肿瘤患者居家睡眠质量的现况调查

Cross-sectional survey of sleep quality of home-care cancer patients

目的了解肿瘤患者居家期间睡眠质量。方法采用匹兹堡睡眠质量指数量表(PSQI)调查广西壮族自治区人民医院72例治疗后回院随访肿瘤患者的睡眠情况。结果肿瘤患者PSQI总分为(9.04±3.56)分,显著高于常模。PSQI>7分的有40例(57.14%),轻度失眠为31例(44.28%),中度失眠为6例(8.57%),重度失眠为3例(4.29%)。PSQI 7个因子得分由高到低依次是睡眠潜伏期、主观睡眠质量、睡眠紊乱、睡眠持续性、习惯性睡眠效率、白天功能紊乱、使用睡眠药物。单因素分析结果显示,女性患者睡眠潜伏期得分高于男性(P<0.05);不同年龄患者睡眠质量总分、睡眠持续性和习惯性睡眠效率得分差异有统计学意义(P<0.05),年龄越大,得分越高;不同医疗付费方式患者白天功能紊乱得分差异有统计学意义(P<0.05);有无复发或转移患者习惯性睡眠效率得分差异有统计学意义(P<0.05);不同婚姻状况、文化程度、职业类型、病程时间患者睡眠质量总分和各因子得分差异均无统计学意义(P>0.05)。结论肿瘤患者居家期间睡眠质量差,应引起医务工作者的重视。

Objective To investigate the sleep quality of home-care cancer patients. Methods Totally 72 cancer pa- tients who back to the People＇s Hospital of Guangxi Zhuang Autonomous Region to review after treatment were investi- gated their sleep quality by means of the Pittsburgh sleep quality index （PSQI）. Results The average PSQI score of cancer patients was （9.04±3.56） scores, which was significantly higher than the norm. 40 cases （57.14%） of cancer pa- tients were classified as having poor sleep quality （global PSQI 〉 7）, 44.28% （31 cases） of patients were identified as mild insomnia, 8.57% （6 cases） of patients were identified as moderate insomnia, and 4.29% （3 cases） of patients were identified as severe insomnia. The 7 factors score of PSQI from high to low were sleep latency, subjective sleep quality, sleep disorders, sleep duration, sleep efficiency, daytime dysfunction, use of sleep medication. The single factor analysis results showed that sleep latency scores of females were higher than males （P 〈 0.05）; differences of sleep quality score, sleep continuity and habitual sleep efficiency scores were statistically significant in different ages （P 〈 0.05）, the older the age, the higher the score; difference of daytime dysfunction scores was statistically significant in different medical payment methods （P 〈 0.05）; difference of habitual sleep efficiency scores was statistically significant in different re- currence and metastasis patients （P 〈 0.05）; the sleep quality score and each factor score had no statistically significant differences in different marital status, educational levels, professional types, the course of time （P 〉 0.05）. Conclusion Sleep disorders are prevalent among cancer patients of home-care, which should be concerned by health professionals.