肠造口患者居家睡眠质量特点及影响因素研究进展

doi:10.16460/j.issn1008-9969.2024.24.027

摘要/Abstract

摘要： 目的对肠造口患者居家睡眠质量特点和影响因素进行综述,为制定个性化的睡眠干预措施提供依据。方法检索国内外相关文献,梳理归纳肠造口患者居家睡眠质量的特征及影响因素。结果肠造口患者居家期间普遍面临睡眠质量不佳的问题,主要表现为主观睡眠满意度下降、睡眠效率低、睡眠连续性中断和日间功能受损明显。睡眠质量受到人口统计学因素（年龄、性别、文化程度、家庭收入）,疾病与治疗因素（治疗方式与术后时间、造口性质与造口类型、疾病相关因素）,造口自我管理因素（自理能力、造口并发症、睡眠舒适度）,以及心理社会因素、睡眠认知和行为因素、饮食相关因素的影响。结论肠造口患者居家睡眠质量不佳,迫切需要深入研究睡眠管理方案,以改善患者的睡眠质量和生活质量。

关键词: 肠造口患者, 睡眠质量, 影响因素, 综述

中图分类号:

R473.6

林梅燕, 张星星, 李瑞华, 陶思琪, 甄莉. 肠造口患者居家睡眠质量特点及影响因素研究进展[J]. 护理学报, 2024, 31(24): 27-32.

