综合干预对肿瘤放疗患者失眠的效果研究  

The effect of comprehensive intervention on insomnia of radiotherapy cancer patients

作　　者：王海燕[1] 陆忠华[1] 罗居东[1] 汤华[1] 陈玲[1] 戴科军 

机构地区：[1]苏州大学附属常州肿瘤医院放疗科,常州213001

出　　处：《当代护士（下旬刊）》2013年第12期3-5,共3页Modern Nurse

基　　金：常州市科技支撑-社会发展项目(项目编号:CE20125026);常州市卫生局科技项目(项目编号:ZD201005)

摘　　要：目的探讨综合干预对肿瘤患者放疗期间失眠的效果。方法将100例行放射治疗的食道癌患者随机分为干预组和对照组各50例,对照组进行常规护理,干预组在常规护理基础上针对失眠原因有针对性地进行全面评估,并给予相应的护理。结果肿瘤放疗患者失眠的原因依次为负性情感因素(恐惧、焦虑、抑郁)、疼痛、放疗副作用、经济压力、医疗氛围、婚姻家庭关系等。干预组睡眠状况优于对照组,2组比较有显著性差异(P<0.05)。结论积极、有效的护理措施能提高肿瘤放疗患者的睡眠质量。Objective To investigate the effect ofcomprehensive intervention on insomnia of cancer patients during radiotherapy. Meth- ods 100 patients with esophageal cancer routine radiation therapy were randomly divided into intervention group and control group, 50 patients in the control group with routine care while the intervention group on the basis of routine care reasons for insomnia and carrying out a comprehensive assessment and giving appropriate care. Results The tumor radiotherapy causes of insomnia patients are negative emotional factors（fear, anxiety, depression）, pain, radiotherapy side effects, economic pressure, medical atmosphere, marriage and family relations. The quality of sleep of patients in intervention group is better than that in control group with being significantly different（P〈0.05）. Conclusion The positive and effective nursing interventions can improve the quality of sleep in patients with cancer radiotherapy.

关 键 词：肿瘤 放疗 失眠 综合干预 

分 类 号：R473.73[医药卫生—护理学]