Furukawa Chie, Morioka Ikuharu
Chie Furukawa, RN, MSN, WOCN, Faculty of Nursing, Yokkaichi Nursing and Medical Care University, Mie Prefecture, and Graduate School of Health and Nursing Science, Wakayama Medical University, Wakayama, Japan. Ikuharu Morioka, MD, PhD, Graduate School of Health and Nursing Science, Wakayama Medical University, Wakayama, Japan.
J Wound Ostomy Continence Nurs. 2017 Jul/Aug;44(4):358-362. doi: 10.1097/WON.0000000000000334.
The purpose of this study was to evaluate the relationship between health-related quality of life (HRQOL) and sleep disorders in persons living with a urostomy.
A cross-sectional descriptive study.
Eighty-six adults with a urostomy who were cared for in a stoma outpatient clinic of a hospital in Osaka, Japan, for at least 1 month before data collection, and who were attending support group meetings comprised the sample. The majority of participants (n= 68; 79.1%) were diagnosed with bladder cancer; the median time since ostomy surgery was 3.7 years.
Participants were queried about demographic and pertinent clinical data; they also completed 2 instruments that measured HRQOL and sleep quality. All data were collected via interview. HRQOL was assessed using a Japanese language version of the World Health Organization Quality of Life (WHOQOL). Sleep quality was evaluated using a Japanese language version of the Pittsburgh Sleep Quality Index (PSQI-J). Demographic and clinical data were collected via a questionnaire designed for this study.
WHOQOL scores among persons living with a urostomy were significantly (P < .001) lower than scores among the general population in Japan. Forty-six participants (53.5%) had scores that were higher than 5.5, the cut-off point on the PSQI-J indicating reduced sleep quality. Scores on the PSQI-J were significantly negatively associated with the cumulative scores for WHOQOL scores (standardized partial regression coefficient -0.504, P < .001) even after adjustment based on all other variables.
Study findings suggest that persons with a urostomy have lower HRQOL and sleep quality than adults in the general population.
本研究旨在评估尿路造口术患者的健康相关生活质量（HRQOL）与睡眠障碍之间的关系。
横断面描述性研究。
86名尿路造口术成年患者组成了样本，这些患者在日本大阪一家医院的造口门诊接受护理，且在数据收集前至少已接受护理1个月，同时他们还参加了支持小组会议。大多数参与者（n = 68；79.1%）被诊断患有膀胱癌；造口术后的中位时间为3.7年。
询问参与者的人口统计学和相关临床数据；他们还完成了2份测量HRQOL和睡眠质量的工具。所有数据均通过访谈收集。使用世界卫生组织生活质量量表（WHOQOL）的日语版本评估HRQOL。使用匹兹堡睡眠质量指数日语版（PSQI-J）评估睡眠质量。通过为本研究设计的问卷收集人口统计学和临床数据。
尿路造口术患者的WHOQOL得分显著低于日本普通人群（P < .001）。46名参与者（53.5%）的得分高于5.5，这是PSQI-J上表明睡眠质量下降的临界值。即使在基于所有其他变量进行调整后，PSQI-J得分与WHOQOL得分的累积得分仍显著负相关（标准化偏回归系数为-0.504，P < .001）。
研究结果表明，尿路造口术患者的HRQOL和睡眠质量低于普通人群中的成年人。
