大肠癌患者术前睡眠状况与心理社会因素的相关研究

发布时间：2018-07-13 08:39

【摘要】：目的探讨大肠癌患者术前睡眠状况及其与心理社会因素的关系,为改善大肠癌患者的睡眠质量提供依据。方法采用横断面调查法,选取中国医科大学附属第一医院肛肠外科经病理证实为大肠癌的患者107例,应用阿森斯失眠量表(AIS)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)、领悟社会支持量表(PSSS)、自尊量表(SES)、医学应对问卷(MCMQ)、纽芬兰纪念大学幸福度量表(MUNSH)、艾森克人格问卷(EPQ)、Wang-Baker脸谱疼痛强度评分量表评估患者手术前睡眠状况及其与心理社会诸多因素的关系。结果手术前患者失眠发生率为22.43%(24/107),失眠在人口学特征与临床特征方面无统计学差异(P0.05)。抑郁程度、焦虑程度、社会支持、回避、屈服、幸福度及EPQ-N在失眠与否的分组中存在统计学差异(P0.05)。抑郁程度、焦虑程度与EPQ-P对失眠程度有显著正向影响(P0.05)。结论手术前大肠癌患者失眠程度与抑郁、焦虑、应对方式、社会支持和人格特征关系密切。
[Abstract]:Objective to explore the relationship between preoperative sleep status and psychosocial factors in patients with colorectal cancer and to provide evidence for improving sleep quality of patients with colorectal cancer. Methods A total of 107 patients with colorectal cancer confirmed by pathology in the first affiliated Hospital of China Medical University were selected by cross-sectional investigation. Appling Ascension Insomnia scale (AIS), Hamilton Depression scale (Hamd), Hamilton anxiety scale (Hama), perceived Social support scale (PSSS), Self-esteem scale (SES), Medical coping questionnaire (MCMQ), University of Newfoundland Happiness scale (MUNSH), Eysenck Personality questionnaire (EPQ) Wang-Baker The facial pain intensity scale was used to evaluate the sleep status of patients before operation and its relationship with many psychological and social factors. Results the incidence of insomnia before operation was 22.43% (24 / 107). There was no significant difference in demographic and clinical characteristics between patients with insomnia (P0.05). The degree of depression, anxiety, social support, avoidance, surrender, happiness and EPQ-N were significantly different in insomnia groups (P0.05). The degree of depression, anxiety and EPQ-P had significant positive effects on the degree of insomnia (P0.05). Conclusion the degree of insomnia in patients with colorectal cancer before operation is closely related to depression, anxiety, coping style, social support and personality characteristics.
【作者单位】：中国医科大学附属第一医院肛肠外科;大连市第七人民医院科教科;中国医科大学附属第一医院精神医学科;辽宁省人民医院心理科;中国医科大学附属第四医院胃肠外科;
【基金】：国家自然科学基金(81472853)
【分类号】：R735.34

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