鼻咽癌患者治疗前睡眠质量及相关因素  

Sleep quality before treatment and related factors in patients with nasopharyngeal carcinoma

作　　者：赖小英 陈丽君[3] 唐忠敏[2] 廖婷[2] 蓝江玲[2] 卢春萍 吕芝婵 梁丽巧 LAI Xiaoying;CHEN Lijun;TANG Zhongmin;LIAO Ting;LAN Jiangling;LU Chunping;LYU Zhichan;LIANG Liqiao(Guangxi Medical University Graduate School, Nanning 530021, China;Department of Quality Control, Cancer Hospital of Guangxi Medical University, Nanning 530021, China;Department of Radiotherapy, Cancer Hospital of Guangxi Medical University, Nanning 530021, China)

机构地区：[1]广西医科大学研究生学院,南宁530021 [2]广西医科大学附属肿瘤医院放疗一区,南宁530021 [3]广西医科大学附属肿瘤医院质控科,南宁530021

出　　处：《中国心理卫生杂志》2018年第4期319-323,共5页Chinese Mental Health Journal

基　　金：广西医疗卫生重点科研课题(重2011081)--肿瘤患者全程关护护理模式的建立与实施(项目负责人:陈丽君)

摘　　要：目的:分析鼻咽癌患者治疗前睡眠质量及其相关危险因素。方法:选取某院放疗科鼻咽癌病区的首诊鼻咽癌患者143例[平均年龄(43±10岁);男100例,女43例],使用匹兹堡睡眠质量指数(PSQI,总分>5分为睡眠障碍)测查治疗前睡眠质量,采用logistic回归分析对治疗前睡眠障碍的危险因素进行分析。结果:鼻咽癌患者治疗前睡眠障碍发生率为50.3%。Logistic回归分析结果显示,年龄是鼻咽癌患者治疗前睡眠障碍的危险因素(OR=1.04,95%CI:1.01~1.08),而性别、受教育程度、临床分期、体质量指数与治疗前睡眠障碍无关(均P>0.05)。结论:鼻咽癌患者治疗前睡眠障碍的发生率较高,年龄越大的患者越容易出现治疗前睡眠障碍。Objective： To analyze the sleep quality before treatment and related risk factors of sleep disorder in patients with nasopharyngeal carcinoma （ NPC） . Methods： Totally 143 patients first diagnosed as nasopharyngeal carcinoma were selected [average age （ 43 ± 10） years,100 males and 43 females] in a NPC ward of one hospital, the Chinese version of Pittsburgh Sleep Quality Index （ PSQI,total score 〉5 diagnosed as sleep disorder） was used to investigate the sleep quality before treatment,and the logistic regression analysis was used to analyze related factors of the sleep disorder before treatment. Results： The rate of sleep disorder was 50. 3% . The logistic regression analysis showed that age was a risk factor of sleep disorder before treatment in patients with NPC （ OR = 1. 04,95% CI： 1. 01 - 1. 08） ,while gender,culture degree,clinical stage,body mass index were not correlated with sleep disorder （ Ps〉0. 05） . Conclusion： It suggests that patients with NPC may have a higher incidence of sleep disorder before treatment,and older patients may be more prone to pre-treatment sleep disorder.

关 键 词：鼻咽肿瘤 睡眠障碍 危险因素 

分 类 号：R739.63[医药卫生—肿瘤] R338.63[医药卫生—临床医学]