世界睡眠医学杂志2024,Vol.11Issue(9) :2149-2152.DOI:10.3969/j.issn.2095-7130.2024.09.069

结构化宣教联合精准疼痛和睡眠管理对肺癌化疗期失眠患者效果研究

Study on the Effect of Structured Education Combined with Precision Pain and Sleep Management on Insomnia in Lung Cancer Patients Undergoing Chemotherapy

张芮
世界睡眠医学杂志2024,Vol.11Issue(9) :2149-2152.DOI:10.3969/j.issn.2095-7130.2024.09.069

结构化宣教联合精准疼痛和睡眠管理对肺癌化疗期失眠患者效果研究

Study on the Effect of Structured Education Combined with Precision Pain and Sleep Management on Insomnia in Lung Cancer Patients Undergoing Chemotherapy

张芮1
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作者信息

  • 1. 蚌埠医科大学第一附属医院肿瘤内科,蚌埠,233000
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摘要

目的:探讨结构化宣教联合精准疼痛、睡眠管理对肺癌化疗期失眠患者睡眠质量、疾病感知水平的影响.方法:选取2021年1月至2023年10月蚌埠医科大学第一附属医院收治的肺癌化疗期失眠患者73例作为研究对象,按照随机数字表法随机分为对照组(n=37)和观察组(n=36).对照组给予常规护理以及精准疼痛、睡眠管理;观察组在对照组基础上联合结构化宣教.比较2组患者匹兹堡睡眠质量指数(PSQI)、多导睡眠图(PSG)、疼痛程度、疾病感知水平.结果:干预前,2组患者PSQI评分、PSG相关指标、数字分级量表(NRS)评分、简易疾病感知问卷(BIPQ)评分相近(P>0.05),干预后,2组PSQI评分、PSG相关指标、NRS评分、BIPQ评分均低于干预前,且观察组均低于对照组(P<0.05).结论:结构化宣教联合精准疼痛、睡眠管理使患者失眠状况得到明显改善,能有效减轻患者疼痛感,降低对疾病的负面感知,提高化疗耐受性,值得推广应用.

Abstract

Objective:To explore the effect of structured education combined with precision pain and sleep management on sleep quality and disease perception in lung cancer patients with insomnia during chemotherapy.Methods:A total of 73 lung cancer pa-tients with insomnia undergoing chemotherapy,treated at the First Affiliated Hospital of Bengbu Medical University from January 2021 to October 2023,were selected as research subjects.They were randomly divided into a control group(n=37)and an obser-vation group(n=36).The control group received routine care along with precision pain and sleep management,while the observa-tion group additionally received structured education.The Pittsburgh Sleep Quality Index(PSQI),polysomnography(PSG),pain levels,and disease perception were compared between the two groups.Results:Before the intervention,the PSQI scores,PSG-re-lated indicators,Numerical Rating Scale(NRS)scores,and Brief Illness Perception Questionnaire(BIPQ)scores were similar be-tween the two groups(P>0.05).After the intervention,all these measures significantly improved in both groups,with the obser-vation group showing more significant improvements than the control group(P<0.05).Conclusion:Structured education com-bined with precision pain and sleep management significantly improves insomnia,effectively reduces pain,decreases negative dis-ease perception,and enhances chemotherapy tolerance in lung cancer patients.It is worthy of clinical promotion and application.

关键词

肺癌/失眠/结构化宣教/精准疼痛/化疗期/睡眠质量/疾病感知水平/护理

Key words

Lung cancer/Insomnia/Structured education/Precision pain/Chemotherapy/Sleep quality/Disease perception/Nursing

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出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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