摘要目的 了解乳腺癌术后患者睡眠质量的现状及其影响因素.方法 采用整群随机的方法,使用阿森斯失眠量表、汉密尔顿抑郁量表、汉密尔顿焦虑量表、“大五”人格量表对60名乳腺癌术后患者和60名健康对照进行问卷调查.结果 乳腺癌术后患者睡眠障碍发生率为88.34％；乳腺癌术后患者的睡眠总分[(12.60±4.65)分]及各因子得分均高于对照组睡眠总分[(3.70±3.77)分]及个因子得分,差异具有统计学意义(P＜0.05)；多元逐步回归分析显示,乳腺癌术后患者睡眠得分与焦虑、人格特征中适应性正相关,与人格特征中的开放性负相关.结论 乳腺癌术后患者睡眠障碍发生率较高；焦虑、开放性和适应性的人格特征是乳腺癌术后患者的睡眠质量的影响因素.

abstractsObjective To assess the sleep quality of postoperative patients with breast cancer,and find out influencing factors.Methods The measurement was to adopt Athens Insomnia Scale,Hamilton Depression Scale and Big Five Personality Scale to do questionnaire for 60 breast cancer postoperative patients and 60 healthy subjects.Results 88.34％ patients had sleep difficulty after operation.The score of sleep quality of patients (12.60 ± 4.65) were higher than that in control group (3.70 ± 3.77,P ＜ 0.05).Similarly,according to the stepwise multiple regressions,the score of sleep quality of patients were positively associated with anxiety,adaptability of personality and negatively associated with openness of personality.Conclusion Sleep problems of breast cancer postoperative patients are quite severe.The influencing factors of sleep quality of patients are anxiety,openness and adaptability of personality.