肿瘤患者化疗期间失眠原因及护理干预对比分析(1)
【摘要】 目的：分析肿瘤患者化疗期间的失眠原因，探讨护理干预对改善患者睡眠的效果。方法：选取2016年1月-2017年1月笔者所在医院收治的失眠肿瘤化疗患者98例为研究对象，将其分成观察组与对照组，各49例，利用笔者所在医院自行设计的问卷调查失眠原因，对照组患者采用常规方式进行护理，观察组在常规护理的基础上实行有针对性的护理，比较两组患者睡眠质量改善情况。结果：肿瘤患者化疗期间失眠的原因主要有心理(25.5%)、病理(42.9%)及环境(31.6%)等因素，其中比例最大的是病理因素；化疗患者中年龄越大、文化程度越低越容易失眠，男性患者较女性患者更易发生失眠。护理干预后，观察组睡眠良好患者例数优于对照组，比较差异有统计学意义(P<0.05)。结论：肿瘤患者化疗期间的失眠率比较高，有针对性的护理干预可以帮助患者减少负性情绪，提升生活质量，值得在临床护理工作中推广应用。
【关键词】 肿瘤； 化疗； 失眠原因； 护理干预
doi：10.14033/j.cnki.cfmr.2017.36.057 文献标识码 B 文章编号 1674-6805(2017)36-0110-02
【Abstract】 Objective：To analyze the causes of insomnia during chemotherapy in patients with cancer，and to explore the effect of nursing intervention on improving the patient’ sleep.Method：From January 2016 to January 2017，98 patients with cancer chemotherapy insomnia treated in our hospital were divided into the observation group and the control group，49 patients each.The self-designed questionnaires were used to investigate the causes of insomnia，the control group was treated with conventional methods of care，the observation group was treated with the routine care based on the implementation of targeted care，sleep quality improvement was compared between the two groups.Result：The causes of insomnia during chemotherapy were mainly psychological(25.5%)，pathology(42.9%) and environment(31.6%)， among which the largest proportion was pathological factors.Among the chemotherapy patients，the olderand the lower degree of education were more easily to lose sleep，male patients were more prone to lose sleep than female patients.After nursing intervention，the patients with good sleep in the observation group were better than the control group，the difference was statistically significant(P<0.05).Conclusion：The insomnia rate of cancer patients is relatively high during the chemotherapy period，targeted nursing intervention can help patients to reduce negative emotions and improve the quality of life.It is worthy of popularization and application in clinical nursing work.
【Key words】 Cancer； Chemotherapy； Causes of insomnia； Nursing intervention
First-author’s address：Nanmo Central Health Center of Haian County，Haian 226681，China
對于肿瘤患者来说，失眠是其诸多临床症状之一，通常情况下经过肿瘤化疗的患者都会出现出不同程度的失眠。恶性肿瘤患者失眠是加重患者病情的重要因素之一，放疗患者需要足够的睡眠来促进疾病康复，因此有必要对肿瘤患者化疗期间失眠的原因进行分析，这样才能采取有效措施减轻放疗带来的不良反应，从而促进患者的康复[1]。本次研究主要探究化疗肿瘤患者的睡眠情况，分析98例肿瘤化疗期间患者出现失眠的原因，并为此制定护理措施，现报道分析如下。
1 资料与方法
1.1 一般资料
选取2016年1月-2017年1月笔者所在医院收治的98例失眠的化疗肿瘤患者。将其分成观察组与对照组，各49例，观察组中男30例，女19例，年龄20～81岁，平均(52.6±3.2)岁，其中胃癌4例，食管癌15例，乳腺癌6例，肺癌8例，大肠癌16例；对照组中男29例，女20例，年龄21～82岁，平均(51.4±3.7)岁，其中胃癌8例，食管癌17例，乳腺癌5例，肺癌7例，大肠癌12例。两组患者一般资料比较差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(顾祝琴)
【关键词】 肿瘤； 化疗； 失眠原因； 护理干预
doi：10.14033/j.cnki.cfmr.2017.36.057 文献标识码 B 文章编号 1674-6805(2017)36-0110-02
【Abstract】 Objective：To analyze the causes of insomnia during chemotherapy in patients with cancer，and to explore the effect of nursing intervention on improving the patient’ sleep.Method：From January 2016 to January 2017，98 patients with cancer chemotherapy insomnia treated in our hospital were divided into the observation group and the control group，49 patients each.The self-designed questionnaires were used to investigate the causes of insomnia，the control group was treated with conventional methods of care，the observation group was treated with the routine care based on the implementation of targeted care，sleep quality improvement was compared between the two groups.Result：The causes of insomnia during chemotherapy were mainly psychological(25.5%)，pathology(42.9%) and environment(31.6%)， among which the largest proportion was pathological factors.Among the chemotherapy patients，the olderand the lower degree of education were more easily to lose sleep，male patients were more prone to lose sleep than female patients.After nursing intervention，the patients with good sleep in the observation group were better than the control group，the difference was statistically significant(P<0.05).Conclusion：The insomnia rate of cancer patients is relatively high during the chemotherapy period，targeted nursing intervention can help patients to reduce negative emotions and improve the quality of life.It is worthy of popularization and application in clinical nursing work.
【Key words】 Cancer； Chemotherapy； Causes of insomnia； Nursing intervention
First-author’s address：Nanmo Central Health Center of Haian County，Haian 226681，China
對于肿瘤患者来说，失眠是其诸多临床症状之一，通常情况下经过肿瘤化疗的患者都会出现出不同程度的失眠。恶性肿瘤患者失眠是加重患者病情的重要因素之一，放疗患者需要足够的睡眠来促进疾病康复，因此有必要对肿瘤患者化疗期间失眠的原因进行分析，这样才能采取有效措施减轻放疗带来的不良反应，从而促进患者的康复[1]。本次研究主要探究化疗肿瘤患者的睡眠情况，分析98例肿瘤化疗期间患者出现失眠的原因，并为此制定护理措施，现报道分析如下。
1 资料与方法
1.1 一般资料
选取2016年1月-2017年1月笔者所在医院收治的98例失眠的化疗肿瘤患者。将其分成观察组与对照组，各49例，观察组中男30例，女19例，年龄20～81岁，平均(52.6±3.2)岁，其中胃癌4例，食管癌15例，乳腺癌6例，肺癌8例，大肠癌16例；对照组中男29例，女20例，年龄21～82岁，平均(51.4±3.7)岁，其中胃癌8例，食管癌17例，乳腺癌5例，肺癌7例，大肠癌12例。两组患者一般资料比较差异无统计学意义(P>0.05)，具有可比性。, http://www.100md.com(顾祝琴)