宫颈癌患者睡眠质量的现况调查及其影响因素分析

目的 了解宫颈癌患者的睡眠质量状况,探讨影响其睡眠质量的相关因素,为改善宫颈癌患者的睡眠质量提供依据.方法 选取手术后组织病理确诊为FIGO Ⅰ、Ⅱ期的宫颈癌患者,在手术前、术后第7日、术后第1个月随访时(共3次),使用人口学调查表、匹兹堡睡眠质量指数问卷(PSQI)、CES-D抑郁自评量表、POMS-SF焦虑自评量表及癌症治疗功能问卷(FACT-G)等对宫颈癌患者及同期住院良性肿瘤(子宫肌瘤)患者进行调查分析.结果 宫颈癌患者与子宫肌瘤患者在社会人口学调查表上无统计学差异(P>0.05);不同分期宫颈癌患者在术前、术后第7日、术后第1个月随访时的PSQI总分、CES-D抑郁、POMS-SF焦虑以及FACT-G评分等均无明显统计学差异(P>0.05);而与子宫肌瘤组患者相比,宫颈癌患者在手术前、术后第7日和术后第1个月随访时的PSQI总分、CES-D抑郁和POMS-SF焦虑评分均较高,但FACT-G生活质量评分均低于子宫肌瘤组患者,差异均有统计学意义(均P<0.01);多因素Logistic回归分析提示婚姻状况、教育水平、工作状态、家庭经济状况、医疗付费方式、疾病诊断与分期、疼痛评分、抑郁、焦虑、生活质量等与宫颈癌患者睡眠障碍明显相关.结论 不同分期宫颈癌患者术前和术后早期各时段睡眠质量低于良性肿瘤患者,且宫颈癌患者睡眠障碍发生率也较高.睡眠障碍不仅导致患者容易出现抑郁、焦虑,而且影响患者的生活质量.

Inventory survey and influence factor analysis on the sleep quality of cervical cancer patients

Objective To understand about the sleep quality of cervical cancer patients,investigate the correlative factors that influence sleep quality,so as to provide the basis for improving the sleep quality of cervical cancer patients.Methods Cervical cancer patients whose postoperative tissue pathology was diagnosed as FIGO stage I and II were selected.7 days before and after operation, 1 month after operation in the follow-up visit (3 times), demographic questionnaire form, PSQI, CES-D self-rating depression scale, POMS-SF self-rating anxiety scale and cancer therapy function questionnaire (FACT-G) were used to have investigation and analysis on cervical cancer patients and hospitalized benign tumor (uterine fibroid) patients in the same term.Results Cervical cancer patients had no statistical difference from uterine fibroid patients on demographic questionnaire form.In different stages,PSQI aggregate score,CES-D depression, POMS-SF anxiety and FACT-G scores to the cervical cancer patients 7 days before and after operations,follow-up visit 1 month after operation had no significant statistical difference.However,compared with uterine fibroid patients,PSQI aggregate score,CES-D depression, POMS-SF anxiety and FACT-G scores of cervical cancer patients were higher 7 days before and after operations,follow-up visit 1 month after operation.However,the living quality score of FACT-G was lower than uterine fibroid patients,and the difference had statistical significance.Multivariate Logistic regression analysis indicated that marital status,educational level,working condition,family economic status,medical payment method,disease diagnosis and staging,pain score,depression,anxiety and living quality were obviously associated with the sleep disorder of cervical cancer patients.Conclusion The sleep quality of cervical cancer patients in different stages before operation and in the early stage after operation was inferior to benign tumor patients.In addition,sleep disorder occurrence rate of cervical cancer patients is higher.Sleep disorder can not only result in depression and anxiety easily,but also influence the living quality of patients.