摘要
目的调查乳腺癌患者术后的睡眠状况、影响因素以及心理反应与睡眠障碍的关系,探索符合乳腺癌患者术后睡眠特点的护理干预模式,为改善乳腺癌患者术后的睡眠质量提供参考。方法采用《匹兹堡睡眠质量指数》、《抑郁自评量表》、《焦虑自评量表》评价60例乳腺癌术后患者的抑郁与焦虑状况、睡眠质量及可能影响睡眠质量的因素,并分别实施常规护理(对照组)和综合护理干预(干预组)。结果干预后,干预组患者的抑郁、焦虑状况及睡眠障碍的发生情况较对照组明显降低,差异有统计学意义(P<0.01)。结论通过认知干预,可以明显减轻乳腺癌患者术后的睡眠障碍,全面提高患者的生存质量。
Objective To investigate the relationship among the sleep status,influence factors,psychological reaction and sleep disorders in breast cancer patients after surgery.To explore the nursing intervention pattern accords with sleep characteristics of the breast cancer patients after surgery and provide reference for improving their sleeping quality.Methods To evaluate depression and anxiety,sleep quality and factors using the Pittsburgh sleep quality index,self-rating depression scale,self-rating anxiety scale in 60 postoperative breast cancer patients,and usual care（control group）and integrated care（intervention group）were implemented respectively.Results The occurrence of depression and anxiety,sleep disorders in intervention group were significant lower than that in control group,the difference was statistically significant（P〈0.01）.Conclusion Sleep disorders could be improved by cognitive intervention in postoperative breast cancer patients and the patients＇ life quality could be improved.
出处
《中国冶金工业医学杂志》
2013年第3期272-274,共3页
Chinese Medical Journal of Metallurgical industry
关键词
乳腺癌
睡眠障碍
认知行为干预
睡眠质量
Breast cancer
Seep disorder
Cognitive behavior intervention
Quality of sleep
