癌症患者的睡眠质量及相关因素

目的:了解癌症患者的睡眠质量状况及相关影响因素。方法:采用自制的一般资料调查表及匹兹堡睡眠质量指数(PSQI)量表对187例癌症患者进行测评。结果:癌症患者睡眠质量异常检出率为49.7%。Logistic回归分析显示,美国东部肿瘤协作组(ECOG)评分为3分(P0.001,OR=5.566,95%CI=3.112~12.451)、癌症类型为肺癌(P0.01,OR=3.234,95%CI=2.342~10.642)、转移类型为骨和内脏转移(P0.01,OR=2.443,95%CI=1.965~8.963)为癌症患者睡眠质量异常的显著危险因子,ECOG评分为0分(P0.01,OR=0.236,95%CI=0.122~0.879)为癌症患者睡眠质量异常的显著保护因子。结论:睡眠质量异常在癌症患者中表现较为突出,其睡眠质量异常的危险因素为ECOG评分为3分、肺癌骨和内脏转移,保护因素为ECOG评分为0分。

Sleep Quality and Relative Factors of Cancer Patients

Objective :To acquaintance the sleep quality status and relative influence factors of cancer patients .Meth‐ods :By using homemade questionnaire and Pittsburgh sleep quality index Questionnaire (PSQI) ,the sleep quality sta‐tus of 187 cancer patients were assessed .Results :The suspicion positive rate of the cancer patients was 49 .7% ;Logis‐tic analysis showed that the notable risk factors for low sleep quality were the Eastern Cooperative Oncology Group (ECOG)score 3(P < 0 .001 ,OR = 5 .566 ,95% CI = 3 .112 - 12 .451) ,lung cancer (P = 0 .001 ,OR = 3 .234 ,95% CI =2 .342 - 10 .642) ,bone or visceral metastasis(P = 0 .003 ,OR = 2 .443 ,95% CI = 1 .965 - 8 .963) ;The notable protective factors for low sleep quality were 0 ECOG score (P = 0 .006 ,OR = 0 .236 ,95% CI = 0 .122 - 0 .879) .Conclusion :The prevalence rate of bad sleep quality is more higher in cancer patients .The risk factors for low sleep quality are 3 ECOG score ,lung cancer ,bone or visceral metastasis ;The protective factors for low sleep quality is 0 ECOG score .