睡眠干預聯(lián)合疼痛管理對老年髖部骨折術后睡眠質量及疼痛程度的影響

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AbstractObjective：Toexplore theefect of sleep interventioncombined withpain management onsleepqualityand pain intensityinelderlypatientswithhipfracturesaftersurgery.Methods：Atotalof11Oelderlypatientswithhipfracturesadmiedto QuanzhouFirst Hospital from January 2O24 toFebruary 2O25were selectedas theresearch subjects.Theywererandomlydivided intoacontrolgroupandanobservationgroupbyrandomnumbertable，with55patients ineach group.Thecontrol groupreceived routinenursingintervention，whilethebservationgroupreceivedslep interventioncombinedwithpainmanagementTeitsburgh SleepQuality Index（PSQI）wasused tocomparethe sleepqualityof patients inthe two groups beforeandafterthe interventionandtheCD-RISCwasusedtocompare thepsychologicalresiliencebeforeandafterintervention.The Self-rating Anxiety Scale（SAS）and Self-rating Depression Scale（SDS）were used tocompare thechanges in anxiety and depresson of the wo groups，andthe Visual Analog Scale（VAS）wasused tocomparethepain intensityof patients inthetwogroups.Results：The PSQI score，SASscore，andSDSscoreoftheobservationgroupaftertheintervention，weresignificantlylowerthanthoseof the controlgroup；theCD-RISCscoreforpsychologicalresilienceintheobservationgroupwassignificantlyhigherthanthatof the controlgroup；andthe VASscoreintheobservationgroupwassignificantlylowerthanthatofthecontrol group.Thediferences between the two groups were statistically significant （ P<0.05 ）. Conclusion： Sleep intervention combined with pain management canimprove thesleepquality，enhance psychologicalresilience，relieve anxietyanddepresion inelderlypatientsundergoing hip fracture surgery，and efectivelyreduce postoperative pain intensity.Itis worthyof clinical promotionandapplication.

KeywordsSleepintervention;Pain management;Hipfracture；Slepquality；Pain intensity； Psychologicalstate;Psychological resilience；Anxiety；Depression

中圖分類號：R274.12；R338.63 文獻標識碼：A doi：10.3969/j.issn.2095-7130.2025.04.031

髖部骨折為骨科常見急癥，術后患者常面臨睡眠降低與疼痛挑戰(zhàn)，對康復進程及生命質量構成影響[1]。（剩余5978字）