胃癌根治术患者心理弹性与睡眠质量及焦虑水平的关系  

Relationship between psychological resilience and sleep quality,anxiety level in patients undergoing radical gastrectomy for gastric cancer

作　　者：尚华[1] 陈玉华[1] 厉冰[1] SHANG Hua;CHEN Yuhua;LI Bing(Department of General Surgery,Nanyang Central Hospital,Nanyang 473000,He’nan,China)

机构地区：[1]南阳市中心医院普通外科,河南南阳473000

出　　处：《癌症进展》2025年第2期189-191,共3页Oncology Progress

基　　金：河南省科技发展计划项目(232102310295)。

摘　　要：目的探讨胃癌根治术患者心理弹性与睡眠质量及焦虑水平的关系。方法选取103例胃癌根治术患者和87例健康体检者,分别作为胃癌组和对照组。比较两组受试者的心理弹性[Connor-Davidson心理弹性量表(CD-RISC)]、睡眠质量[匹兹堡睡眠质量指数(PSQI)]及焦虑水平[汉密尔顿焦虑量表(HAMA)]。结果胃癌组患者CD-RISC评分明显低于对照组,PSQI、HAMA评分均明显高于对照组,差异均有统计学意义(P﹤0.01)。胃癌根治术患者CD-RISC评分与PSQI各维度评分及总分均呈负相关(P﹤0.05)。胃癌根治术患者CD-RISC各维度评分及总分与HAMA评分均呈负相关(P﹤0.05)。结论胃癌根治术患者的心理弹性与睡眠质量和焦虑水平均呈负相关,提高心理弹性有助于改善患者的睡眠质量和焦虑情绪,促进患者术后恢复。Objective To explore the relationship between psychological resilience and sleep quality,anxiety level in patients undergoing radical gastrectomy for gastric cancer.Method A total of 103 patients who underwent radical gastrectomy for gastric cancer and 87 healthy subjects were selected as the gastric cancer group and control group,respectively.The psychological resilience[Connor-Davidson resilience scale(CD-RISC)],sleep quality[Pittsburgh sleep quality index(PSQI)]and anxiety level[Hamilton anxiety scale(HAMA)]were compared between the two groups.Result The CD-RISC score in gastric cancer group was significantly lower than that in control group,and the PSQI and HAMA scores were significantly higher than those in control group,the differences were statistically significant(P<0.01).The CD-RISC score was negatively correlated with the dimensional scores and total score of PSQI in patients undergoing radical gastrectomy for gastric cancer(P<0.05).The dimensional scores and total score of CD-RISC were negatively correlated with HAMA score in patients undergoing radical gastrectomy for gastric cancer(P<0.05).Conclusion The psychological resilience is negatively correlated with sleep quality and anxiety level in patients undergoing radical gastrectomy for gastric cancer.Therefore,improving psychological resilience can help improve sleep quality and anxiety,and promote postoperative recovery of patients.

关 键 词：胃癌根治术 心理弹性 睡眠质量 焦虑 相关性 

分 类 号：R735.2[医药卫生—肿瘤]