世界睡眠医学杂志2024,Vol.11Issue(5) :1014-1016.DOI:10.3969/j.issn.2095-7130.2024.05.017

食管癌术后患者睡眠障碍的影响因素研究

Study on Influencing Factors of Sleep Disorder in Patients with Esophageal Cancer after Operation

崔立川
世界睡眠医学杂志2024,Vol.11Issue(5) :1014-1016.DOI:10.3969/j.issn.2095-7130.2024.05.017

食管癌术后患者睡眠障碍的影响因素研究

Study on Influencing Factors of Sleep Disorder in Patients with Esophageal Cancer after Operation

崔立川1
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作者信息

  • 1. 山东宁阳县第一人民医院心胸外科,宁阳,271400
  • 折叠

摘要

目的:探究影响食管癌术后患者出现睡眠障碍的影响因素.方法:选取2022年2月至2023年7月山东宁阳县第一人民医院心胸外科收治的食管癌术后患者370例作为研究对象,按照匹兹堡睡眠质量指数量表分为睡眠障碍组(评分>7分,n=170)和非睡眠障碍组(评分≤7分,n=200).收集患者性别、年龄、接受教育水平、家庭收入、疾病认知、付费方式、术后导管数等数据,采用多因素Logistic回归分析探究食管癌术后患者出现睡眠障碍的影响因素.结果:多因素Logistic回归分析结果显示,肠内营养供给方式(OR=0.097)、卧位不适(OR=0.238)、是否拔除胸管(OR=4.418)、夜间咳嗽(OR=0.282)、疼痛评分(OR=9.341)、是否拔除胃管(OR=5.601)、反酸/呃逆(OR=0.181)、导管数量(OR=3.825)是食管癌术后患者出现睡眠障碍的影响因素(P<0.05).结论:根据术后睡眠质量影响因素,医护人员需及时制定干预措施,从而改善食管癌术后患者的睡眠情况.

Abstract

Objective:To explore the influencing factors of sleep disorders in postoperative patients with esophageal cancer.Methods:A total of 370 patients with esophageal cancer from Cardiothoracic Surgery Department Ningyang First People's Hospital after surgery were selected from February 2022 to July 2023.According to the results of Pittsburgh Sleep Quality Index,the patients were divided into sleep disorder group(score>7 points,n=170)and non-sleep disorder group(score ≤ 7 points,n=200).Data such as gender,age,education level,family income,disease cognition,payment method,and number of postoperative catheters were collected.Multivariate Logistic regression analysis was used to explore the influencing factors of sleep disorders in postoperative patients with esophageal cancer.Results:The results of multivariate Logistic regression analysis showed that Enteral nutrition supply(OR=0.097),sleeping discomfort(OR=0.238),whether to remove chest tube(OR=4.418),nocturnal cough(OR=0.282),pain score(OR=9.341),whether to remove gastric tube(OR=5.601),acid reflux/hiccup(OR=0.181),num-ber of catheters(OR=3.825)was the influential factor of sleep disorder in postoperative patients with esophageal cancer(P<0.05).Conclusion:According to the influencing factors of postoperative sleep quality,medical staff should formulate intervention measures in time to improve the sleep condition of postoperative patients with esophageal cancer.

关键词

食管癌/睡眠障碍/影响因素分析/术后并发症/睡眠质量/匹兹堡睡眠质量指数量表/恶性肿瘤

Key words

Esophageal cancer/Sleep disorders/Analysis of influencing factors/Postoperative complications/Sleep quality/Pittsburgh Sleep Quality Index Scale/Malignant tumor

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基金项目

山东省医药卫生科技发展计划项目(2023KJ419)

出版年

2024
世界睡眠医学杂志

世界睡眠医学杂志

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参考文献量17
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