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医学临床研究  2025, Vol. 42 Issue (5): 841-843    DOI: 10.3969/j.issn.1671-7171.2025.05.030
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多学科团队协作模式的疼痛干预措施对腹腔镜下胃肠道手术患者睡眠质量的影响
逵云潜, 王进兴, 王燕
南阳市第二人民医院胃肠外科,河南 南阳 473000
The Influence of Pain Intervention Measures in the Multidisciplinary Team Collaboration Model on the Sleep Quality of Patients after Laparoscopic Gastrointestinal Surgery
KUI Yunqian, WANG Jinxing, WANG Yan
Department of Gastrointestinal Surgery, No.2 People's Hospital of Nanyang, Nanyang Henan 473000
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摘要 【目的】探讨多学科团队协作模式的疼痛干预措施对腹腔镜下胃肠道手术患者睡眠质量的影响。【方法】选择2021年3月至2024年3月本院收治的96例腹腔镜下胃肠道手术的患者,采用随机数字表法将患者分为观察组(接受多学科团队协作模式的疼痛干预措施)和对照组(接受常规的术后护理),每组48例。比较两组患者手术指标(术后下床活动时间、住院时间、术后排气时间、肠鸣音恢复时间及首次排便时间)、疼痛程度[视觉模拟评分法(VAS)评分]、抑郁自评量表(SDS)评分、焦虑自评量表(SAS)评分、匹兹堡睡眠质量指数(PSQI)评分。【结果】术后12 h、术后24 h及出院时,观察组VAS评分均低于对照组,差异有统计学意义(P<0.05)。观察组下床活动时间、住院时间、术后排气时间、肠鸣音恢复时间及首次排便时间均短于对照组,差异有统计学意义(P<0.05)。出院时、干预1个月,观察组PSQI评分均低于对照组,差异有统计学意义(P<0.05)。出院时,两组SAS评分、SDS评分低于术前,且观察组低于对照组,差异有统计学意义(P<0.05)。【结论】多学科团队协作模式的疼痛干预措施能够减轻腹腔镜下胃肠术后患者疼痛程度,改善患者术后睡眠质量,加快患者康复进程。
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逵云潜
王进兴
王燕
关键词 腹腔镜检查疼痛,手术后睡眠疼痛管理    
Abstract:【Objective】To explore the effect of pain intervention measures based on the multidisciplinary team collaboration model on the sleep quality of patients after laparoscopic gastrointestinal surgery. 【Methods】 A total of 96 patients who underwent laparoscopic gastrointestinal surgery in our hospital from March 2021 to March 2024 were selected. The patients were divided into the observation group (with pain intervention measures based on the multidisciplinary team collaboration model) and the control group (receiving conventional postoperative care) by the random number table method, with 48 cases in each group. The surgical indicators (postoperative ambulation time, hospital stay, postoperative exhaust, recovery of bowel sounds and the time of first defecation), pain degree [Visual Analogue Scale (VAS) score], Self-Rating Depression Scale (SDS) score, Self-Rating Anxiety Scale (SAS) score and Pittsburgh Sleep Quality Index (PSQI) score of the two groups of patients were compared. 【Results】At 12 hours after the operation, 24 hours after the operation and at discharge, the VAS scores of the observation group were all lower than those of the control group, and the difference was statistically significant (P<0.05). The time of getting out of bed for activities, hospital stay, postoperative exhaust, recovery of bowel sounds and the time of the first defecation in the observation group were all shorter than those in the control group, and the differences were statistically significant (P<0.05). At discharge and one month after the intervention, the PSQI scores of the observation group were lower than those of the control group, and the difference was statistically significant (P<0.05). At discharge, the SAS scores and SDS scores of both groups were lower than those before the operation, and those of the observation group were lower than those of the control group,the difference was statistically significant (P<0.05). 【Conclusion】The pain intervention measures of the multidisciplinary team collaboration model can reduce the pain degree of patients after laparoscopic gastrointestinal surgery, improve the postoperative sleep quality of patients, and accelerate the recovery process of patients.
Key wordsLaparoscopy    Pain, Postoperative    Sleep    Pain Management
收稿日期: 2024-11-15     
中图分类号:  R656  
引用本文:   
逵云潜, 王进兴, 王燕. 多学科团队协作模式的疼痛干预措施对腹腔镜下胃肠道手术患者睡眠质量的影响[J]. 医学临床研究, 2025, 42(5): 841-843.
KUI Yunqian, WANG Jinxing, WANG Yan. The Influence of Pain Intervention Measures in the Multidisciplinary Team Collaboration Model on the Sleep Quality of Patients after Laparoscopic Gastrointestinal Surgery. JOURNAL OF CLINICAL RESEARCH, 2025, 42(5): 841-843.
链接本文:  
http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.05.030     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I5/841
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