| 黄群,管晓敏,贾峥,周淋琳.食管癌术后患者睡眠质量现状及影响因素分析[J].上海护理,2019,19(7): |
| 食管癌术后患者睡眠质量现状及影响因素分析 |
| Analysis of the status of sleep quality and its influencing factors in postoperative patients with esophageal carcinoma |
| DOI： |
| 中文关键词: 食管肿瘤 睡眠质量 影响因素 |
| 英文关键词:Analysis of the status of sleep quality and its influencing factors in postoperative patients with esophageal carcinoma |
| 基金项目:上海市卫生计生系统重要薄弱学科建设：2015ZB0304 |
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| 中文摘要: |
| 【】目的 了解目前食管癌术后患者的睡眠质量现况,并分析其影响因素。 方法 采用便利抽样法,抽取2017年5月至2018年1月于上海肿瘤医院、胸科医院及某三甲综合性医院接受手术治疗并最终入住普通病房的食管癌患者165例为调查对象,采用经文献回顾和小组讨论自制的一般情况调查表,以及匹茨堡睡眠质量指数量表(Pittsburgh Sleep Quality Index, PSQI)调查患者术前、术后的睡眠质量情况,并在单因素分析的基础上进行多元回归分析,了解影响睡眠质量的主要因素。 结果 1.患者术后PSQI评分高于术前(P<0.05),提示术后睡眠质量较术前显著降低。2.单因素分析结果显示,担心家庭支出、害怕疾病本身、夜间量血压、疼痛、卧位不适、肠内营养供给方式、导管数量、是否拔除胃管、是否拔除胸管9个因素差异均有统计学意义。3.多元回归分析结果显示,害怕疾病本身、卧位不适、导管数量、是否拔除胸管是术后PSQI评分的独立影响因素。 结论 食管癌患者术后睡眠质量显著降低,医护工作者应该了解其影响因素,并有针对性地制定干预措施,以提高患者睡眠质量,促进患者康复。 |
| 英文摘要: |
| 【】Objective To understand the current status of sleep quality in postoperative patients with esophageal carcinoma, and to analyze its influencing factors. Methods 165 patients of esophageal carcinoma, who received surgical treatment and finally admitted to a general ward, were collected from May 2017 to January 2018 in Shanghai Tumor Hospital, Chest Hospital and a tertiary Grade A comprehensive hospital by convenience sampling method. The patients were investigated with a self-made general questionnaire through literature review and group discussion and Pittsburgh Sleep Quality Index(PSQI) before and after surgery. And then the multiple regression analysis based on single factor analysis was conducted to understand the main factors affecting the quality of sleep. Results 1.The results showed that the PSQI score of postoperative patients was higher than that before operation (P<0.05), suggesting that the quality of sleep after operation was significantly lower than that before operation. 2. Factors such as “worrying about family expenditure”, “fear of disease” ,“measuring blood pressure at night”, “pain”, “decubitus discomfort”,“ways of enteral nutrition supply” ,“the quantity of catheters”, “whether to pull the chest tube” , “whether to remove gastric tube ” all affect postoperative PSQI score by single factor analysis. 3. “Fear of disease”, “decubitus discomfort”,“the quantity of catheters” and “whether to pull the chest tube” were the independent influencing factors of the postoperative PSQI scores by multiple regression analysis . Conclusion The quality of sleep in patients with esophageal carcinoma decreased significantly after operation. Health care workers should understand the influencing factors of sleep quality and develop targeted interventions to improve sleep quality of patients and to promote the rehabilitation of patients. |
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