乳腺良性肿瘤微创术围术期失眠的因素分析

Factor analysis of insomnia during perioperative period of microsurgery for benign breast tumors

目的:分析乳腺良性肿瘤微创术患者围术期失眠的影响因素。方法:回顾性分析2021年10月~2022年12月我院收治的82例乳腺良性肿瘤患者的临床资料。患者接受乳房良性肿瘤微创旋切术治疗。采用匹兹堡睡眠质量指数量表(PSQI)将患者分为失眠组(PSQI≥11分,n=48)和对照组(PSQI<11分,n=34)。比较两组年龄、体重指数、文化程度、生育史、婚姻状况、肿瘤最大直径、病变部位、肿瘤类型等一般临床资料和病房环境、家庭状况、工作状态、家庭月收入、焦虑程度、抑郁程度。采用Logistics回归模型分析乳腺良性肿瘤微创术患者围术期失眠的影响因素。结果:两组年龄、体重指数、生育史、婚姻状况、病变部位、肿瘤类型比较差异无统计学意义(P>0.05)。经Logistics回归分析,文化程度、家庭和睦程度均不是影响乳腺良性肿瘤微创术患者围术期失眠的危险因素(P>0.05);生育史、肿瘤最大直径、病房舒适程度、职业变动、焦虑程度SAS、抑郁程度SDS均是影响乳腺良性肿瘤微创术患者围术期失眠的危险因素(P<0.05)。结论:乳腺良性肿瘤微创术患者围术期失眠与其生育史、肿瘤大小、病房环境、工作压力及焦虑、抑郁程度密切相关,临床可积极采取护理干预,以提高患者睡眠质量。

Objective:To analyze the influencing factors of perioperative insomnia in patients undergoing microsurgery for benign breast tumors.Methods:The clinical data of 82 patients with benign breast tumor treated in our hospital from October 2021 to December 2022 were retrospectively analyzed.The patient underwent minimally invasive rotatectomy for benign breast tumors.The patients were divided into insomnia group(PSQI≥11 points,n=48)and control group(PSQI<11 points,n=34)using Pittsburgh Sleep Quality Index scale(PSQI).General clinical data such as age,body mass index,education level,reproductive history,marital status,maximum tumor diameter,lesion site,tumor type,ward environment,family status,work status,family monthly income,anxiety and depression were compared between the two groups.Logistics regression model was used to analyze the influencing factors of perioperative insomnia in patients undergoing microsurgery for benign breast tumors.Results:There were no significant differences in age,body mass index,reproductive history,marital status,lesion site and tumor type between the two groups(P>0.05).Logistics regression analysis showed that education level and family harmony were not risk factors for perioperative insomnia in patients undergoing microsurgery for benign breast tumors(P>0.05).Reproductive history,maximum tumor diameter,ward comfort,occupation change,anxiety degree SAS,depression degree SDS were all risk factors for perioperative insomnia in patients undergoing microsurgery for benign breast tumors(P<0.05).Conclusion:Perioperative insomnia is closely related to fertility history,tumor size,ward environment,work pressure,anxiety and depression degree of patients undergoing microsurgery for benign breast tumors.Nursing intervention can be actively taken to improve sleep quality of patients.