 d after operation and 1 w after discharge.Results:After 2 and 6 d of postoperative nursing,the VAS score of the two groups decreased,and the VAS score of the study group was lower than that of the control group(P<0.05).1 week after discharge,there was significant difference in VAS grade between the two groups(P<0.05).After 2 and 6 d of postoperative nursing,the scores of SAS,SDS and PSQI decreased in both groups,and the study group was lower than the control group(P<0.05).There was no significant difference in the incidence of postoperative complications between the two groups(P>0.05).The postoperative care satisfaction rate of the study group was higher than that of the control group(P<0.05).Conclusion:The NBAS-APS intervention model can significantly improve the sleep quality and depression of patients with trigeminal neuralgia during the perioperative period,improve nursing satisfaction,and is suitable for clinical promotion.
作者
杨晓雅
董朝军
柯磊
郭春平
YANG Xiao-ya;DONG Chao-jun;KE Lei;GUO Chun-ping(Department of Pain,Cangzhou People s Hospital,Cangzhou 061000,Hebei,China)
出处
《川北医学院学报》
CAS
2022年第3期391-394,共4页
Journal of North Sichuan Medical College
基金
河北省沧州市重点研发计划指导项目(183302036)。
