引导想象训练在老年全髋关节置换患者中的应用效果

目的 探讨引导想象训练对老年髋关节置换术患者疼痛、睡眠情况和精神状态的影响。方法 选取2020年6月~2020年10月某三甲医院收治的拟行髋关节置换手术的老年患者90例,采用随机数字表法将其分为对照组(n=46)和试验组(n=44)。对照组给予基于ERAS的围手术期护理,试验组在对照组的基础上进行运动引导想象训练。分别在术前、术后当天、术后第1天、术后第3天和术后第7天采用疼痛数字分级法(NRS)、理查兹-坎贝尔睡眠量表(RCSQ)和简易智能精神状态评价量表(MMSE)测评患者的疼痛、睡眠及精神状况；同时使用护理谵妄评分(NU_DESC)判断患者住院期间是否发生谵妄。结果 共有87例患者完成研究,总完成率为96.67%。重复测量方差分析结果显示两组患者疼痛、睡眠及精神变化存在时间效应、组间效应及交互效应；术后试验组谵妄发生率低于对照组,差异均有统计学意义(P<0.05)。结论 运动引导想象训练有助于改善老年全髋关节置换患者的疼痛程度、睡眠情况和精神状态。

Effect of guided imagery on elderly total hip arthroplasty patients

Objective: To evaluate the effect of guided imagery training on elderly total hip arthroplasty patients. Methods: A Total of 90 elderly patients admitted to a tertiary hospital from June 2020 to October 2020 were randomly divided into the control group and the experimental group by using the random number table method. The control group received enhanced recovery after surgery(ERAS), while the experimental group received guided imagery training therapy on the basis of control group. The Visual Analogue Scale(NRS), the Richards- Campbell Sleep Questionnaire(RCSQ)and mini-mental state examination(MMSE)were used to evaluate the level of pain, sleep and cognition, respectively. The status of the patients was evaluated before operation, 0 day, 1day, 3 day and 7 day after operation. The incidence of delirium was monitored using NU_DESC throughout the hospital stay. Results: A total of 87 subjects completed the whole study, with a 96.67% completion rate. results of repeated measurement ANOVA showed that time effect, intergroup effect and interaction effect were statistically significant. The difference of delirium incidence between the two groups were all statistically significantly(P<0.05).Conclusion: Guided imagery training therapy may effectively relieve the pain degree and improve the sleep and cognition state for elderly total hip arthroplasty patients.