[1]黎雪,李航森△.中医门诊消化道肿瘤患者睡眠质量调查及对策[J].西部中医药,2018,31(12):53-56.
　LI Xue,LI Hangsen.Investigation into Sleep Quality of the Patients with Gastrointestinal Cancer in TCM Outpatients and the Countermeasures[J].Western Journal of Traditional Chinese Medicine,2018,31(12):53-56.
点击复制

中医门诊消化道肿瘤患者睡眠质量调查及对策
分享到：

《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年12期
页码:
53-56
栏目:
出版日期:
2018-12-15

文章信息/Info

Title:
Investigation into Sleep Quality of the Patients with Gastrointestinal Cancer in TCM Outpatients and the Countermeasures
文章编号:
1004-6852(2018)12-0053-04
作者:
黎雪1，李航森2△
1 湖北中医药大学，湖北 武汉 430060； 2 湖北省中医院
Author(s):
LI Xue1, LI Hangsen2△
1 Hubei University of Chinese Medicine, Wuhan 430060, China; 2 Hubei Provincial Hospital of TCM
关键词:
消化道肿瘤; 睡眠质量; 问卷调查; 对策; PSQI
Keywords:
gastrointestinal cancer;  sleep quality;  questionnaire;  countermeasures;  PSQI
分类号:
R473.73
摘要:
目的：调查消化道肿瘤患者中医门诊治疗期间睡眠质量并总结对策。方法：采用匹兹堡睡眠质量指数量表(PSQI)及自拟消化道肿瘤睡眠因素调查表，调查中医门诊消化道肿瘤患者睡眠状况及中医药干预对策。结果：消化道肿瘤患者PSQI总分为(8.94±4.26)分，不寐者有68例(61.82%，68/110)。消化道肿瘤患者PSQI总分、主观睡眠质量、睡眠潜伏期、睡眠持续性、习惯性睡眠效率及睡眠紊乱的得分均明显高于国内常模(P＜0.05)，近1月的睡眠紊乱中，频率高症状依次为多梦(88.18%)、夜间易醒或早醒(63.64%)、夜尿频(50.90%)。消化道肿瘤患者PSQI得分与乏力、腹胀、心烦、不思饮食、昏昏欲睡、恶心欲吐、腹痛、腹泻具有相关性(P＜0.05)。经1月的中医药调理，有22例复诊患者睡眠质量有所改善，症状评分较前明显下降(P＜0.05)，但PSQI得分下降不明显(P＞0.05)。结论：消化道肿瘤患者睡眠质量差，中医药干预对消化道肿瘤患者提高睡眠及生存质量有一定帮助。
Abstract:
Objective：To investigate sleep quality of the patients with gastrointestinal cancer during the period treated in TCM outpatient and summarize the countermeasures. Methods：Sleep conditions and TCM intervention countermeasures of the patients with gastrointestinal cancer in TCM outpatient were surveyed by PSQI and selfmade questionnaire on sleeping factor of gastrointestinal cancer. Results：Total scores of PSQI of the patients were (8.94±4.26) points,there were 68 patients suffering insomnia(61.82% 68/110). Total scores of PSQI,subjective sleep quality,the scores of sleeping incubation period,sleep persistence,habitual sleep efficiency and sleep disorder of the patients were obviously higher than these of domestic norm(P＜0.05). Among the symptoms of sleep disorder in the recent one month,the ones at the high frequency were dreaminess(88.18%),waking up easily or early awakening at night(63.64%),frequent nocturia(50.90%). The scores of PSQI of the patients were related to lassitude,abdominal distension,vexation,poor appetite,dizziness,nausea and vomiting,abdominal pain and diarrhea(P＜0.05). After regulating for one month by TCM, sleep quality of 22 patients who visited again were improved,and symptom scales decreased obviously compared with before(P＜0.05),while the scores of PSQI decreased insignificantly (P＞0.05). Conclusion: Sleep quality of the patients with gastrointestinal cancer is poor, TCM intervention could help improve sleep and survival quality of the patients.

相似文献/References:

[1]师金凤,李海龙,王红蕾,等.黄芪及其有效成分防治消化道肿瘤的文献评价*[J].西部中医药,2014,27(08):44.
[2]邓向花,曹亚,徐玲亚,等.循证护理对原发性闭角型青光眼手术患者心理健康和睡眠质量的影响[J].西部中医药,2014,27(10):133.
[3]张静.卡培他滨化疗方案治疗消化道肿瘤的护理体会[J].西部中医药,2014,27(10):153.
[4]蒋小芳,万亚雄.失眠治疗仪配合中药泡脚对老年高血压患者睡眠质量的影响[J].西部中医药,2014,27(12):112.
[5]李霞.中医整体护理干预对骨折患者术后睡眠质量的影响[J].西部中医药,2015,28(04):149.
[6]杨敏.系统的营养护理支持及中医特色护理对消化道肿瘤患者营养状况的影响[J].西部中医药,2015,28(11):127.
[7]贡惠娟,赵玉娥,严春亚,等.循证护理对中晚期肺癌患者睡眠质量和自我护理能力的影响[J].西部中医药,2015,28(12):121.
[8]肖国民,侯娟,周永芬.华佗夹脊排罐法对失眠症患者睡眠质量的影响[J].西部中医药,2013,26(07):94.
　XIAO Guomin,HOU Juan,ZHOU Yongfen.Effects of HuaTuo Paravertebral Cupping in Alignment on Sleep Quality of Patients with Insomnia[J].Western Journal of Traditional Chinese Medicine,2013,26(12):94.
[9]韩多林.活血复寐方联合舒乐安定治疗老年人失眠的临床观察[J].西部中医药,2013,26(02):83.
　HAN Duolin.Clinical Observation on HuoXue FuMeiFang and Eurodin in Treating Senile Insomnia[J].Western Journal of Traditional Chinese Medicine,2013,26(12):83.
[10]焦耿军,张华.优质护理服务在改善断指再植患者围术期睡眠质量中的应用效果[J].西部中医药,2014,27(06):133.
　JIAO Gengjun,ZHANG Hua.Effects of High Quality Nursing on Improving Sleep Quality of the Patients with Severed Finger Reunion during Perioperative Period[J].Western Journal of Traditional Chinese Medicine,2014,27(12):133.

备注/Memo

备注/Memo:
收稿日期：2018-04-08 作者简介：黎雪(1995—)，女，学生生。研究方向：肿瘤学。 △通讯作者：李航森(1957—)，男，硕士学位，主任医师，教授。研究方向：中草药抗肿瘤研究。
更新日期/Last Update: 2018-12-15