肿瘤患者放疗后睡眠障碍的影响因素研究

Study on the Influencing Factors of Sleep Disorders in Patients with Cancer after Radiotherapy

目的:探讨肿瘤患者放疗后睡眠障碍的影响因素。方法:选取2018年2月至2019年10月谷城县人民医院收治的行肿瘤放疗患者120例作为研究对象,按照单因素分析方式、Logistic多因素分析方式对影响肿瘤患者放疗后睡眠障碍的因素进行分析。结果:经统计可知,120例行肿瘤放疗的患者中共有82例患者发生睡眠障碍现象;占比68. 33%;经单因素分析显示,年龄、有无医保、糖尿病史、发热、疼痛、乏力、白天嗜睡、焦虑、抑郁为导致睡眠障碍的独立影响因素;经Logistic回归分析显示,糖尿病史、疼痛、乏力、白天嗜睡、焦虑、抑郁为导致睡眠障碍的重要因素。结论:肿瘤患者放疗后较易出现睡眠障碍症状,临床医生需要加强对诱导因素的关注,并提出具有针对性的解决方案,从而改善患者的睡眠质量。

Objective:To investigate the influencing factors of sleep disorders in patients with cancer after radiotherapy.Methods:A total of 120 patients undergoing tumor radiotherapy admitted to our hospital from February 2018 to October 2019 were enrolled in the study.The factors of sleep disturbance after radiotherapy were analyzed by univariate analysis and Logistic multivariate analysis.Results:According to statistics,a total of 82 patients with tumor radiotherapy experienced sleep disorders;the proportion was 68.33%;single factor analysis showed age,presence or absence of medical insurance,history of diabetes,fever,pain,fatigue,daytime Drowsiness,anxiety and depression are independent influencing factors of sleep disorders.Logistic regression analysis shows that history of diabetes,pain,fatigue,daytime sleepiness,anxiety and depression are important factors leading to sleep disorders.Conclusion:Tumor patients are more likely to develop sleep disorders after radiotherapy.Clinicians need to increase their attention to induction factors and propose targeted solutions to improve their sleep quality.