参考文献

[1] 中华护理学会伤口、造口、失禁护理专业委员会. 成人肠造口护理标准[J]. 中华护理杂志, 2020, 55(增刊2): 15.
[2] Shang B, Bian Z, Luo C, et al.Exploring the dynamics of perioperative symptom networks in colorectal cancer patients:a cross-lagged panel network analysis[J].Support Care Cancer, 2024, 32(1): 62. DOI:10.1007/s00520-023-08288-z.
[3] Krystal AD, Prather AA, Ashbrook LH.The assessment and management of insomnia: an update[J]. World Psychiatry, 2019, 18(3): 337-352. DOI:10.1002/wps.20674.
[4] 陶艳, 王凤霞, 胡成文, 等. 肠造口患者术后居家睡眠质量的现况调查[J]. 中国实用护理杂志, 2019(22): 1701-1706. DOI:10.3760/cma.j.issn.1672-7088.2019.22.005.
[5] Hao JL, Gu L, Liu P, et al.Symptom clusters in patients with colorectal cancer after colostomy: a longitudinal study in Shanghai[J]. J Int Med Res, 2021,49(12):03000605211063105.DOI:10.1177/03000605211063105.
[6] 刘贤臣, 唐茂芹, 胡蕾, 等. 匹兹堡睡眠质量指数的信度和效度研究[J]. 中华精神科杂志, 1996(2):103-107.
[7] 于克玲, 宋琴芬, 尹光啸. 结直肠癌造口患者居家睡眠质量及影响因素分析[J]. 中国实用护理杂志, 2018, 34(35): 2745-2749.DOI:10.3760/cma.j.issn.1672-7088.2018.35.006.
[8] Schieber K, Niecke A, Geiser F, et al.The course of cancer-related insomnia: don't expect it to disappear after cancer treatment[J]. Sleep Med, 2019, 58: 107-113. DOI:10.1016/j.sleep.2019.02.018.
[9] Avci Işik S, Balanuye B, Budak Ertürk E, et al. Sleep Problems in Individuals With Intestinal Stomas and Determining the Quality of Sleep: A Multicenter Study[J]. J Wound Ostomy Continence Nurs, 2023, 50(1): 39-46. DOI:10.1097/WON.0000000000000939.
[10] 中华医学会神经病学分会睡眠障碍学组. 中国成人失眠诊断与治疗指南(2023版)[J]. 中华神经科杂志, 2024, 57(6):560-584. DOI:10.3760/cma.j.cn113694-20240406-00209.
[11] 谢恬, 杨慧, 赵新月, 等. 肠造口患者睡眠特征及相关影响因素的调查性研究[J]. 当代护士(下旬刊), 2021, 28(9): 11-15. DOI:10.19793/j.cnki.1006-6411.2021.27.004.
[12] Temiz Z, Cavdar I, Ozbas A, et al.Sleep quality and factors affecting sleep in individuals with an intestinal ostomy: a descriptive cross-sectional study[J]. Wound Manag Prev, 2022, 68(5):28-36. DOI:10.25270/wmp.2022.5.2836.
[13] 赵泽英, 邓颖辉, 丁妮, 等. 肠造口高排量的研究进展[J]. 护理研究, 2020,34(2):291-294.DOI:10.12102/j.issn.1009-6493.2020.02.022.
[14] Harputlu D, Talaz D, Ceman D, et al. Investigation of sleep quality in individuals with stoma[J]. Deuhfed, 2020, 13(2): 19-26. https://hdl.handle.net/20.500.14365/4648.
[15] Kalayci F, Duruk N.Assessment of the difficulties experienced by individuals with intestinal stomas: a qualitative study[J]. Adv Skin Wound Care, 2022, 35(5): 1-7. DOI:10.1097/01.ASW.0000805752.01398.2d.
[16] 刘涵予. 肠造口患者自我管理体验质性研究的Meta整合[J]. 中华现代护理杂志, 2023. DOI:10.3760/cma.j.cn115682-20220613-02829.
[17] Grandner MA,Fernandez FX.The translational neuroscience of sleep: a contextual framework[J]. Science,2021,374(6567):568-573.DOI:10.1126/science.abj8188.
[18] 郑璇, 张雪惠, 高洁, 等. 老年肠造口患者出院过渡期护理依赖现状及其影响因素[J]. 解放军护理杂志, 2020, 37(6): 24-27. DOI:10.3969/j.issn.1008-9993.2020.06.006.
[19] Mondal P, Gjevre J, Taylor-Gjevre Rm, et al.Relationship between the Pittsburgh Sleep Quality Index and the Epworth Sleepiness Scale in a sleep laboratory referral population[J]. Nat Sci Sleep,2013, 5:15-21.DOI:10.2147/NSS.S40608.
[20] 中国睡眠研究会. 日间过度思睡临床诊断和治疗专家共识[J]. 中华医学杂志, 2023, 103(15): 1103-1118. DOI:10.3760/cma.j.cn112137-20221228-02712.
