腹腔镜胃肠道恶性肿瘤根治术后患者睡眠情况调查及影响因素分析

Investigation of sleep status and analysis of influencing factors in patients after laparoscopic radical resection of gastrointestinal malignant tumors

目的调查腹腔镜胃肠道恶性肿瘤根治术后患者睡眠情况,并分析影响因素。方法根据便利抽样法选取2022年3月至2023年3月在本院行腹腔镜根治术治疗的胃肠道恶性肿瘤患者。收集患者的临床资料并记录睡眠情况,采用单因素及多因素Logistic回归分析探讨腹腔镜胃肠道恶性肿瘤根治术后患者发生睡眠障碍的影响因素。结果本次调查134例行腹腔镜根治术治疗的胃肠道恶性肿瘤患者中,有91例发生睡眠障碍,占比67.91%,其中睡眠质量还行26例(19.40%),睡眠质量一般40例(29.85%),睡眠质量差25例(18.66%)。睡眠障碍组与睡眠正常组的家庭人均月收入、病房噪声、术后疼痛、术后焦虑及术后抑郁比较,差异具有统计学意义(P<0.05)。Logistic回归分析结果显示,家庭人均月收入、病房噪声、术后疼痛、术后焦虑及术后抑郁均是腹腔镜胃肠道恶性肿瘤根治术后患者发生睡眠障碍的影响因素(P<0.05)。结论腹腔镜胃肠道恶性肿瘤根治术后患者睡眠障碍发生率较高,其影响因素包括家庭人均月收入、病房噪声、术后疼痛、术后焦虑及术后抑郁。

Objective To investigate the sleep status of patients after laparoscopic radical resection of gastrointestinal malignant tumors and analyze the influencing factors.Methods According to the convenience sampling method,patients with gastrointestinal malignant tumors who underwent laparoscopic radical resection in our hospital from March 2022 to March 2023 were selected.The clinical data of the patients were collected and the sleep status was recorded,univariate and multivariate Logistic regression analysis were used to explore the influencing factors of sleep disorders in patients after laparoscopic radical resection of gastrointestinal malignant tumors.Results Among the 134 patients with gastrointestinal malignant tumors who underwent laparoscopic radical resection,91 patients had sleep disorders,accounting for 67.91%.Among them,26 patients(19.40%)had good sleep quality,40 patients(29.85%)had general sleep quality,and 25 patients(18.66%)had poor sleep quality.There were statistically significant differences in family per capita monthly income,ward noise,postoperative pain,postoperative anxiety and postoperative depression between the sleep disorder group and the normal sleep group(P<0.05).Logistic regression analysis showed that family per capita monthly income,ward noise,postoperative pain,postoperative anxiety and postoperative depression were the influencing factors of sleep disorders in patients after laparoscopic radical resection of gastrointestinal malignant tumors(P<0.05).Conclusion The incidence of sleep disorders in patients after laparoscopic radical resection of gastrointestinal malignant tumors is high,and the influencing factors include family per capita monthly income,ward noise,postoperative pain,postoperative anxiety and postoperative depression.