住院肿瘤病人睡眠障碍现状及影响因素分析

The cause analysis and nursing care for the cancer patients with sleep disorders in hospitalization

目的客观评价住院肿瘤病人的睡眠质量,分析住院肿瘤病人睡眠质量问题发生原因,并提出针对性护理措施。方法利用匹兹堡睡眠质量指数(PSQI)量表对住院治疗的448例肿瘤病人进行睡眠质量评价,通过调查问卷方法对睡眠质量影响因素进行全面调查,应用单因素和多因素Logistic回归模型筛选出睡眠障碍(PSQI评分≥7)的影响因素,并以此为据提出护理策略。结果住院肿瘤病人睡眠障碍发生率为56.92%,平均PSQI分数为(10.7±1.3)显著高于睡眠良好者(P<0.05);经单因素和多因素Logistic回归分析显示:年龄小、经济负担重、恐惧、疼痛、化疗反应重、远处转移、环境噪音为睡眠障碍发生的危险因素。结论住院肿瘤病人多容易出现睡眠障碍,其发生原因多种多样,积极给予针对性干预措施对于改善睡眠质量有积极意义。

Objective To evaluate the sleep quality of hospitalized patients with cancer,analyze the causes of sleep disorders of cancer patients in hospitalization,and put forward suitable nursing measures.Methods The sleep quality of 448 cancer patients was evaluated by Pittsburgh sleep quality index （PSQI）.The sleep quality and its influencing factors were comprehensively surveyed by the questionnaire survey method.The influencing factors of sleep disorders （PSQI≥7） were screened by single factor and multiple factor Logistic,and the nursing strategy was based on this result.Results The incidence of sleep disorders was 56.92%,the average PSQI was （10.7＆#177;1.3）,it was significantly higher than that of the good sleepers （P〈0.05）;after the single factor and multiple factors logistic regression analysis,it showed that the young age,heavy economic burden,fear,pain,response to chemotherapy,distant metastasis and environmental noise were the risk factors for sleep disorder.Conclusions The cancer patients are prone to sleep disorders in hospitalization.The causes of sleep disorders are various,so the active and targeted nursing care has a positive significance for improving the sleep quality.