大肠癌患者术前睡眠状况与心理社会因素的相关研究

Correlational Research on the Sleep Status and Psychosocial Factors of Patients with Colorectal Cancer before Surgery

目的探讨大肠癌患者术前睡眠状况及其与心理社会因素的关系,为改善大肠癌患者的睡眠质量提供依据。方法采用横断面调查法,选取中国医科大学附属第一医院肛肠外科经病理证实为大肠癌的患者107例,应用阿森斯失眠量表(AIS)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、领悟社会支持量表(PSSS)、自尊量表(SES)、医学应对问卷(MCMQ)、纽芬兰纪念大学幸福度量表(MUNSH)、艾森克人格问卷(EPQ)、Wang-Baker脸谱疼痛强度评分量表评估患者手术前睡眠状况及其与心理社会诸多因素的关系。结果手术前患者失眠发生率为22.43%(24/107),失眠在人口学特征与临床特征方面无统计学差异(P>0.05)。抑郁程度、焦虑程度、社会支持、回避、屈服、幸福度及EPQ-N在失眠与否的分组中存在统计学差异(P<0.05)。抑郁程度、焦虑程度与EPQ-P对失眠程度有显著正向影响(P<0.05)。结论手术前大肠癌患者失眠程度与抑郁、焦虑、应对方式、社会支持和人格特征关系密切。

Objective To examine the sleep status and relevant psychosocial factors in patients with colorectal cancer before surgery and improve their sleep quality. Methods A cross-sectional survey method was used. Participants were 107 cases of patients with colorectal cancer from the Department of Anorectal Surgery in The First Hospital, which is affiliated with China Medical University. The Athens insomnia scale （AIS）, Ham- ilton depression scale （HAMD）, Hamilton anxiety scale （ HAMA ）, perceived social support scale （PSSS）, self-esteem scale （ SES ）, medical cop- ing questionnaire （MCMQ）, memorial University of Newfoundland scale of happiness （MUNSH）, Eysenck personality questionnaire （ EPQ ）, and Wong-Baker face scale were used to assess preoperative sleep in patients with colorectal cancer and related psychosocial factors. Results Among the 107 cases,there were 24 cases of insomnia, with an insomnia incidence of 22.43%. No statistical differences were found in demographic charac- teristics and clinical characteristics （P 〉 0.05 ）. According to the degree of insomnia, there were significant differences between groups （P 〈 0.05） for depression, anxiety, social support, avoidance, yield, happiness, and EPQ-N. Before the surgery, the degree of depression, anxiety, and EPQ-P had a significant positive effect on the degree of insomnia （P 〈 0.05）. Conclusion The degree of insomnia before surgery in patients with colorectal cancer is closely associated with depression, anxiety, coping styles, social supoort, and uersonahtv characteristics.