文章摘要
谭 磊,田小华,钟欣怡,易 娟,谢冰峰.肺癌初治患者睡眠障碍调查及与生活质量和睡眠卫生意识的关系研究[J].,2021,(14):2693-2697
肺癌初治患者睡眠障碍调查及与生活质量和睡眠卫生意识的关系研究
Investigation of Sleep Disorder in Patients with Primary Treatment of Lung Cancer and Its Relationship with Quality of Life and Sleep Hygiene Awareness
投稿时间:2021-02-03  修订日期:2021-02-27
DOI:10.13241/j.cnki.pmb.2021.14.020
中文关键词: 肺癌  睡眠障碍  生活质量  睡眠卫生意识  影响因素
英文关键词: Lung cancer  Sleep disorders  Quality of life  Sleep hygiene awareness  Influencing factors
基金项目:湖南省自然科学基金面上项目(2017JJ2285)
作者单位E-mail
谭 磊 湖南中医药大学第二附属医院外科 湖南 长沙 410005 tl13508489231@163.com 
田小华 湖南中医药大学第二附属医院外科 湖南 长沙 410005  
钟欣怡 湖南中医药大学第二附属医院外科 湖南 长沙 410005  
易 娟 湖南中医药大学第二附属医院外科 湖南 长沙 410005  
谢冰峰 长沙市第一医院心胸外科 湖南 长沙 410005  
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中文摘要:
      摘要 目的:分析肺癌初治患者睡眠障碍情况及其与生活质量和睡眠卫生意识的关系。方法:选取400例肺癌初治患者为研究对象,采用阿森斯失眠量表(AIS)评定患者睡眠质量,采用肺癌生活质量评估量表(FACT-L)评定患者生活质量,采用睡眠卫生意识量表(SHA)评定患者睡眠卫生意识,采用本院自制调查问卷收集患者临床资料。应用Pearson相关性分析AIS总分与FACT-L总分、SHA总分的相关性。根据AIS总分将患者分为睡眠障碍组(AIS总分>6分)和非睡眠障碍组(AIS总分≤6分),应用单因素和多因素Logistic回归分析睡眠障碍的影响因素。结果:400例肺癌初治患者共有252例发生睡眠障碍,睡眠障碍发生率为63.00%(252/400)。睡眠障碍组生理/情感/功能/(社会/家庭)维度、肺癌附加模块、FACT-L总分低于非睡眠障碍组(P<0.05)。睡眠障碍组患者SHA总分、睡前2h剧烈运动、白天睡午觉、定期服用催眠类药物、晚上喝酒得分维度评分均低于非睡眠障碍组(P<0.05)。Pearson相关性分析结果显示:AIS总分与FACT-L总分、SHA总分呈负相关(P<0.05)。单因素分析结果显示:肺癌初治患者睡眠障碍与性别、化疗次数、肿瘤分期、疼痛、焦虑、抑郁有关(P<0.05)。多因素Logistic回归分析结果显示:肺癌初治患者睡眠障碍的危险因素包括焦虑、疼痛、肿瘤分期、抑郁(P<0.05)。结论:肺癌初治患者睡眠障碍发生率较高,且受疼痛、肿瘤分期、焦虑、抑郁等因素的影响。此外,不良的睡眠卫生意识可导致较为严重的睡眠障碍,从而降低患者生活质量。
英文摘要:
      ABSTRACT Objective: To analyze the relationship between sleep disorders and quality of life and sleep hygiene awareness in patients with primary treatment of lung cancer. Methods: 400 patients with primary treatment of lung cancer were selected as the research object. The sleep quality was assessed by the Athens Insomnia Scale (AIS), the quality of life was assessed by lung cancer quality of life assessment scale (FACT-L), and the sleep hygiene awareness was assessed by sleep hygiene awareness scale (SHA), the clinical data of patients were collected by self-made questionnaire. Pearson correlation analysis was used to analyze the correlation between AIS total score and FACT-L total score, SHA total score. According to the AIS total score, the patients were divided into sleep disorder group (AIS total score >6 scores) and non-sleep disorder group (AIS total score≤6 scores). The influencing factors of sleep disorder were analyzed by univariate and multivariate logistic regression. Results: A total of 252 of the 400 patients with primary treatment of lung cancer treated developed sleep disturbance, the incidence rate of sleep disturbance was 63.00% (252/400). The physiological/emotional/functional/(social/family) dimensions, lung cancer additional modules and FACT-L total score in the sleep disorder group were lower than those in the non-sleep disorder group (P<0.05). The SHA total score, vigorous exercise 2 hours before bed, daytime nap, regular use of hypnotic drugs and evening drinking dimension scores in the sleep disorder group were all lower than those in the non-sleep disorder group (P<0.05). Pearson correlation analysis showed that the AIS total score was negatively correlated with FACT-L total score and SHA total score (P<0.05). Univariate analysis showed that sleep disturbance was related to gender, number of chemotherapy, tumor stage, pain, anxiety and depression in patients with lung cancer (P<0.05). Multivariate Logistic regression analysis showed that the risk factors of sleep disorders in patients with primary treatment of lung cancer included anxiety, pain, tumor stage and depression (P<0.05). Conclusion: The incidence of sleep disturbance in patients with primary treatment of lung cancer is high, and it is affected by pain, tumor stage, anxiety, depression and other factors. In addition, poor sleep hygiene awareness can lead to more serious sleep disorders, thereby reducing patients' quality of life.
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