放疗期间宫颈癌患者睡眠质量及应对方式相关分析

摘要

目的 探讨放疗期间宫颈癌患者睡眠质量与应对方式的关系.方法 采用匹兹堡睡眠质量指数(PSQI)和Jalowiec应对方式量表对68例放疗期宫颈癌患者进行问卷调查.结果 放疗期间宫颈癌患者睡眠质量得分为(8.60 ±4.47)分;放疗期间宫颈癌患者应用最多的是乐观应对方式,应用最少的是情感宣泄应对方式;宿命应对方式与睡眠质量总分(r =0.325,P=0.008)呈正相关;面对与主观睡眠质量得分呈正相关(r =0.318,P=0.009);寻求支持与主观睡眠质量得分呈负相关(r=-0.306,P=0.013);姑息与日间功能得分呈负相关(r=-0.245,P=0.047).结论 睡眠障碍是放疗期间宫颈癌患者普遍存在的问题,医护人员应引导患者采用积极有效的应对方式,以改善患者的睡眠质量.%Objectives:To explore the relationship between sleep quality and coping styles in cervical cancer patients undergoing radiotherapy.Methods:68 cervical cancer patients were assessed by convenient sampling,who had been investigated with Pittsburgh Sleep Quality Index (PSQI) and Jalowiec coping scale (JCS-60).Results:Global PSQI score was (8.60 ± 4.47).Optimistic coping scored highest with score of (2.11 ± 0.45),which was the style most often applied by cervical cancer patients.Emotive coping scored lowest with score of (0.97 ± 0.62).Among 60 coping items,"Hoped that things would get better" was the most often used coping strategy,"Took a drink to make yourself feel better" was the least used coping strategy.Global PSQI score was positively correlated with fatalistic coping(r =0.325,P =0.008).Confrontive coping was positively correlated with subjective sleep quality score(r =0.318,P =0.009),while supportive coping was negatively related to subjective sleep quality score(r =-0.306,P =0.013),and palliative was negatively related to daytime dysfunction(r =-0.245,P =0.047).Gonclusions:Sleep problems are a common complaint in cervical cancer patients undergoing radiotherapy.Health care workers should guide the patients to adopt active coping styles to improve sleep quality.