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Analysis of sleep quality,disease uncertainty,and psychological tolerance in patients undergoing chemotherapy for digestive tract malignancies

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World Journal of Clinical Cases 2024年第20期12卷 4247-4264页

作者： Wen-Wen Tang Mei-Lin Han Shu-Hua Xu You-Xing Deng Qiao Shen Qian-Wen Ma Jie Wen Department of Oncology Hefei BOE HospitalHefei 230011Anhui ProvinceChina Department of Nursing Hefei BOE HospitalHefei 230011Anhui ProvinceChina Department of Emergency Jingxian HospitalXuancheng 242000Anhui ProvinceChina 不详

BACKGROUND Colorectal cancer is the second leading cause of cancer-related deaths among digestive tract malignancies,following gastric *** is of great significance for maintaining human *** incidence of sleep disorders in patients with cancer is approximately twice that observed in the general *** of sleep can prolong hospital stays,increase the likelihood of infection,and increase mortality ***,studying the factors related to sleep quality is significant for improving the quality of life of patients with malignant tumors of the digestive *** To investigate the relationships among sleep quality,disease uncertainty,and psychological resilience in patients undergoing chemotherapy for digestive tract *** A total of 131 patients with malignant digestive tract tumors who were treated at Hefei BOE Hospital between April 2021 and September 2022 were selected as research *** on their Pittsburgh Sleep Quality Index(PSQI)scores,participants were divided into either the sleep disorder group(PSQI score>7)or the normal sleep group(PSQI score≤7).The clinical data—together with the Mishel uncertainty in Illness Scale for Adults(MUIS-A)and Connor-Davidson Resilience Scale(CD-RISC)scores—were *** In this study,78(59.54%)patients with digestive tract malignancies developed sleep disorders after *** disorder incidence was higher in patients with colorectal cancer than in those with gastric and esophageal cancers(Pdisease information,disease uncertainty,and unpredictability in the MUIS-A and negatively co

关键词： Malignant digestive tract tumor Chemotherapy Sleep quality disease uncertainty Psychological resilience

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The impacts of resilience on the association between illness uncertainty and sleep quality among patients with type 2 diabetes mellitus

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Journal of Integrative Nursing 2021年第1期3卷 12-18页

作者： Xin‑Ge WANG Yu‑Qiong WEN Hui‑Bing KUANG Li‑Xia LIN Hong CUI Division of Endocrinology Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhouChina Division of Nephrology Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhouChina Cardiology Care Unit Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhouChina Nursing Administraion Guangdong Provincial People’s HospitalGuangdong Academy of Medical SciencesGuangzhouChina

Objective:The objective was to investigate the relationship between resilience,illness uncertainty,and sleep quality in patients with type 2 diabetes mellitus(T2DM).Methods:This cross‑sectional study was conducted from September 2019 to August 2020 from a tertiary hospital in Guangzhou,***,205 participants completed questionnaires concerning demographic characteristics,Pittsburgh sleep quality index,Mishel uncertainty in illness scale(MUIS),and Connor–Davidson Resilience Scale(CD‑RISR)were collected by convenience *** hierarchical regression analysis was used to evaluate the interaction of illness uncertainty,resilience,and sleep *** mediating role of resilience was also ***:The total score of illness uncertainty was 94.68±11.19 in T2DM patients,which was proved in the medium *** was a significant negative correlation between the total CD‑RISR score and total MUIS score(r=−0.716,Puncertainty,and the mediating effect was 0.293,accounting for 34.20%of the total ***:Patients with T2DM have a moderate level of illness uncertainty,and it was negatively correlated with mental resilience level and positively associated with sleep *** staff should strengthen psychological intervention for T2DM patients to reduce the sense of uncertainty.

关键词： disease uncertainty mental resilience psychological intervention sleep quality type 2 diabetes mellitus

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