观察运动心理睡眠干预对肺癌患者睡眠质量的效果  

Effect of Exercise-psychological-sleep Intervention on Sleep Quality in Lung Cancer Patients

作　　者：戴丹妮 王明娴 DAI Danni;WANG Mingxian(First Affiliated Hospital of Xiamen University,Xiamen 361000,China)

机构地区：[1]厦门大学附属第一医院,厦门361000

出　　处：《世界睡眠医学杂志》2024年第9期2032-2035,共4页World Journal of Sleep Medicine

摘　　要：目的:探究肺癌患者接受“运动—心理—睡眠”干预方法改善患者睡眠质量的价值。方法:选取2023年1月至2023年8月厦门大学附属第一医院肿瘤内科收治的肺癌患者54例作为研究对象,按照随机数字表法分为对照组和观察组,每组27例。对照组给予常规护理干预,观察组给予“运动—心理—睡眠”方法干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,采用生命质量测定量表(EORTCQLQ-C30)比较2组患者干预前后睡眠质量的改善效果,采用癌因性疲乏量表(CRF)比较2组患者疲劳状态的改善效果。结果:干预后,观察组SDS评分、SAS评分显著低于对照组,观察组生命质量EORTCQLQ-30评分显著高于对照组,疲乏量表CRF评分显著低于对照组,差异均有统计学意义(均P<0.05)。结论:将“运动—心理—睡眠”干预应用在肺癌患者中可改善患者的焦虑、抑郁情绪,提高患者的睡眠质量,改善患者的疲乏程度,值得临床推广应用。Objective:To explore the efficacy of“exercise-psychological-sleep”intervention method in improving sleep quality in lung cancer patients.Methods:A total of 54 lung cancer patients treated at the oncology department of the First Affiliated Hospital of Xiamen University from January 2023 to August 2023 were selected as study subjects.Participants were randomly assigned to either a control group(n=27),which received standard nursing care,or an observation group(n=27),which underwent the‘exercise-psychological-sleep’intervention.The Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)were used to compare the improvement of anxiety and depression symptoms between the two groups.The European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30)was used to evaluate sleep quality improvement,and the Cancer-Related Fatigue Scale(CRF)was used to assess fatigue improvement.Results:After intervention,the SDS and SAS scores of the observation group were significantly lower than those of the control group,while the EORTC QLQ-C30 sleep quality scores of the observation group were significantly higher than those of the control group.Additionally,the CRF scores of the observation group were significantly lower than those of the control group(P<0.05).Conclusion:The“exercise-psychological-sleep”intervention effectively improves anxiety and depression,enhances sleep quality,and reduces fatigue in lung cancer patients.It is worthy of further clinical promotion and application.

关 键 词：肺癌 运动-心理-睡眠干预 焦虑 抑郁 生命质量 疲乏程度 睡眠质量 

分 类 号：R734.2[医药卫生—肿瘤] R338.63[医药卫生—临床医学]