肝癌行介入治疗患者主要照顾者睡眠质量现状调查及影响因素

Investigation on the sleep quality of primary caregivers for HCC patients receiving interventional therapy:the present situation and its influencing factors

目的探讨行介入治疗肝癌患者主要照顾者睡眠质量的现状并分析其影响因素。方法取2018年1至8月在湖南省长沙市某三级甲等医院住院行介入治疗的肝癌患者的140例主要照顾者作为研究对象,以匹兹堡睡眠指数(PSQI)评分为因变量,以患者一般资料及照顾者一般资料为自变量进行单因素分析,将有统计学意义的因素进行多因素logistic回归分析,分析肝癌行介入治疗主要照顾者睡眠质量的现状及影响因素。结果肝癌行介入治疗患者主要照顾者睡眠质量PSQI评分为(41±3.39),85例(60.7%)存在睡眠障碍(PSQI>7分)。单因素分析中患者因素(疾病是否发生转移、自理能力、是否进行手术、有无疼痛)、照顾者因素(照顾类型、健康状况、日均照顾时间)、经济因素(医疗费用压力、家庭成员平均月收入)与照顾者PSQI评分差异存在统计学意义(均P<0.05)。多因素logistic回归分析结果显示,照顾者家庭成员平均月收入是影响照顾者PSQI的重要因素(P<0.05)。结论60%的肝癌行介入治疗患者主要照顾者存在睡眠障碍,主要影响因素为家庭成员平均月收入。家庭成员平均月收入越高,其PSQI评分越低,睡眠质量越好。

Objective To investigate the present situation about the sleep quality of primary caregivers for patients with hepatocellular carcinoma(HCC)receiving interventional therapy,and to analyze the influencing factors.Methods A total of 140 primary caregivers for admitted HCC patients,who received interventional therapy at a certain Grade 3 A Hospital in Changsha City of Hunan Province of China,were enrolled in this study.Taking Pittsburgh sleep quality index(PSQI)score as the dependent variable and the general information data of both patients and caregivers as the independent variables,the single factor analysis was conducted.The factors with statistical significance were analyzed by multivariate logistic regression method.The present status and influencing factors concerning sleep quality of the primary caregivers for HCC patients receiving interventional therapy were analyzed.Results The PSQI score was(8.41±3.39)points,and 85 caregivers(60.7%)had sleep disorders(PSQI>7 points).Single factor analysis showed that patients’factors(disease metastasis,self-care ability,surgery,pain),caregivers’factors(care type,health status,average daily care time),and economic factors(medical cost pressure,average monthly income of family members)were significantly correlated with caregiver’s PSQI scores(P<0.05).Multivariate logistic regression analysis revealed that the average monthly income of caregiver’s family members was an important factor affecting PSQI score(P<0.05).Conclusion About 60%of the primary caregivers for HCC patients receiving interventional therapy have sleep disorders.The average monthly income of family members is the primary influencing factor.The higher the average monthly income of family members is,the lower the PSQI score and the better the sleep quality of the primary caregivers would be,and vice versa.