-激励式护理对围手术期士兵患者焦虑和睡眠状态的影响.docVIP

激励式护理对围手术期士兵患者焦虑和睡眠状态的影响 陈红1 张秀娟 2 贾海波3 解放军264医院 山西省 太原市 030001 摘要 目的 探讨激励式护理对士兵伤病员围手术期焦虑及睡眠的影响。方法101例士兵患者随机分为实验组和对照组，实验组给予围手术期持续性、激励性护理干预，对照组进行常规护理。分别于入院当天及出院前一天采用焦虑自评量表（SAS）和Athens失眠量表进行焦虑和失眠评分。结果 两组患者焦虑及睡眠情况均有不同程度改善，实验组焦虑及失眠状况下降明显，与对照组比较，差异p＜0.01有统计学意义。结论 激励式护理可有效改善围手术期战士伤病员的焦虑和睡眠 关键词 激励式护理 围手术期 军事人员 焦虑 失眠 Influence of inspiring nursing on the anxiety and sleep quality in the perioperative soldiers/ CHEN Hong1, ZHANG Xiu- juan 2,JIA Hai- bo3 // Journal of Nursing Administration, 1.Quality Management Department;2.Anesthesiology;3.General Surgery,The PLA 264 Hospital , Taiyuan , 030001,China Abstract: Objective To explore the effect of inspiring nursing in the perioperative soldiers on the anxiety and sleep quality. Methods Totally, 101 perioperative soldiers were randomly divided into an observation group n 51 and a control group n 50 .The control group were taken care of routine nursing .Nurses in the observation group additionally implemented continuous inspiring nursing in the perioperative. The level of anxiety and insomnia the two groups was measured by using Self-rating Anxiety Scale SAS and Self-rating Athens on admission day and the day before discharge. Results There are no difference between two groups before the intervention. After the intervention, the scores of SAS and Athens in the observation group were significantly lower than those in the control group p 0.01 for both .Conclusion The inspiring nursing can effectively reduce the level of anxiety and insomnia in the perioperative soldiers. Key words inspiring nursing; perioperative; military personnel; anxiety; insomnia 战士长期处在封闭、严肃、紧张有序的军营环境中，一旦罹患疾病，失去常态的生活秩序，进入医院这个特殊环境必然感到盲然无措，严肃的纪律要求又使他们远离亲朋好友，信息采集受到制约，以及病痛的折磨等因素都会对战士伤病员身心产生强烈的负性刺激，引发焦虑、抑郁、失眠等精神症状，从而对治疗的依从性和治疗效果产生影响。适当的心理干预可增强患者信心，减轻患者紧张、焦虑的情绪[1]，本文对围手术期战士患者进行持续激励式护理，观察其焦虑状态及睡眠状况的改变，得出有益的结论。现报告如下： 1 临床资料 选择2009~2011年我院普通外科手术治疗战士101例，其中阑尾炎70例，疝气31例，均为男性，年龄17—23平均（19.8±1.6）岁，随机数字法分为实验组51例和对照组50例，其一般资料（年龄、体重、文化程度、麻醉方式）经统计学分析均P＞