医学与社会
醫學與社會
의학여사회
Medicine and Society
2015年
11期
91-93
,共3页
老年患者%消化道肿瘤%疾病不确定感%睡眠质量
老年患者%消化道腫瘤%疾病不確定感%睡眠質量
노년환자%소화도종류%질병불학정감%수면질량
Elderly Patient%Gastrointestinal Tumor%Uncertainly in Illness%Sleeping Quality
目的：探讨老年消化道恶性肿瘤患者疾病不确定感与睡眠质量的相关性。方法：采用描述性研究，疾病不确定感量表（Mishel’s Uncertainty in Illness Scale， MUIS－A）和匹兹堡睡眠质量指数量表（Pittsburgh sleep quality index， PSQI）调查158例老年消化道恶性肿瘤患者的疾病不确定感水平和睡眠质量状况，分析两者之间的相关性。结果：158例消化道恶性肿瘤患者疾病不确定感水平中，52例处于低水平，平均得分为（56．67±7．31）分；77例患者处于中等水平，平均得分为（91．49±13．80）分，29例患者处于高水平，平均得分为（124．17±4．45）分（P＜0．05）。60人（37．97％）表现好的睡眠质量，PSQI得分（5．61±1．24）分；98人（62．03％）睡眠质量差，PSQI得分（10．77±2．79）分，疾病不确定感与睡眠质量呈正相关（P＜0．01）。结论：老年消化道恶性肿瘤患者中存在中等水平的疾病不确定感，且与睡眠质量呈现正相关性，医护人员应综合管理患者的疾病不确定感与睡眠质量，从而提高患者的生活质量。
目的：探討老年消化道噁性腫瘤患者疾病不確定感與睡眠質量的相關性。方法：採用描述性研究，疾病不確定感量錶（Mishel’s Uncertainty in Illness Scale， MUIS－A）和匹玆堡睡眠質量指數量錶（Pittsburgh sleep quality index， PSQI）調查158例老年消化道噁性腫瘤患者的疾病不確定感水平和睡眠質量狀況，分析兩者之間的相關性。結果：158例消化道噁性腫瘤患者疾病不確定感水平中，52例處于低水平，平均得分為（56．67±7．31）分；77例患者處于中等水平，平均得分為（91．49±13．80）分，29例患者處于高水平，平均得分為（124．17±4．45）分（P＜0．05）。60人（37．97％）錶現好的睡眠質量，PSQI得分（5．61±1．24）分；98人（62．03％）睡眠質量差，PSQI得分（10．77±2．79）分，疾病不確定感與睡眠質量呈正相關（P＜0．01）。結論：老年消化道噁性腫瘤患者中存在中等水平的疾病不確定感，且與睡眠質量呈現正相關性，醫護人員應綜閤管理患者的疾病不確定感與睡眠質量，從而提高患者的生活質量。
목적：탐토노년소화도악성종류환자질병불학정감여수면질량적상관성。방법：채용묘술성연구，질병불학정감량표（Mishel’s Uncertainty in Illness Scale， MUIS－A）화필자보수면질량지수량표（Pittsburgh sleep quality index， PSQI）조사158례노년소화도악성종류환자적질병불학정감수평화수면질량상황，분석량자지간적상관성。결과：158례소화도악성종류환자질병불학정감수평중，52례처우저수평，평균득분위（56．67±7．31）분；77례환자처우중등수평，평균득분위（91．49±13．80）분，29례환자처우고수평，평균득분위（124．17±4．45）분（P＜0．05）。60인（37．97％）표현호적수면질량，PSQI득분（5．61±1．24）분；98인（62．03％）수면질량차，PSQI득분（10．77±2．79）분，질병불학정감여수면질량정정상관（P＜0．01）。결론：노년소화도악성종류환자중존재중등수평적질병불학정감，차여수면질량정현정상관성，의호인원응종합관리환자적질병불학정감여수면질량，종이제고환자적생활질량。
Objective:To research the correlation between uncertainty in illness and sleeping quality in elderly patients with gastrointestinal tumors.Methods:Descriptive study, Mishel 's Uncertainty in Illness Scale and Pittsburgh sleep quality index Scale were used to investigate 158 cases of elderly patients with gastrointestinal tumors.Results:52 cases of the total patients were at a lower level of uncertainty in illness with (56.67+7.31) points .While, the average score of 77 patients in the medium level was (91.49 +13.80) points, and 29 patients at a high lev-el received (124.17 +4.45) points (P<0.05).Only 37.97% among the elderly patients had good sleep quality and PSQI score was (5.61+1.24).The rest patients suffered from the poor quality of sleep and PSQI score was (10.77 +2.79).The disease uncertainty and sleep quality were positively correlated (P<0.01).Conclusion:The elderly patients with gastrointestinal tumors had a medium level of uncertainty in illness. The uncertainty in illness had a positive correlation with sleep quality.We should take integrated management of uncertainty in illness and sleep quality, so as to improve the quality of life of the patients.
