摘要
目的探讨肺癌患者睡眠质量及其与睡眠卫生意识(SHA)、信念及态度的相关性。方法选取224例初治肺癌患者。采用SHA量表和功能失调性睡眠信念及态度(DBAS)-16量表分别评估其SHA、信念及态度,采用阿森斯失眠量表(AIS)评估其睡眠质量。分析SHA量表、DBAS-16量表得分与AIS得分的相关性。结果AIS得分>6分共84例(睡眠障碍组),AIS得分≤6分共140例(非睡眠障碍组)。睡眠障碍组SHA量表总分、“白天睡午觉或打盹”“定期服用催眠类药物”“睡前2h剧烈运动”和“晚上喝酒”得分均低于非睡眠障碍组,DBAS-16总分及各因子评分均低于非睡眠障碍组(均P<0.05)。肺癌患者SHA量表总分、DBAS-16量表总分及4个因子得分与AIS得分均呈负相关(均P<0.05)。结论肺癌患者睡眠质量较差,这可能与其持有错误的SHA和不良的睡眠信念及态度有关。
Objective To explore the correlation of sleep quality with sleep hygiene awareness(SHA), beliefs and attitudes about sleep in patients with lung cancer. Methods A total of 224 patients receiving initial therapy for lung cancer were enrolled,their SHA,beliefs and attitudes were assessed using the SHA scale and an abbreviated version of the Dysfunctional Beliefs and Attitudes about Sleep(DBAS-16) scale,respectively,and their sleep quality was evaluated using the Athens Insomnia Scale(AIS).The correlation of SHA scale and DBAS-16 scale scores with AIS score was analyzed . Results Totally 84 cases got AIS score >6 points(sleep disorder group),140 cases got AIS score ≤6 points(non-sleep disorder group).Compared with the non-sleep disorder group,the sleep disorder group had a lower total score and lower scores in terms of "taking a nap or dozing off in the daytime","periodical administration of hypnotic drugs","strenuous exercise 2 hours before bedtime",and "night drinking" on the SHA scale(all P <0.05),the sleep disorder group reported lower total score and each factor score on the DBAS-16 scale than the non-sleep disorder group(all P <0.05).Total SHA scale score,total DBAS-16 scale score and its 4 factors scores negatively correlated with AIS score in patients with lung cancer (all P <0.05). Conclusion Patients with lung cancer exhibit a poorer sleep quality,which may correlate with their false SHA and undesirable beliefs and attitudes about sleep.
作者
张炎改
余春华
李俊英
ZHANG Yan-gai;YU Chun-hua;LI Jun-ying(Department of Breast Oncology,West China Hospital,Sichuan University,Chengdu 610041,China)
出处
《广西医学》
CAS
2019年第14期1749-1752,共4页
Guangxi Medical Journal
基金
四川省科技厅重点研发项目(2018SZ0220)
关键词
肺癌
睡眠
卫生意识
信念
态度
Lung cancer
Sleep
Hygiene awareness
Belief
Attitude
