白日嗜睡和睡眠质量对宫颈癌患者手术后焦虑、抑郁的影响

The relationship between daytime sleepiness,sleep quality and the level of anxiety/depression on postoperative patients with cervical cancer

目的探讨白日嗜睡和睡眠质量对宫颈癌患者手术后焦虑抑郁的影响。方法选取2018年1月~2019年6月于我院接受治疗的86例宫颈癌患者为研究对象,使用爱泼沃斯嗜睡量表(ESS)和匹兹堡睡眠质量指数(PSQI)评估患者的白日嗜睡严重程度和睡眠质量水平,比较不同白日嗜睡严重程度和睡眠质量水平患者的焦虑(HAMA)、抑郁(HAMD)水平,并使用Pearson法分析ESS评分和PSQI与HAMA和HAMD评分的相关性。结果 ESS评分为0~6分患者HAMA评分为8.26±3.44分,HAMD评分为15.71±4.08分,ESS评分为7~16分患者HAMA评分为17.02±4.33分,HAMD评分为26.24±5.11分,ESS评分为17~24分患者HAMA评分为25.28±4.08分,HAMD评分为34.29±5.25分,三组之间存在统计学差异(P<0.05);PSQI评分为0~7分患者HAMA评分为7.37±3.18分,HAMD评分为14.21±3.49分,PSQI评分为8~14分患者HAMA评分为15.37±4.21分,HAMD评分为24.21±3.55分,PSQI评分为15~21分患者HAMA评分为23.29±4.04分,HAMD评分为32.74±4.27分,三组之间存在统计学差异(P<0.05);Pearson法分析结果显示,ESS和PSQI与HAMA和HAMD相关系数r分别为0.544、0.369、0.507、0.488。结论白日嗜睡和睡眠质量与宫颈癌患者手术后焦虑抑郁密切相关,白日嗜睡程度越严重、睡眠质量越差,患者的焦虑、抑郁水平越严重。

Objective To explore the relationship between daytime sleepiness,sleep quality and the level of anxiety/depression on postoperative patients with cervical cancer. Method 86 patients with cervical cancer who were treated in our hospital from January 2018 to June 2019 were selected as subjects. The Epworth Sleepiness Scale(ESS)and the Pittsburgh Sleep Quality Index(PSQI)were used to assess the patient’s daytime sleepiness and sleep quality levels. The anxiety(HAMA)and depression(HAMD)levels of patients with different daytime sleepiness and sleep quality levels were compared,and the correlation between ESS score and PSQI and HAMA and HAMD scores was analyzed using the Pearson method. Result The ESS score was 0-6,the patient’s HAMA score was 8.26±3.44,the HAMD score was 15.71±4.08,the ESS score was 7-16,the HAMA score was 17.02±4.33,the HAMD score was 26.24±5.11,ESS score. For 17 to 24 points,the HAMA score was 25.28±4.08,and the HAMD score was 34.29±5.25(P<0.05). Patients with a PSQI score of 0 to 7 had a HAMA score of 7.37 ± 3.18,a HAMD score of 14.21 ± 3.49,a PSQI score of 8 to 14 with a HAMA score of 15.37 ± 4.21,a HAMD score of 24.21 ± 3.55,and a PSQI score. For the patients with 15 to 21 points,the HAMA score was 23.29±4.04,and the HAMD score was 32.74±4.27(P<0.05). The Pearson analysis showed that the correlation coefficients r between ESS and PSQI and HAMA and HAMD were 0.544,0.369,0.507,and 0.488,respectively. Conclusion Daytime sleepiness and sleep quality are closely related to postoperative anxiety and depression in patients with cervical cancer. The more severe the degree of daytime sleepiness and the worse the quality of sleep,the more serious the level of anxiety and depression of patients.