全身麻醉手术后患者睡眠障碍原因与护理及对体位不适影响分析

康荣丝 张海浩

摘要目的：分析全身麻醉手术后患者采取体位护理对睡眠障碍的影响。方法：选取2017年1月至2018年12月厦门大学附属中山医院收治的经全身麻醉手术后患者100例作为研究对象，随机分为对照组和观察组，每组50例。术后对照组实施常规护理，观察组则在对照组的基础上进行体位护理。比较2组患者的疼痛程度、睡眠指数和睡眠障碍发生率。结果：护理后，观察组VAS评分、SAS评分、SDS评分、PSQI评分及睡眠障碍发生率均较对照组有明显降低（P<005）。结论：全身麻醉手術后患者发生睡眠障碍的主要原因是体位不适，经过有效的体位护理后，患者的疼痛程度、负面情绪情况均得到了较大的缓解，从而明显改善了患者的睡眠质量。

关键词全身麻醉;睡眠障碍;体位不适

Analysis of the Causes and Nursing of Sleep Disorders of Patients after General Anesthesia Operation and the Influence on Their Position Discomfort

KANG Rongsi1，ZHANG Haihao2

（1 Zhongshan Hospital Affiliated to Xiamen University，Xiamen 361002，China; 2 First Affiliated Hospital of Xiamen University，Xiamen 361003，China）

AbstractObjective：To analyze the influence of position nursing on sleep disorder after general anesthesia operationMethods：From January 2017 to December 2018，100 patients in our hospital after general anesthesia operation were included in the scope of this study，and randomly divided into control group and observation group，50 patients in each groupAfter operation，the control group was given routine nursing，while the observation group was given body position nursing on the basis of the control groupThe degree of pain，sleep index and the incidence of sleep disorders were compared between the two groupsResults：After nursing，the VAS score，SAS score，SDS score，PSQI score and the incidence of sleep disorders in the observation group were significantly lower than those in the control group（P<005）Conclusion：The main cause of sleep disorder in patients after general anesthesia operation is position discomfortAfter effective position nursing，the degree of pain and negative emotions of patients have been greatly relieved，so as to significantly improve the sleep quality of patients.

KeywordsGeneral anesthesia;Sleep disorders;Position discomfort

中图分类号：R6142;R33863文献标识码：Adoi：10.3969/j.issn.2095-7130.2020.06.052

手术是一种临床治疗患者疾病的主要方式。术后并发症的预防和治疗具有重要作用。体位是患者获得休息的姿势，舒适的体位能降低患者的疼痛程度，使患者焦虑、抑郁的情绪有所缓解，从而提高患者的睡眠质量。本文研究的结果报道如下。

1资料与方法

11一般资料选取2017年1月至2018年12月厦门大学附属中山医院收治的经全身麻醉手术后患者100例作为研究对象，随机分为对照组和观察组，每组50例。对照组中男31例，女19例;年龄28～76岁，平均年龄（551±53）岁;按照手术类型分为普通外科手术16例，骨外科手术14例，泌尿外科手术11例，妇科手术9例。观察组中男30例，女20例;年龄27～77岁，平均年龄（552±55）岁;按照手术类型分为普通外科手术15例，骨外科手术13例，泌尿外科手术12例，妇科手术10例。2组患者一般资料比较，差异无统计学意义（P>005），具有可比性。

12纳入标准1）全身麻醉手术后;2）生命体征稳定;3）经伦理委员会批准，患者和家属了解本次研究内容，并签署知情同意书。