摘要
目的分析乳腺癌术后化疗患者的睡眠质量及其相关因素。方法对101例乳腺癌术后化疗患者,运用匹兹堡睡眠质量指数量表、简明心境问卷、医学应对问卷、社会支持评定量表进行调查,采用描述性统计、Pearson相关分析法探讨睡眠质量及其相关因素。结果64.4%患者存在睡眠问题,总分(8.83±3.64)分;情绪状态总分、屈服维度与睡眠质量呈正相关(r=0.394、0.239,P<0.05或P<0.01);社会支持总分与睡眠质量呈负相关(r=-0.220,P<0.05)。结论乳腺癌术后化疗患者睡眠质量较差;情绪状态、应对方式、社会支持影响其睡眠质量,患者情绪状态较差或者较多地运用屈服的应对方式则睡眠质量较差;患者获得社会支持越多、对支持利用度越高,则睡眠质量越好。
Objective To analyze the sleep quality of breast cancer patients undergoing chemotherapy after operation and to explore its influencing factors.Methods 101 breast cancer patients undergoing chemotherapy after surgery were recruited.The participants completed questionnaires such as the Pittsburgh Sleep Quality Index（PSQI）,the Profile of Mood States-Short Form（POMS-SF）,the Medical Coping Modes Questionnaire（MCMQ）,and the Social Support Rating Scale（SSRS）.Results 64.4% of the breast cancer patients couldn’t sleep well.The score of global sleep quality index was（8.83±3.64）.The total score of mood state was positively correlated with the score of global sleep quality index（r=0.394,P〈0.01）.The level of resignation in the medical coping modes was positively correlated with the score of global sleep quality index（r=0.239,P〈0.05）.The total score of social support was negatively correlated with the score of global sleep quality index（r=-0.220,P〈0.05）.Conclusion The sleep quality of the breast cancer patients undergoing chemotherapy after surgery remains poor.Mood,medical coping modes and social support influence the sleep quality greatly.The worse of the mood state,the worse of the sleep quality.The more frequently resignation is taken for the coping style,the worse sleep quality was.The more support patients accept,the better the sleep quality becomes.
出处
《护理学报》
2012年第6期67-70,共4页
Journal of Nursing（China）
关键词
乳腺癌
睡眠质量
化疗
影响因素
breast cancer
sleep quality
chemotherapy
influencing factor
