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Research on the Relative Psychological Factors of Cancer Patients’ Quality of Sleep and Nursing Model

Author: YaoJinHui
Tutor: ZhangXiaoMing
School: Taishan Medical College
Course: Nursing
Keywords: Cancer Hospitalized patients Sleep quality Relevant factors Psychological Care model
CLC: R473.73
Type: Master's thesis
Year: 2010
Downloads: 208
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Abstract


The purpose of sleep condition and the psychological impact of cancer patients factors were assessed in this study on the basis of the intervention model of care for cancer patients sleep hospitalized cancer patients to improve sleep, improve the patient's quality of life, exploring the sleep of cancer patients care model. Method clinical select 100 cases of hospitalized cancer patients as the research object, using the Athens Insomnia Scale (AIS) to assess the quality of sleep in patients; subjective feelings of sleep beliefs and attitudes Sleep Scale (DBAS-16) a simplified version of the survey of cancer patients and before going to sleep the brain irrational beliefs appear particularly serious emotional impact; Symptom Checklist (SCL-90), the Eysenck Personality Questionnaire (EPQ), Simplified Coping Style Questionnaire (SCSQ), Social Support Rating Scale (SSRS), Quality of Life Index (QL-Index) and other assessment tools, assessment and analysis of the relevant factors affecting cancer patients sleep quality. On the basis of the assessment of the investigations and insomnia in cancer patients, randomly selected 20 cases into the experimental group and 20 patients into the control group, the experimental group, in addition to routine care nursing intervention mode, including sleep hygiene education, cognitive intervention, emotional adjustment, behavioral training, the control group received routine care only. Then compare the two groups sleep quality, sleep cognitive, psychological conditions. Results of the cancer patients with insomnia incidence of 46%; different gender, income levels in patients with different satisfaction sleep quality difference was statistically significant, the quality of male patients sleep better than women (t = 2.414, P lt; 0.05) on revenue more satisfied patients sleep quality is better than on the dissatisfied income patients (t = 6.250, P lt; 0.01); insomnia index patients sleep adverse cognitive, psychological status was a significant positive correlation (r = 0.302-0.835, P lt; 0.01); with the the psychoticism personality traits, neuroticism factor showed a significant positive correlation (r = 0.226-0.566, P lt; 0.01); coping style no correlation (r = -0.179 to 0.141, P gt; 0.05 ); subjective support, objective support for the utilization of social support was a significant negative correlation (r = -0.268 to -0.395, P lt; 0.01); quality of life of the patients showed a significant negative correlation (r = -0.608, P lt; 0.01). Psychological nursing intervention on the experimental group patients after two courses of treatment, the experimental group, 11 patients with insomnia symptoms disappeared three cases in the control group, the difference was statistically significant (P lt; 0.05); adverse cognitive experimental group of sleep to be corrected, mental health improved, compared with the control group was statistically significant (P lt; 0.01). Conclusion 1. Cancer patients sleep quality is poor, insomnia, high incidence; the male patients sleep quality in women; income than satisfied patients sleep quality in dissatisfied patients of income. Cognitive attitude of the cancer patient's quality of sleep, their sleep was significantly related to insomnia patients with sleep erroneous perception; their psychological conditions significantly associated poor overall mental health status of patients with insomnia; sleep quality of cancer patients to their personality characteristics significantly related, the majority of patients with insomnia neurotic personality, emotional instability; significantly associated with social support, good sleep quality of patients with a high degree of social support; insomnia significantly impact the quality of life of cancer patients. 3. Use of sleep include sleep hygiene education, cognitive the corrective emotional adjustment, behavioral therapy methods care model can effectively correct the adverse cognitive cancer patients sleep, improve sleep and quality of life, help patients overall rehabilitation; easily nurses to master and cognitive-behavioral therapy, and other measures to facilitate the implementation in clinical practice, worthy of further promotion in clinical practice.

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