徐敬文,李作为,兰林,王帆,刘洋,张斐.正念疗法对老年患者非全身麻醉术后认知功能及睡眠质量的影响[J].四川精神卫生杂志,2024,37(2):120-124.Xu Jingwen,Li Zuowei,Lan Lin,Wang Fan,Liu Yang,Zhang Fei,Effect of mindfulness-based therapy on postoperative cognitive function and sleep quality in elderly patients after surgery under local anesthesia[J].SICHUAN MENTAL HEALTH,2024,37(2):120-124
Effect of mindfulness-based therapy on postoperative cognitive function and sleep quality in elderly patients after surgery under local anesthesia
DOI:10.11886/scjsws20230511001
English keywords:Postoperative cognitive dysfunction  Mindfulness-based therapy  Sleep quality  Elderly people
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Author NameAffiliationPostcode
Xu Jingwen Sichuan Mental Health Center·The Third Hospital of Mianyang Mianyang 621000 China 621000
Li Zuowei Sichuan Mental Health Center·The Third Hospital of Mianyang Mianyang 621000 China 621000
Lan Lin West China Hospital Sichuan University Chengdu 610041 China 610041
Wang Fan Sichuan Academy of Medical Sciences·Sichuan Provincial People's Hospital Chengdu 610072 China 610072
Liu Yang Sichuan Mental Health Center·The Third Hospital of Mianyang Mianyang 621000 China 621000
Zhang Fei Sichuan Mental Health Center·The Third Hospital of Mianyang Mianyang 621000 China 621000
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      Background Postoperative cognitive dysfunction (POCD) is a common complication in elderly patients after surgery, and has a great impact on postoperative rehabilitation of patients.Objective To explore the effect of mindfulness-based therapy on cognitive function and sleep quality in elderly patients after surgery under local anesthesia, so as to provide references for reducing their incidence risk of POCD and improving sleep quality.Methods The simple random sampling method was utilized to select 78 elderly patients who underwent surgery under local anesthesia in The Third Hospital of Mianyang from March 2022 to March 2023. Participants were assigned into study group and control group, each with 39 cases. All patients were subjected to conventional treatment and nursing interventions, and study group added mindfulness-based therapy on this basis. Mini-Mental State Examination (MMSE) was administered to patients on 1 day before surgery, and on the 1st, 3rd and 5th day after surgery. Pittsburgh Sleep Quality Index (PSQI) was employed on 1 day before surgery and on the 3rd day after surgery.Results MMSE scores revealed a significant time effect, group effect and time×group interaction effect (F=78.251, 197.071, 371.915, P<0.05). Analysis of simple effect denoted that study group scored higher on MMSE on the 1st, 3rd and 5th day after surgery compared with control group, with statistical significance (t=-3.579, -1.764, -0.253, P<0.05). Study group reported lower incidence rates of POCD on the 1st, 3rd and 5th day after surgery compared with control group, with statistical significance (χ2=2.631, 3.471, 5.135, P<0.05). On the 3rd day after surgery,study group scored lower on PSQI than control group(P<0.05), and PSQI total score, sleep latency, subjective sleep quality, daytime dysfunction and hypnotic drug use factor scores of study group were lower than baseline, with statistical significance(F=43.175, 12.594, 11.092, 4.579, 3.514, P<0.01).Conclusion Mindfulness-based therapy may have certain value in reducing incidence of POCD and improving sleep quality in elderly patients who underwent surgery under local anesthesia.
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