摘要
目的探讨中医体质类型与乳腺癌患者术后继发失眠的相关性,为临床护理工作提供依据。方法选取2020年1月至2021年12月初次就诊于广东省第二中医院的90例乳腺癌患者作为研究对象,并按术后有无继发失眠分成失眠组(47例)和非失眠组(43例)。判定患者的中医体质类型,并收集其临床资料,分析影响乳腺癌患者术后继发失眠的因素。结果90例乳腺癌术后患者中,继发失眠的有47例(52.22%);中医体质类型判定平和质的有11例(12.22%),其余79例(80.78%)为偏颇体质。单因素分析结果显示,年龄、文化程度、乳腺癌分型、中医体质类型均与乳腺癌患者术后继发失眠有关(P均<0.05)。二元Logistic回归分析结果显示,年龄≤30岁、文化程度为高水平、Luminal型乳腺癌、阴虚质和气郁质均是乳腺癌患者术后继发失眠的独立危险因素(P均<0.05),而平和质是乳腺癌患者术后继发失眠的保护因素(P<0.05)。结论年龄、文化程度、乳腺癌分型、中医体质类型与乳腺癌患者术后继发失眠均有一定相关性。临床应从健康教育、饮食调理、情志调节和运动保健等方面着手,以改善患者的失眠情况。
Objective To explore the relationship between traditional Chinese medicine constitution types and postoperative insomnia of breast cancer patients,and to provide basis for clinical nursing.Methods A total of 90 breast cancer patients who were initially treated at Guangdong Second Traditional Chinese Medicine Hospital from January 2020 to December 2021 were recruited.They were allocated into an insomnia group(47 cases)and a non-insomnia group(43 cases)according to the presence or absence of postoperative insomnia.The traditional Chinese medicine constitution types of patients were determined,and their clinical data were collected.The factors affecting the postoperative insomnia in breast cancer patients were analyzed.Results Among the 90 patients after breast cancer surgery,47 patients(52.22%)had secondary insomnia.Eleven patients(12.22%)had balanced constitution according to the traditional Chinese medicine constitution types,and 79 patients(80.78%)had deviation constitution.Univariate analysis showed that age,educational level,breast cancer type,and traditional Chinese medicine constitution type were associated with postoperative insomnia in breast cancer patients(all P<0.05).Binary logistic regression analysis showed that aged≤30 years,high educational level,luminal breast cancer,yin-deficiency constitution,and qi-stagnation constitution were independent risk factors for postoperative insomnia in breast cancer patients(all P<0.05),and balanced constitution was a protective factor for postoperative insomnia in breast cancer patients(P<0.05).Conclusion Age,educational level,breast cancer type,and traditional Chinese medicine constitution type are associated with postoperative insomnia in breast cancer patients.Health education,diet regulation,emotional regulation,and physical activity should be considered to improve the sleep of patients.
作者
陈玉叶
杨淑君
钟瑞芳
CHEN Yuye;YANG Shujun;ZHONG Ruifang(Department of Mammary Gland,Guangdong Second TraditionalChinese Medicine Hospital,Guangzhou,Guangdong,510000,China)
出处
《中西医结合护理（中英文）》
2022年第6期49-52,共4页
Journal of Clinical Nursing in Practice
关键词
乳腺癌
中医体质
继发失眠
护理对策
breast cancer
traditional Chinese medicine constitution
secondary insomnia
nursing countermeasure
