The effect of evidence-based nursing intervention in the operating room on stress response and sleep quality in patients with gastrointestinal tumors
手术室循证护理干预对胃肠肿瘤患者应激反应及睡眠质量的影响

摘要

目的 分析手术室循证护理干预对胃肠肿瘤患者应激反应及睡眠质量的影响。方法 该研究对象为2022年11月至2024年11月到医院诊治的胃肠肿瘤患者，入选对象共86例，以随机分组方法为分组原则，划分为对照组（实施手术室常规护理，n=43）与研究组（实施手术室循证护理，n=43）。对比两组的应激反应、睡眠质量及术后康复效果。结果 在焦虑评分及睡眠质量评分上，研究组低于对照组（P＜0.05）。在术后首次排气时间、术后第一次排便时间、术后首次下床时间及住院时间上，研究组均短于对照组（P＜0.05）。结论 在胃肠肿瘤患者手术治疗过程中辅助运用手术室循证护理干预，可减轻应激反应，改善睡眠质量，临床可进一步推广应用。

Abstract

Objective To analyze the effects of evidence-based nursing interventions in the operating room on stress response and sleep quality in patients with gastrointestinal tumors.
Methods The study subjects were 86 patients with gastrointestinal tumors who received treatment at the hospital from November 2022 to November 2024. They were randomly divided into a control group (receiving routine nursing in the operating room, n=43) and a study group (receiving evidence-based nursing in the operating room, n=43). The stress response, sleep quality and postoperative rehabilitation effects of the two groups were compared.
Results In terms of anxiety score and sleep quality score, the study group was lower than the control group (P<0.05). In the time of the first postoperative gas evacuation, the time of the first postoperative defecation, the time of the first postoperative getting out of bed and the hospitalization time, the study group was shorter than the control group (P < 0.05).
Conclusion   The use of evidence-based nursing interventions in the operating room during the surgical treatment of gastrointestinal cancer patients can alleviate stress reactions, improve sleep quality, and can be further promoted and applied in clinical practice.