在接受化疗的患有急性白血病的年轻和中年成人中睡眠障碍:从生物心理社会角度进行定性研究
Li Yu1,2, Ying Jiang2, Qin Zhou2
1School of Nursing, Qingdao University, Qingdao, People's Republic of China.
Journal of multidisciplinary healthcare
|August 18, 2025
概括
接受化疗的急性白血病患者由于生物,心理和社会因素而睡眠不佳. 了解这些影响是改善治疗期间睡眠质量和患者幸福感的关键.
科学领域:
- 在瘤学瘤学.
- 血液学 血液学 血液学
- 睡眠医学 睡眠医学
- 心理社会护理 心理社会护理
背景情况:
- 在化疗期间,急性白血病患者中睡眠障碍很普遍,对治疗疗效和生活质量产生负面影响.
- 生物心理社会模型为理解这些睡眠问题的多面性质提供了一个框架.
研究的目的:
- 探索在接受化疗的年轻和中年急性白血病患者中睡眠障碍的感知和影响因素.
- 确定影响患者睡眠的关键生物,心理和社会决定因素.
- 为改善睡眠管理制定有针对性的干预措施提供信息.
主要方法:
- 一项定性研究,采用针对急性白血病进行化疗的16名患者的有目的抽样.
- 进行了半结构面试,以生物心理社会模型为指导.
- 科拉伊齐的七步分析方法被用来进行主题改进.
主要成果:
- 七个主要主题出现了:疾病和治疗的生理负担,不确定性的心理痛苦,影响睡眠的认知/情绪因素,各种应对策略,环境/制度障碍,社会经济压力和人际关系动态.
- 患者报告说,严重的不适,焦虑,恐惧和反会影响睡眠.
- 缺乏足够的心理社会支持和机构护理被确定为关键问题.
结论:
- 年轻和中年急性白血病患者在化疗期间面临着重大的睡眠质量挑战,受到生物,心理和社会因素的复杂相互作用的影响.
- 目前的心理社会支持和机构护理似乎不足以有效地解决这些睡眠障碍.
- 开发能够整合这些影响因素的有针对性的干预措施对于提高患者的睡眠质量和整体生活质量至关重要.
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