个性化睡眠诱导方案对择期手术患者围手术期睡眠质量的效应研究
打开文本图片集
Effects of an Individualized Sleep Induction Program on Perioperative Sleep Quality in Patients Undergoing Elective Surgery
MU Xiujie，LU Zheng
（Fuzhou First General Hospital of Fujian Province，Fuzhou 35OoO9，China）
AbstractObjective：Toexploretheclinical efectsofanindividualizedsleepinduction programinpatientsundergoing elective surgery.Methods：Atotalof8OpatientswhounderwentelectivesurgeryatFuzhouFirstGeneral HospitalfromJanuary2024to December 2O24 were selectedas the studysubjects.Theywererandomlydivided intoacontrol groupandan observation group using arandom number table method，with 4Ocases ineach group.Thecontrol groupreceivedroutinenursingcare，whiletheobservationgroupreceivedanindividualizedsleepinductionprogram.Thedegreofinsomnia，sleequalityandrehabilitatioprogess beforeand aftersurgerywerecompared betweenthetwo groups.Results：On postoperativeday3，assessmentusing theInsomnia SeverityIndex（ISI）showedthatthedegreeofinsomniaintheobservationgroup wasmilderthanthatin thecontrol group，andthe difference was statistically significant（ P<0.05 ）. The seven dimension scores of the Pittsburgh Sleep Quality Index（PSQI） in the observation group were allower than those in the control group，with statistically significant differences（ P<0.05 ）. The first ambulationtime，woundsutureremoval time，andlengthofhospital stayintheoservationgroup were shorterthanthoseinthecontrol group，and the differences were statistically significant（ P<0.05 ）. Conclusion： For patients undergoing elective surgery，the individualizedsleepinductionprogramhaspositiveefectsinreducinginsomiaseveritymprovingslpualityandoteing the rehabilitation process.
KeywordsElective surgery；Perioperative period；Individualizedslep induction program；Insomnia severity；Sleepquality; Rehabilitation process ；Ambulation time； Length of hospital stay
中图分类号：R473.6 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.12.047
择期手术患者因对手术效果担忧、术后疼痛刺激、陌生环境适应困难等因素，易出现围手术期睡眠障碍，若不给予有效的护理干预，会抑制机体免疫功能，延缓伤口愈合，延长康复进程，还可能加重焦虑情绪，形成“睡眠差-康复慢”的恶性循环[1-2]。（剩余5296字）