护理学报 ›› 2025, Vol. 32 ›› Issue (3): 6-11.doi: 10.16460/j.issn1008-9969.2025.03.006
全膝关节置换患者疼痛与睡眠质量纵向关联的组基础模型双轨迹分析
李亚可1, 苏晴晴2, 吕静1, 李琪2, 娄琳彤1, 李海燕2
- 1.青岛大学 护理学院,山东 青岛 266021;
2.青岛大学附属医院 关节外科,山东 青岛 266000
摘要： 目的 探讨全膝关节置换患者疼痛与睡眠质量的变化轨迹,并分析两者之间的纵向关联。方法 采用便利抽样法,选取2023年3—12月于青岛市某三级甲等医院关节外科行全膝关节置换术的355例患者为研究对象,分别在术前1 d、术后1个月、术后3个月,使用西安大略和麦克马斯特大学骨关节炎指数量表疼痛维度、匹兹堡睡眠质量指数量表评估患者的疼痛程度和睡眠质量。采用组基础轨迹模型分别拟合疼痛和睡眠质量的轨迹组,并采用双轨迹模型分析两者的关联程度。结果 本研究结果显示,全膝关节置换患者的疼痛和睡眠质量呈现出不同的发展轨迹。疼痛轨迹组分别为高水平下降组、中水平下降组和持续疼痛组,睡眠轨迹组分别为睡眠良好组、睡眠改善组和失眠加重组。双轨迹分析结果显示,疼痛与睡眠轨迹组间存在相互作用,其中疼痛症状的减轻与睡眠质量的改善在一定程度上呈正相关。结论 全膝关节置换患者疼痛和睡眠发展轨迹具有异质性,且两者密切关联。临床护理实践中应重视对患者疼痛与睡眠状况的协同管理,通过综合评估和干预,有效改善患者的疼痛症状和睡眠质量,进而促进术后的全面康复和生活质量的提升。
中图分类号:
- R473.6
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