心理弹性在老年胃癌术后患者认知功能和睡眠障碍间的中介效应  

Mediating effect of psychological resilience on cognitive function and sleep disorder in elderly patients with gastric cancer after operation

作　　者：王敏[1] 李来有[2] 李晓杰 王静茹 李晓娜[1] 吕景霞[1] 许夕霞[1] 李勇[1] WANG Min;LI Laiyou;LI Xiaojie(Third Department of Surgery,the Fourth Hospital of Hebei Medical University,Hebei,Shijiazhuang 050011,China;不详)

机构地区：[1]河北医科大学第四医院外三科,石家庄市050011 [2]河北医科大学第四医院神经内科,石家庄市050011

出　　处：《河北医药》2024年第2期297-299,共3页Hebei Medical Journal

基　　金：河北省医学科学研究重点课题计划(编号:ZD2014028)。

摘　　要：目的探讨心理弹性在老年胃癌术后患者认知功能和睡眠障碍之间的中介效应。方法采用便利抽样的方法,随机抽取河北医科大学第四医院外三科246例老年胃癌术后患者。使用一般资料调查量表、匹兹堡睡眠质量指数量表(Pittsburgh Sleep Quality Index,PSQI)、心理弹性量表(Connor-Davidson resilience scale,CD-RISC)和简易智能精神状态量表(Mini-mental State Examination,MMSE)分别调查老年胃癌术后患者的睡眠质量、心理韧性和认知功能。结果PSQI、CD-RISC和简MMSE得分分别为(5.63±1.41)、(60.31±7.85)和(17.56±2.97)分,PSQI总分与MMSE评分、CD-RISC总分呈负相关(R值分别为-0.421、-0.542,P<0.05),MMSE总分与CD-RISC总分呈正相关(R=0.874,P<0.05),线性回归分析结果显示心理弹性在认知功能和睡眠障碍之间起部分中介作用,贡献率为71.28%。结论认知功能通过心理弹性间接影响老年胃癌术后患者的睡眠质量,老年胃癌术后患者的睡眠质量和认知功能有待进一步提高。Objective To investigate the mediating effect of psychological resilience on cognitive function and sleep disorder in elderly patients with gastric cancer after operation.Methods A total of 246 elderly patients with gastric cancer after operation treated in the Third Department of Surgery,Fourth Hospital of Hebei Medical University were selected using the convenience sampling.Sleep quality,resilience and cognitive function in elderly patients with gastric cancer after operation were assessed using general information questionnaire,the Pittsburgh Sleep Quality Index(PSQI),Connor-Davidson Resilience Scale(CD-RISC)and the Mini-mental State Examination(MMSE).Results The scores of PSQI,CD-RISC and simplified MMSE in elderly patients with gastric cancer after operation were(5.63±1.41)points,(60.31±7.85)points and(17.56±2.97)points,respectively.The total score of the PSQI was negatively correlated with those of the MMSE and CD-RISC(R=-0.421 and-0.542,respectively;both P<0.05),and the total score of MMSE was positively correlated with that of the CD-RISC(R=0.874,P<0.05).The results of lineaRregression analysis showed that resilience played a partial mediating role between cognitive function and sleep disturbance,with a contribution rate of 71.28%.Conclusion Cognitive function indirectly affects the sleep quality of elderly patients after gastric cancer surgery through resilience,and sleep quality and cognitive function of elderly patients after gastric cancer surgery need to be furtheRimproved.

关 键 词：老年患者 胃癌术后 心理弹性 睡眠障碍 认知功能 

分 类 号：R735.2[医药卫生—肿瘤]