脑肿瘤患者围手术期焦虑与社会支持、睡眠质量的相关性分析

Relationship between perioperative anxiety,social support and sleep quality in patients with brain tumor

目的分析脑肿瘤患者围手术期焦虑与社会支持、睡眠质量的相关性。方法选定本院2018年1月至2020年1月住院治疗的100例脑肿瘤患者,采用SAS(焦虑自评量表)评估患者焦虑程度,采用SSRS(社会支持量表)评估患者社会支持程度,采用PSQI(匹兹堡睡眠质量指数量表)评估患者睡眠质量,比较不同焦虑程度组SSRS评分、PSQI评分,比较不同社会支持程度组SAS评分、PSQI评分,比较不同睡眠质量组SAS评分、SSRS评分,Pearson相关来分析SAS评分与SSRS评分、PSQI评分的相关性。结果重度焦虑组SSRS评分低于中度焦虑组,中度焦虑组SSRS评分低于轻度焦虑组,P<0.05。重度焦虑组PSQI评分高于中度焦虑组,中度焦虑组PSQI评分高于轻度焦虑组,P<0.05。社会支持程度低组SAS评分、PSQI评分均高于社会支持程度中组,社会支持程度中组SAS评分、PSQI评分均高于社会支持程度高组,P<0.05。睡眠质量低组SAS评分高于一般组,一般组SAS评分高于好组,好组SAS评分高于非常好组,P<0.05。低组SSRS评分低于一般组,一般组SSRS评分低于好组,好组SSRS评分低于非常好组,P<0.05。SAS评分与SSRS评分呈负相关性,与PSQI评分呈正相关性,P<0.05。结论脑肿瘤患者围手术期焦虑情绪与社会支持程度呈负相关性,与睡眠质量呈正相关性,临床应根据个体差异性予以足够的社会支持,尽可能减轻患者焦虑情绪,提高睡眠质量。

Objective To analyze the correlation among perioperative anxiety,social support and sleep quality in patients with brain tumor.Methods 100 cases of brain tumor patients in our hospital from January 2018 to January 2020 were selected.SAS(self rating Anxiety Scale)was used to assess the degree of anxiety,SSRs(Social Support Scale)was used to assess the degree of social support,PSQI(Pittsburgh sleep quality index)was used to assess the sleep quality of patients.The scores of SSRs and PSQI in different anxiety groups were compared The SAS score and PSQI score of different social support groups were compared,and the correlation between SAS score and SSRs score and PSQI score was analyzed by Pearson.Results The SSRs score of severe anxiety group was lower than that of moderate anxiety group,and the SSRs score of moderate anxiety group was lower than that of mild anxiety group,P<0.05.PSQI score of severe anxiety group was higher than that of moderate anxiety group,PSQI score of moderate anxiety group was higher than that of mild anxiety group,P<0.05.The SAS and PSQI scores of the low social support group were higher than those of the middle social support group,and the SAS and PSQI scores of the middle social support group were higher than those of the high social support group,P<0.05.SAS score of poor sleep quality group was higher than that of general group,SAS score of general group was higher than that of good group,SAS score of good group was higher than that of very good group,P<0.05.The SSRs score of the poor group was lower than that of the general group,the SSRs score of the general group was lower than that of the good group,and the SSRs score of the good group was lower than that of the very good group,P<0.05.SAS score was negatively correlated with SSRs score,and positively correlated with PSQI score,P<0.05.Conclusion There is a negative correlation between anxiety and social support,and a positive correlation between anxiety and sleep quality in brain tumor patients during perioperative period.Enough social support should be given according to individual differences,so as to reduce anxiety and improve sleep quality.