行为导向健康教育联合疼痛个案管理对食管癌根治术患者术后疼痛及睡眠质量的影响

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Effects of Behavior-oriented Health Education Combined with Pain Case Management on Postoperative Pain and Sleep Quality in Patients Undergoing Radical Resection for Esophageal Cancer

LIN Huiyan，YI Yunfeng，LI Xiuhua，LYU Xiuxiang，LI Rui （Department of Cardiothoracic Surgery，No. 9O9 Hospital/Southeast Hospital Affiliated to Xiamen University，Zhangzhou 36300O，China）

AbstractObjective：Toexplore theapplicationvalueof paincase managementcombined with behavior-orientedhealth education inpatientsundergoingradicalresection foresophagealcancer（EC）.Methods：Atotalof1OOpatientswithECadmitedto No.909 Hospitalof the ChinesePeople'sLiberationArmyJointLogistics SupportForcefrom March2022 toApril2O25were selectedas thestudysubjects.They wererandomlydividedintoacontrolgroupandanobservation groupusing arandom number table method，with5Ocasesineach group.Thecontrol groupreceivedbehavior-oriented healtheducation，whiletheobservation groupreceived aditional paincase management on this basis.The Pitsburgh Slee Quality Index（PSQI）wasused to compare changes in sleepqualitybefore andafter intervention.The Visual Analogue Scale（VAS）was used to assesspain improvement.A healthknowledgeassessmentquestionnairewasappiedtoevaluatepatients’masteryof health knowledge，andtheincidenceof complicationswascomparedbetweenthetwogroups.Results：Beforeintervention，therewerenostatisticallysignificantdiferences between the two groups in health knowledge mastery scores ，VAS scores，or PSQI scores（ P>0.05 ）.After intervention，the observationgroup hadsignificantlyhigher health knowledge masterysores thanthecontrolgroup，whileVASscoresandPSQIscores weresignificantlylowerthanthoseofthecontrol group.Theincidenceofcomplicationsintheobservationgroupwassignificantly lower than that in the control group，and the diferences between the two groups were statistically significant（ P<0.05 ） . Conclusion：Paincasemanagementcombinedwithbehavior-orientedhealtheducationappliedtoradicalresectionforECcanffectively relieve postoperative pain，improvesleepqualityand health knowledge mastery，andreduce the incidence ofcomplications.

KeywordsEsophageal cancer;Surgical treatment；Paincase management；Behavior-oriented healtheducation；Sleepquality; Pain；Health knowledge mastery；Complications

中图分类号：R735.1；R338.63 文献标识码：A doi：10.3969/j.issn. 2095 -7130.2025.12.033

食管癌（Esophageal Cancer，EC）属于消化系统 的改变，EC 的发生率逐年上升[1]。（剩余6872字）