[21] Lee LJ, Han CJ, Saligan L, et al.Comparing symptom clusters in cancer survivors by cancer diagnosis: a latent class profile analysis[J]. Support Care Cancer, 2024, 32(5): 308. DOI:10.1007/s00520-024-08489-0.
[22] Baldwin CM, Grant M, Wendel C, et al.Gender differences in sleep disruption and fatigue on quality of life among persons with ostomies[J]. J Clin Sleep Med, 2009, 5(4): 335-343. DOI:10.5664/jcsm.27544.
[23] Wang SM, Jiang JL, Li R, et al.Qualitative exploration of home life experiences and care needs among elderly patients with temporary intestinal stomas[J]. World J Gastroenterol, 2024, 30(22): 2893-2901. DOI:10.3748/wjg.v30.i22.2893.
[24] 陆(韦华)吾, 陆箴琦. 乳腺癌化疗患者睡眠障碍变化规律及预测指标研究[J]. 护理学杂志, 2021, 36(18): 1-5. DOI:10.3870/j.issn.1001-4152.2021.18.001.
[25] Silva KDA, Duarte AX, Cruz AR, et al.Time after ostomy surgery and type of treatment are associated with quality of life changes in colorectal cancer patients with colostomy[J]. PLoS One, 2020, 15(12): e0239201. DOI:10.1371/journal.pone.0239201.
[26] 郭慧云. 结直肠癌肠造口患者化疗期间正念水平、应对方式与睡眠质量的相关性研究[D].郑州:河南大学, 2021.
[27] D' Ambrosio F, Pappalardo C, Scardigno A, et al.Peristomal skin complications in ileostomy and colostomy patients: what we need to know from a public health perspective[J]. Int J Environ Res Public Health,2022,20(1):79.DOI:10.3390/ijerph20010079.
[28] Rud CL, Baunwall SMD, Bager P, et al.Patient-reported outcomes and health-related quality of life in people living with ileostomies: a population-based, cross-sectional study[J]. Dis Colon Rectum, 2022, 65(8): 1042. DOI:10.1097/DCR.0000000000002100.
[29] 王静, 韩艳芳, 王园园, 等. 泌尿造口病人生活体验质性研究的Meta整合[J]. 循证护理, 2024, 10(12): 2112-2118. DOI:10.12102/j.issn.2095-8668.2024.12.004.
[30] Furukawa C, Morioka I.Health-related quality of life and sleep disorders in patients with a urostomy: is there a relationship?[J].J Wound Ostomy Continence Nurs,2017,44(4): 358-362.DOI: 10.1097/WON.0000000000000334
[31] 中华医学会消化病学分会炎症性肠病学组, 中国炎症性肠病诊疗质量控制评估中心.中国克罗恩病诊治指南(2023年·广州)[J]. 中华炎性肠病杂志, 2024, 8(1): 2-32. DOI:10.3760/cma.j.cn101480-20240108-00006.
[32] Liu S, Sun B, Tian W, et al.Experience of providing care to a family member with Crohn's disease and a temporary stoma: a qualitative study[J].Heliyon,2023,9(10):e21013. DOI:10.1016/j.heliyon.2023.e21013.
[33] 王倩, 刘峰, 王素云. 克罗恩病患者216例生活质量影响因素及其与出院准备度、正念觉知水平的相关性[J]. 中华消化杂志, 2022, 42(4): 259-264. DOI:10.3760/cma.j.cn311367-20210831-00472.
[34] Burke JP.Role of fecal diversion in complex crohn's disease[J]. Clinics Colon Rectal Surg, 2019, 32(4): 273-279. DOI:10.1055/s-0039-1683916.
[35] Yan MH, Lv L, Zheng MC, et al.Quality of life and its influencing factors among Chinese patients with permanent colostomy in the early postoperative stage: a longitudinal study[J]. Cancer Nurs, 2022, 45(1):153-161. DOI:10.1097/NCC.0000000000000893.
[36] 胡娇娇, 王建宁, 詹梦梅, 等. 肠造口患者居家护理需求质性研究的Meta整合[J]. 中华护理杂志, 2023, 58(3): 357-365. DOI:10.3761/j.issn.0254-1769.2023.03.014.
[37] 中国造口管理协作组, 中华护理学会伤口造口失禁护理专业委员会, 中国医师协会外科医师分会结直肠医师专业委员会,等.肠造口并发症的分型与分级标准(2023版)[J]. 中华胃肠外科杂志, 2023, 26(10): 915-921. DOI:10.3760/cma.j.cn441530-20230918-00094.
