认知领悟结合身心放松训练护理改善胰腺癌术后睡眠质量的研究

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AbstractObjective：Toexploretheefect ofcognitiveunderstandingcombined with trainingandnursingcarefor physicaland mental relaxationonimproving sleepqualityofpostoperative patients with pancreaticcancerMethods：From August2023 toAugust2024，OOostopeativetientsitacaticncerinthFzhourovcialHspitalAfatedtoFzhuUnesityere recruited. They were randomly divided into the control group（ n=50 ） and the observation group（ n=50 ）according to the random number table.Patients inthecontrol groupreceivedroutinecare，while thoseintheobservation groupreceivedcognitiveunderstanding combined withtrainingandnursingcareforphysicalandmentalrelaxation.Slepquality（Pitsburgh SleepQualityIndex [PSQI]），sleep respiratory indicators（apnea hypopnea index[AHI]，blood oxygen saturation [SpO2] ），sleep stages（sleep latency，wakefulnessfrequency，wakefulnesstime，sleepfciency），andqualityoflife（SF-36HealthSurveySF-36]score）werecomparedbetweengroups.Results：ThePSQIscore，AHI，sleplatency，wakefulnessfrequencyandwakefulness timeintheobservation group were significantly lower than those in the control group，and the SpO 2 ，sleep efficiency and SF-36 scores were significantly higher than those in the control group（all P<0.05 ）. Conclusion： Cognitive understanding combined with training and nursingcareforphysicalandmentalrelaxationcan efectivelyimprovethesleepqualityof patientsunderwentpancreaticcancer surgery，which is worth popularizing in clinical nursing.

KeywordsPostoperative pancreaticcancer;Cognitive understanding；Training and nursingcare for physical and mental relaxation；Sleep quality

中图分类号：R735.9；R473.73;R338.63 文献标识码：A doi：10.3969/j. issn.2095-7130.2025.07.027

胰腺癌作为一种恶性程度极高的消化系统肿瘤，手术是主要的治疗手段之一[1]。（剩余5527字）