Influence of whole course pain nursing on anxiety and sleep quality of patients having undergone knee replacement
10.3760/cma.j.issn.1674-2907.2017.33.020
- VernacularTitle:全程疼痛护理对膝关节置换术患者焦虑及睡眠质量的影响
- Author:
Xinyu ZHU
1
;
Changxia XU
Author Information
1. 江苏省中医院手术室
- Keywords:
Arthroplasty;
replacement;
knee;
Anxiety;
Sleep;
Pain nursing
- From:
Chinese Journal of Modern Nursing
2017;23(33):4274-4277
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the influence of whole course pain nursing on anxiety and sleep quality of patients having undergone knee replacement. Methods A total of 86 patients having undergone total knee replacement in Jiangsu Province Hospital of TCM from January 2015 to December 2016 were selected as subjects. According to their order of admission, 43 cases undergoing the surgery from January to December in 2015 were assigned to control group, other 43 from January to December in 2016 as observation group. Patients in the control group were treated with routine health care, while besides that, patients in the observation group were treated with whole course pain nursing. Scales VAS、SAS and PSQI were used to compare improvement of anxiety and sleep quality between the two groups. Results In both groups, pain scores decreased as time went by. The VAS scores in the observation group were (1.86±1.21) and (1.01±0.89) at 24 h and 48 h after the surgery, and (5.23±1.53) and (4.24±1.48) in the control group, meaning improvement of the patients' pain in the observation group was better than the control group (P<0.05). At 24 h and 48 h after the surgery, SAS scores in the observation group were (46.85±1.61) and (46.02±2.17), lower than those in the control group, (51.33±1.53) and (49.52±2.19); PSQI scores in the observation group were (4.65±1.11) and (2.25±0.96), (6.13 ± 1.16) and (4.63±1.11) in the control group, meaning that scores of anxiety and sleep quality in the observation group were less than those in the control group (P< 0.05). Conclusions Whole course pain nursing can relieve anxiety, depression and other negative emotions in patients with knee replacement, reduce their pain, improve their sleep quality, and promote rehabilitation.
