Objective To explore the subjective sleep quality and mental resilience in colorectal cancer patients during the treatment period. Methods A total of 72 colorectal cancer patients undergoing chemotherapy from May to September 2016 in First Affiliated Hospital of Xi'an Jiaotong University were selected by convenience sampling method. Pittsburgh sleep quality index (PSQI) and Conner-Davidson Resilience Scale (CD-RISC) were applied to investigate patients' sleep quality and mental resilience before discharge, and at the 1st month, 3rd month and 6th month of the chemotherapy. Single factor repeated measurement analysis of variance was applied to compare the difference between sleep quality score and mental resilience score, and Pearson correlation coefficient was used to analyze the correlation between them. Results The PSQI scores at the 4 follow-up time points were (9.43±4.26), (9.02±3.68), (7.58±4.01) and (6.16±3.22), and the difference was statistically significant (F=9.861,P<0.05). The CD-RISC scores at the 4 follow-up time points were (60.13±15.80), (66.56±16.17), (69.82±17.46) and (73.03±17.85), and the difference was statistically significant (F=7.681,P<0.05). The difference of PSQI scores of patients in different age groups was statistically significant (F=2.792,P< 0.05), and the differences of CD-RISC in patients with different education degree and in different cancer stages were statistically significant (F=3.321,3.534;P<0.05). There were a negative correlations between sleep quality and mental resilience at the each time point (r=-0.32--0.53;P<0.05). The CD-RISC score of the patients with early stage sleep disturbances was lower than that of non-sleep disturbances patients at each time point (P< 0.05). Conclusions Health professionals should pay close attention to the sleep status of colorectal cancer patients at the early stage of treatment, and take appropriate interventions to improve the quality of life and resilience development.%目的 了解结直肠癌患者化疗期内不同时间点的睡眠状况和心理弹性状态.方法 采用方便抽样,选取2016年5月—2016年9月在西安交通大学第一附属医院进行化疗的结直肠癌患者72例.使用匹兹堡睡眠质量指数量表(PSQI)和Conner-Davidson心理弹性量表(CD-RISC)在患者根治术后出院前、化疗开始后1、3、6个月分别对患者的睡眠质量和心理弹性水平进行调查.使用单因素重复测量方差分析进行睡眠质量得分和心理弹性得分差异比较,并使用Pearson相关法分析两者之间的相关性.结果 调查对象出院前、化疗开始后1、3、6个月4个时间点PSQI得分分别为(9.43±4.26)、(9.02±3.68)、(7.58±4.01)、(6.16±3.22)分,差异有统计学意义(F=9.861,P<0.05);4个时间点的CD-RISC得分分别为(60.13±15.80)、(66.56±16.17)、(69.82±17.46)、(73.03±17.85)分,差异有统计学意义(F=7.681,P<0.05).不同年龄的患者PSQI得分差异有统计学意义(F=2.792,P<0.05),不同文化程度和癌症分期患者的CD-RISC得分差异有统计学意义(F值分别为3.321、3.534;P<0.05).各阶段睡眠质量与心理弹性均呈负相关(r值为-0.32~-0.53;P<0.05).诊断后早期睡眠障碍组在各个阶段的CD-RISC得分均低于无睡眠障碍组,差异有统计学意义(P<0.05).结论 医务人员在治疗早期即应关注结直肠癌化疗患者的睡眠状况,并适当采取一定的干预措施,能对患者的生活质量和心理弹性发展起到积极作用.
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