肾癌根治术患者术后睡眠质量及影响因素研究分析

Analysis of Postoperative Sleep Quality and Influencing Factors in Patients Undergoing Radical Nephrectomy

目的:探讨肾癌根治术患者术后睡眠质量以及临床相关影响因素,从而为肾癌根治术患者术后睡眠质量的改善和提升提供参考借鉴依据。方法:选取2016年10月~2017年10月期间,我院收治的肾癌根治术患者228例为研究对象,根据PSQI结果对患者进行分组,分成睡眠质量良好组(n=155)和睡眠质量不佳组(n=73),统计分析2组研究对象的血清钙、磷值以及血红蛋白量,并对患者的合并高血压病或糖尿病情况,并采用单因素和多因素回顾分析方法鉴别影响患者睡眠质量的因素。结果:经单因素分析和多因素分析结果显示,年龄、血清钙、血清磷、血红蛋白、合并高血压和合并糖尿病等因素是导致肾癌根治术患者术后睡眠质量不佳的独立危险因素。结论:肾癌根治术患者术后睡眠质量较长,多重因素能够导致患者睡眠质量下降,临床实践中要针对危险因素给予患者早期积极的预防和有针对性的干预。

Objective： To investigate the postoperative sleep quality and related clinical influencing factors in patients undergoing radical nephrectomy,so as to provide reference for the improvement and improvement of postoperative sleep quality in patients undergoing radical nephrectomy. Methods： 228 patients undergoing radical nephrectomy from October 2016 to October 2017 in our hospital were selected as the research object. The patients were grouped according to the PSQI results. They were divided into the good sleep quality group（ n = 155） and the poor sleep quality group（ n = 73）. The serum calcium,phosphorus and hemoglobin levels and the patients were combined with hypertension or diabetes were analyzed statistically. The univariate and multivariate retrospective analysis methods were used to identify the factors affecting patients＇ sleep quality. Results： Univariate analysis and multivariate analysis showed that age,serum calcium,serum phosphorus,hemoglobin,combined hypertension,and diabetes mellitus were independent risk factors for poor postoperative sleep quality in patients undergoing radical nephrectomy. Conclusion： The postoperative sleep quality of patients undergoing radical nephrectomy is longer,and multiple factors can lead to decreased sleep quality. In clinical practice,patients should be given early active prevention and targeted interventions in response to risk factors.