ABSTRACT
Objective To investigate the level and influence factors of sleep quality for home-care colostomy patients with colorectal cancer. Methods The Pittsburgh sleep quality index were administered on 170 patients with colorectal cancer. Results The score of global Pittsburgh Sleep Quality Index (PSQI) was 7.193±4.355, which was significantly higher than 3.88±2.52 of the norm. And 37.3% (62/166) of colostomy patients with colorectal cancer reported poor sleep quality. 37.3%(62/166) of patients didn′t get 6 hours'sleep every night. The major reasons for sleep disturbance were night toilet visits, 22.3% (37/166) of patients went to night toilet more than 3 times per week. Logistic regression analysis showed that the type of colostomy ( OR=1.969, P=0.012) and discharge time ( OR=2.092, P=0.000) were influencing factors of sleep quality. Conclusion The sleep quality of colostomy patients with colorectal cancer were worse than normal people, and their sleep time were prevalent. The type of colostomy and discharge time were major influencing factors of sleep quality.
ABSTRACT
Objective To explore the effect of comprehensive intervention on postoperative pain of patients with rectal disease. Methods A total of 200 patients with postoperative pain after the treatment of anorectal perianal disease from May 2015 to May 2016 were randomly divided into two groups with 100 cases each. The control group was treated with drugs and usual nursing, the observation group were adopted drugs and comprehensive nursing intervention. The improvement of pain, psychological states and the quality of sleep were compared between two groups. Results The VAS pain scores at 4, 6, 12, 24, 48 h after treatment was (2.1 ± 0.6), (3.3 ± 0.4), (3.5 ± 0.3), (2.3 ± 0.5), (1.9 ± 0.5) points in the observation group, and (3.0 ± 0.5), (5.1 ± 0.6), (6.2 ± 0.6), (5.7 ± 0.8), (5.8 ± 0.5) points in the control group, and the difference was statistically significant (t=8.539-38.806, P < 0.05). The Self-rating Anxiety Scale was (20.32 ± 6.16) points in the observation group, and (35.58 ± 7.43) points in the control group, and the difference was statistically significant (t=41.188, P<0.05). The sleep quality, the amount of sleep , sleep time, sleep efficiency of Pittsburgh Sleep Quality Index Questionnaire scores was (0.91±0.28), (0.86±0.2), (0.83±0.27), (0.59±0.31), (0.62±0.27), (0.58±0.41), (4.39±1.79) points in the observation group, and (1.61± 0.88), (1.32 ± 0.75), (1.59 ± 0.89), (1.34 ± 0.58), (1.36 ± 0.45), (1.29 ± 0.86), (8.51 ± 3.55) points in the control group, and the difference was statistically significant (t=4.557-17.740, all P<0.05). Conclusions The comprehensive intervention on postoperative pain relief in patients with anal disease is significant, it is beneficial to relieve the pain response, improve sleep quality, and achieve physical and psychological comfort, and has a positive effect to clinical.