认知-情绪双途径干预对腹腔镜胃癌根治术患者睡眠质量的影响

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Effect of Cognitive-emotional Dual-pathway Intervention on Sleep Quality in Patients UndergoingLaparoscopic Radical GastrectomyforGastric Cancer

YANShumin,HUANGMin

(DepartentofColorectalOncologicSurgery,heFirstAfliatedHospitalofXiamen University,Xiamen36Oo,Cina)

AbstractObjective:Toexploretheefectofacognitive-emotionaldual-pathway interventiononsleepqualityinpatientsundergoinglaparoscopicradical gastrectomy(LRG）forgastriccancer.Methods:Atotalof82patientswhounderwentLRGattheFirst AffliatedHospitalofXiamenUniversityfromJanuary2O23toOctober2O24wereselectedandrandomlydividedintoacontrol groupand anobservation group(41 caseseach）using therandom envelope method.Thecontrol groupreceived routine nursing intervention,whiletheobservationgroupreceivedroutineinterventioncombinedwithcognitive-emotionaldual-pathwayintervention.Thetwo groups werecompared intermsof psychologicalstatus[Self-rating Anxiety Scale(SAS）and Self-rating Depresion Scale(SDS)],Pitsburgh SleepQualityIndex(PSQI),overallsleepperformancesleep effciency(SE）,total sleeptime(TT）, sleep latency(SL）,numberofawakenings(NW)],and sleep stagedistribution[non-rapid eye movement(NREM）stages N1,N2, N3,andrapid eye movement(REM）slep].Results:Aftertwo weeksof intervention,both groupsshowedsignificantlyreduced SAS,SDS,andPSQIscorescompared with pre-interventionvalueswiththeobservationgroupscoring significantlylower thanthe control group( P

KeywordsCognitive-emotionaldual-pathwayintervention；Laparoscopicradical gastrectomy；Sleepquality；Pitsburgh Sleep Quality Index；Self-rating Anxiety Scale;Self-rating Depresson Scale

中图分类号：R735.2;R338.63 文献标识码：A doi:10.3969/j.issn.2095-7130.2025.08.050

腹腔镜胃癌根治术（LaparoscopicRadicalGas-trectomy，LRG)是用于切除胃癌病灶及相应淋巴结的微创手术，具有创伤小、术后恢复快、并发症少等优势，尽管该手术方式可在生理层面降低患者手术应激反应，但术后其仍可能因术后疼痛、睡眠障碍、焦虑和抑郁等心理问题而影响康复[1]。（剩余7815字）