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白噪声干预联合多维护理模式对髋关节置换术后患者睡眠质量及医院感染发生率的影响。

Effect of White Noise Intervention Combined with Multi-dimensional Nursing Mode on Sleep Quality and Incidence of Nosocomial Infection in Patients Undergoing Hip Replacement.

机构信息

Orthopedics, Baoding Second Central Hospital, Baoding, Hebei, China.

Neurosurgery and Orthopaedics, Hebei Medical University Fourth Hospital East Campus, Shijiazhuang, Hebei, China.

出版信息

Noise Health. 2023 Oct-Dec;25(119):220-225. doi: 10.4103/nah.nah_32_23.

Abstract

OBJECTIVE

To investigate the clinical effects of white noise intervention combined with multi-dimensional nursing mode in patients receiving hip replacement (HR).

METHODS

The study selected the clinical data of 161 patients who underwent HR in our hospital from February 2020 to February 2022 for retrospective analysis. According to patients' willingness, they were divided into the study group (n = 77, receiving white noise intervention combined with multi-dimensional nursing mode) and the control group (n = 84, receiving routine nursing). Pittsburgh sleep quality index (PSQI) scale was used to evaluate patients' sleep quality in the two groups, and the incidence of nosocomial infection in the both groups was counted.

RESULTS

Before nursing and white noise intervention, the PSQI scores of patients' sleep quality in the two groups were all lower, with no obvious difference (P > 0.05). After nursing and white noise intervention, the sleep quality of the two groups was all improved, and the study group had overtly lower PSQI score and score of psychological status than the control group (P < 0.05). After nursing and white noise intervention, the study group had remarkably lower incidence of nosocomial infection than the control group (p < 0.05).

CONCLUSION

White noise intervention combined with multi-dimensional nursing mode can effectively improve the sleep quality of patients undergoing HR and reduce the incidence of nosocomial infection, which is of positive significance for promoting the recovery of postoperative limb function.

摘要

目的

探讨白噪声干预联合多维护理模式对髋关节置换术(HR)患者的临床效果。

方法

本研究回顾性分析了 2020 年 2 月至 2022 年 2 月在我院接受 HR 的 161 例患者的临床资料。根据患者的意愿,将其分为研究组(n=77,接受白噪声干预联合多维护理模式)和对照组(n=84,接受常规护理)。采用匹兹堡睡眠质量指数(PSQI)量表评估两组患者的睡眠质量,并统计两组患者的医院感染发生率。

结果

护理及白噪声干预前,两组患者的睡眠质量 PSQI 评分均较低,差异无统计学意义(P>0.05)。护理及白噪声干预后,两组患者的睡眠质量均有所改善,研究组 PSQI 评分及心理状态评分均明显低于对照组(P<0.05)。护理及白噪声干预后,研究组的医院感染发生率明显低于对照组(p<0.05)。

结论

白噪声干预联合多维护理模式能有效改善 HR 患者的睡眠质量,降低医院感染发生率,对促进术后肢体功能恢复具有积极意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbc4/10849012/68f80ffd72e5/NH-25-220-g001.jpg

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