Construction and effect evaluation of enhanced recovery after surgery-based orthopedic psychological sleep management mode_West China Medical Journal

Authors：

QU Junhong ,  NING Ning , LI Peifang , CHEN Jiali , YAO Mei

Department of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

NING Ning, Email: gkningning@126.com

Keywords：

Enhanced recovery after surgery; Psychological sleep management; Orthopedics

DOI：

10.7507/1002-0179.201807158

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Objectives To explore the application effect of orthopedic psychological sleep management mode based on enhanced recovery after surgery (ERAS) in orthopedic patients. Methods A non-synchronous clinical controlled study was conducted. The intervention group enrolled 118 orthopedic patients who admitted to our hospital between April and June 2017, and the control group enrolled 111 orthopedic patients who admitted to our hospital between January and March 2017. The control group used routine nursing measures during hospitalization, while the intervention group implemented an ERAS-based orthopedic psychological sleep management mode based on routine nursing measures, which included carrying out a new mode of multidisciplinary collaborative management, implementing the normative path of orthopedic psychological sleep management, and implementing the comprehensive psychological sleep management. The mood, sleep quality and satisfaction of the two groups within 24 hours after admission and before discharge were compared. Results Before the intervention, there was no statistically significant difference in general data, mood or sleep quality between the two groups (P>0.05). After the intervention, the median score (the lower and upper quartiles) of the Huaxi Emotional Index of the intervention group was 1 (0, 5), while the score of the control group was 2 (0, 6); the median score (the lower and upper quartiles) of the Pittsburgh Sleep Quality Index was 4 (3, 7) in the intervention group and 6 (4, 9) in the control group; the satisfaction score in the intervention group was better than that in the control group (96.47±2.72vs. 95.52±2.79); the differences between the two groups were statistically significant (P<0.05). Conclusions The ERAS-based orthopedic psychological sleep management mode is beneficial to improve the patients’ emotional disorder, sleep quality and satisfaction. It facilitates the patients’ accelerated recovery.

Citation： QU Junhong, NING Ning, LI Peifang, CHEN Jiali, YAO Mei. Construction and effect evaluation of enhanced recovery after surgery-based orthopedic psychological sleep management mode. West China Medical Journal, 2018, 33(9): 1168-1172. doi: 10.7507/1002-0179.201807158 Copy

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6.	Jackowska M, Poole L. Sleep problems, short sleep and a combination of both increase the risk of depressive symptoms in older people: a 6-year follow-up investigation from the English Longitudinal Study of Ageing. Sleep Med, 2017, 37: 60-65.
7.	Gellerstedt L, Medin J, Kumlin M, et al. Nurses’ experiences of hospitalized patient’ sleep in Sweden: a qualitative study. J Clin Nurs, 2015, 24(23/24): 3664-3673.
8.	Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): a Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
9.	郑棒, 李曼, 王凯路, 等. 匹兹堡睡眠质量指数在某高校医学生中的信度与效度评价. 北京大学学报: 医学版, 2016, 48(3): 424-428.
10.	俞霞, 葛国芬, 金红, 等. 骨科手术患者焦虑情绪的影响因素分析. 医院管理论坛, 2015, 32(8): 33-36, 25.
11.	Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
12.	白斌, 李燕琴, 苟朋兵. 骨科创伤住院患者心理健康状况及相关因素分析. 重庆医学, 2014, 43(30): 4062-4064.
13.	沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
14.	曹娅燕. 住院老年糖尿病睡眠障碍患者睡眠护理干预的研究. 天津: 天津医科大学, 2017.
15.	常旭珍. 抑郁、焦虑患者睡眠质量的影响因素及个案干预研究. 太原: 山西医科大学, 2017.

1. 丁久洪, 郭文慧, 蔡益民, 等. 中国住院患者睡眠质量的 Meta 分析. 医学临床研究, 2017, 34(4): 641-644.
2. 秦冰, 师瑞红, 杨树利, 等. 社会支持对住院胃癌患者睡眠质量的影响. 郑州大学学报: 医学版, 2016, 51(06): 791-795.
3. 赵馨, 张玉虎, 冯淑君, 等. 多系统萎缩患者的主客观睡眠障碍. 中华神经科杂志, 2016, 49(4): 294-298.
4. 颜晓恒. 中医情志护理对骨科手术患者焦虑状态及睡眠质量影响. 辽宁中医药大学学报, 2017, 19(2): 204-207.
5. 李术榕. 患者术后睡眠功能障碍相关危险因素分析. 沈阳: 中国医科大学, 2010.
6. Jackowska M, Poole L. Sleep problems, short sleep and a combination of both increase the risk of depressive symptoms in older people: a 6-year follow-up investigation from the English Longitudinal Study of Ageing. Sleep Med, 2017, 37: 60-65.
7. Gellerstedt L, Medin J, Kumlin M, et al. Nurses’ experiences of hospitalized patient’ sleep in Sweden: a qualitative study. J Clin Nurs, 2015, 24(23/24): 3664-3673.
8. Wang J, Guo WJ, Zhang L, et al. The development and validation of Huaxi emotional-distress index (HEI): a Chinese questionnaire for screening depression and anxiety in non-psychiatric clinical settings. Compr Psychiatry, 2017, 76: 87-97.
9. 郑棒, 李曼, 王凯路, 等. 匹兹堡睡眠质量指数在某高校医学生中的信度与效度评价. 北京大学学报: 医学版, 2016, 48(3): 424-428.
10. 俞霞, 葛国芬, 金红, 等. 骨科手术患者焦虑情绪的影响因素分析. 医院管理论坛, 2015, 32(8): 33-36, 25.
11. Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
12. 白斌, 李燕琴, 苟朋兵. 骨科创伤住院患者心理健康状况及相关因素分析. 重庆医学, 2014, 43(30): 4062-4064.
13. 沈彬, 翁习生, 廖刃, 等. 中国髋、膝关节置换术加速康复—围术期疼痛与睡眠管理专家共识. 中华骨与关节外科杂志, 2016, 9(2): 91-97.
14. 曹娅燕. 住院老年糖尿病睡眠障碍患者睡眠护理干预的研究. 天津: 天津医科大学, 2017.
15. 常旭珍. 抑郁、焦虑患者睡眠质量的影响因素及个案干预研究. 太原: 山西医科大学, 2017.

West China Medical Journal

Construction and effect evaluation of enhanced recovery after surgery-based orthopedic psychological sleep management mode

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