认知干预改善乳腺癌术后患者住院期间睡眠障碍  

Cognitive intervention improves sleep disorders during hospitalization in patients with breast cancer after surgery

作　　者：杨苗 杨伟 邹家群 YANG Miao;YANG Wei;ZOU Jiaqun(Department of Mammary Gland and Thyroid Surgery,Field Surgery Institute,Daping Hospital of Army Medical University,Chongqing 400042,China;Department of Neurosurgery,the Second Affiliated Hospital of Army Medical University,Chongqing 400037,China)

机构地区：[1]陆军军医大学大坪医院乳腺甲状腺外科,重庆400042 [2]陆军军医大学第二附属医院神经外科,重庆400037

出　　处：《现代医药卫生》2024年第10期1674-1677,共4页Journal of Modern Medicine & Health

基　　金：重庆市科卫联合医学科研项目(2023MSXM174)。

摘　　要：目的观察认知干预对乳腺癌术后患者住院期间睡眠障碍的影响。方法将2023年4-6月陆军军医大学大坪医院乳腺甲状腺外科收治的乳腺癌术后患者70例采用简单随机化分组方法分为干预组和对照组,每组35例。对照组给予常规护理,干预组在常规护理基础上增加认知干预。利用阿森斯失眠量表(总分大于6分为睡眠障碍)评估2组患者术后住院期间睡眠质量。结果干预组患者术后住院期间睡眠障碍发生率明显低于对照组,比期望的时间早醒、白天情绪、白天身体功能、白天思睡评分和发生率均明显低于对照组,差异均有统计学意义(P<0.05)。结论乳腺癌患者术后住院期间存在明显的睡眠障碍,且发生率较高,认知干预能明显改善患者睡眠障碍并可能对患者预后和生活质量产生积极影响。Objective To observe the effect of cognitive intervention on sleep disorders in postoperative patients with breast cancer during hospitalization.Methods A total of 70 patients with breast cancer treated in Daping Hospital of Army Medical University from April to June 2023 were randomly divided into intervention group and control group using simple randomization,with 35 cases in each group.The control group was given routine nursing,and the intervention group was given cognitive intervention on the basis of routine nursing.The Athens Insomnia Scale(total score greater than six points for sleep disorders)was used to evaluate the sleep quality of the two groups of patients during postoperative hospitalization.Results The incidence of sleep disorders in the intervention group was significantly lower than that in the control group,and the scores and incidence of early awakening,daytime mood,daytime physical function,daytime sleepiness were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion Patients with breast cancer have clear sleep disorders during postoperative hospitalization,and the incidence is high.Cognitive intervention can significantly improve patients'sleep disorders and may have a positive impact on patients'prognosis and quality of life.

关 键 词：认知 干预性研究 乳腺肿瘤 手术后期间 住院患者 入睡和睡眠障碍 

分 类 号：R737.9[医药卫生—肿瘤] R473.6[医药卫生—临床医学]