[38] 李卫珍, 王飞霞, 潘喆, 等. 造口患者居家沐浴知信行评估问卷的编制及信效度检验[J]. 中华护理杂志, 2023, 58(14):1742-1749. DOI:10.3761/j.issn.0254-1769.2023.14.011.
[39] Alwi F, Setiawan, Asrizal.Quality of life of persons with permanent colostomy: a phenomenological study[J]. J Coloproctol, 2018, 38(4):295-301.DOI:10.1016/j.jcol.2018.06.001.
[40] Ayaz-Alkaya S.Overview of psychosocial problems in individuals with stoma: a review of literature[J]. Int Wound J, 2019, 16(1): 243-249. DOI:10.1111/iwj.13018.
[41] 刘凯丽, 王志霞. 永久性肠造口患者负性情绪及自理能力与睡眠质量的关系研究[J]. 护理实践与研究, 2021, 18(21):3167-3170. DOI:10.3969/j.issn.1672-9676.2021.21.002.
[42] Lai HL, Chen CI, Lu CY, et al.Relationships among personality, coping, and concurrent health-related quality of life in women with breast cancer[J]. Breast Cancer, 2019, 26(5): 544-551. DOI:10.1007/s12282-019-00954-7.
[43] 杜水连, 左金连, 刘敏鹃. 结直肠癌肠造口患者人格特征、应对方式与睡眠质量的相关性分析[J]. 当代护士(中旬刊), 2023, 30(10): 117-121. DOI:10.19792/j.cnki.1006-6411.2023.29.027.
[44] 唐丽丽, 詹淑琴, 于恩彦, 等. 成人癌症患者失眠诊疗专家建议[J]. 中国心理卫生杂志, 2021, 35(6): 441-448. DOI:10.3969/j.issn.1000-6729.2021.06.001.
[45] 李繁荣, 游雪梅, 赵凤娟. 癌症患者睡眠障碍轨迹的研究进展[J]. 护士进修杂志, 2023, 38(18): 1676-1680. DOI:10.16821/j.cnki.hsjx.2023.18.009.
[46] Harvey AG.A cognitive model of insomnia[J]. Behav Res Therapy, 2002, 40(8):869-893. DOI:10.1016/S0005-7967(01)00061-4.
[47] Kwon M, Zhu J, Wilding GE, et al.Sleep-wake state discrepancy among cancer survivors with insomnia symptoms[J]. Support Care Cancer, 2023, 32(1): 2. DOI:10.1007/s00520-023-08177-5.
[48] 江从庆.回肠或结肠造口的护理和并发症-UpToDate[EB/OL].[2024-10-08]. http://115.159.116.178/contents/zh-Hans/ileostomy-or-colostomy-care-and-complications?search=%E8%82%A0%E9%80%A0%E5%8F%A3%E6%8E%92%E7%A9%BA%E6%97%B6%E9%97%B4&source=search_result&selectedTitle=1%7E150&usage_type=default&display_rank=1.
[49] Katagiri R, Asakura K, Kobayashi S, et al.Low intake of vegetables, high intake of confectionary, and unhealthy eating habits are associated with poor sleep quality among middle-aged female Japanese workers[J]. J Occupat Health, 2014, 56(5): 359-368. DOI:10.1539/joh.14-0051-OA.
[50] Godos J, Grosso G, Castellano S, et al.Association between diet and sleep quality: a systematic review[J]. Sleep Med Rev, 2021, 57: 101430. DOI:10.1016/j.smrv.2021.101430.
[51] Wu W, Zhao A, Szeto IM, et al.Diet quality, consumption of seafood and eggs are associated with sleep quality among Chinese urban adults: a cross-sectional study in eight cities of China[J]. Food Sci Nutr, 2019, 7(6):2091-2102. DOI:10.1002/fsn3.1050.
[52] Santamaria MM, Villafranca JJA, Abilés J, et al.Impact of a nutrition consultation on the rate of high output stoma-related readmission: an ambispective cohort study[J]. Sci Rep, 11(1): 16620. DOI:10.1038/s41598-021-96136-7.
[53] St-Onge MP, Mikic A, Pietrolungo CE.Effects of diet on sleep quality12[J]. Adv Nutr, 2016, 7(5): 938-949. DOI:10.3945/an.116.012336.
[54] 刘莺歌, 吴燕, 曹秋君, 等. 肠造口周围潮湿相关性皮肤损伤风险预测模型的构建及应用[J].中华护理杂志, 2021, 56(11): 1612-1617. DOI:10.3761/j.issn.0254-1769.2021.11.002.

Metrics

Viewed

Full text

Abstract

Cited

Shared