摘要
Abstract
Objective:Based on the cross-lag method,the changing trends and mutual influences of fear of disease progression and sleep quality in postoperative patients with cerebral hemorrhage over time were explored.Method:A total of 360 patients with cerebral hemorrhage who underwent surgical treatment at Zhongshan People's Hospital from January 2023 to January 2024 were selected as the research subjects.The Fear of Progression Questionnaire-Short Form(FoP-Q-SF)and the Pittsburgh Sleep Quality Score Index(PSQI)were used to evaluate and detect the fear of disease progression and sleep quality of patients at 24 hours after anesthesia and awakening(T1),14 days after surgery(T2),and 1 month after surgery(T3),respectively.The Spearman method was used to analyze the correlation between fear of disease progression and sleep quality at different time points.The Mplus software was applied to construct a cross-lag analysis model to analyze the causal temporal relationship and direction of action between postoperative fear disease progression and sleep quality in patients with cerebral hemorrhage.Result:After excluding those who dropped out halfway and those with invalid data,a total of 338 patients completed the study.The FoP-Q-SF scores of 338 patients with cerebral hemorrhage at T1,T2 and T3 were(33.52±3.67),(28.24±2.96)and(25.37±2.41)respectively,and the PSQI scores were(15.36±2.14),(12.38±1.53)and(9.62±1.47)respectively.The results of the correlation analysis showed that the PSQI measured in the three times was positively correlated with the FoP-Q-SF score(P<0.05).The results of cross-hysteresis analysis showed that the FoP-Q-SF score of T1 in patients with cerebral hemorrhage could positively predict the T2PSQI score,and the T2FoP-Q-SF score could positively predict the T3PSQI score.The path coefficients were 0.242 and 0.359 respectively(P<0.05).The PSQI score of T1 can positively predict the FoP-Q-SF score of T2,and the PSQI score of T2 can positively predict the FOP-Q-SF score of T3.The path coefficients are 0.511 and 0.311 respectively(P<0.05).Conclusion:There is a cross-lagged effect between the fear of disease progression and sleep quality in patients with cerebral hemorrhage,suggesting a causal relationship between the two over multiple time spans.The relationship between the two can be utilized to formulate targeted postoperative care measures for patients,improving the prognosis quality of patients with cerebral hemorrhage.关键词
脑出血/恐惧疾病进展/睡眠质量/交叉滞后分析Key words
Cerebral hemorrhage/Fear of progression/Sleep quality/Cross-lagged regression analysis
