鼻咽癌患者放射治疗期间睡眠障碍的影响因素及护理

Influential factors of sleep disorders of patients with nasopharynx cancer during radiotherapy and their nursing

目的:探讨鼻咽癌患者放射治疗期间睡眠障碍的影响因素及护理措施。方法:选择2014年6月~2016年6月我院收治的鼻咽癌放疗患者183例,调查分析患者睡眠情况,并比较分析患者发生睡眠障碍的影响因素。结果:183例患者中出现睡眠障碍患者98例(53.55%),可疑睡眠障碍患者45例(24.59%),无睡眠障碍患者40例(21.86%);分析可能影响鼻咽癌患者放射治疗期间睡眠障碍的因素,包括住院时间、疼痛、口腔并发症、夜尿频繁、咳嗽、恐惧、焦虑、生活负担、生活习惯改变、病房噪声、环境改变以及病房异味(P<0.05)。结论:影响鼻咽癌患者放射治疗期间睡眠障碍的因素主要包括生理因素、心理因素以及环境因素3个方面,在临床工作中,需给予患者针对性的护理方案,以改善患者的睡眠质量。

ObjectiveTo discuss the influential factors of sleep disorders of patients with nasopharynx cancer during radiotherapy and their nursing meas-ures. Methods： Selected 183 patients with nasopharynx cancer admitted in our hospital from June 2014 to June 2016 , the patients5 sleep condition was in-vestigated and analyzed, and influential factors for the patients5 sleep disorders were compared and analyzed. Results： In the 183 patients, 98 （53. 55% ） had sleep disorders, 45（24.59%） had susceptible sleep disorders and 40（21. 86% ） had no sleep disorders ; the factors that might influence the sleep disorders of patients with nasopharynx cancer during radiotherapy were analyzed, including the hospitalization duration, pain, oral cavity complications, frequent enuresis nocturna, cough, horror, anxiety, life burden, change of life habit, ward noise, environmental change and ward odor （P 〈 0.05）. Conclusion ： The factors of sleep disorder of patients with asopharynx cancer during radiotherapy mainly included physiological factors, psychological factors and environmental factors. In the clinical work, targeted nursing plan should be given to the patients, so as to improve their sleep quality.