基于logistic回归分析影响头颈部肿瘤患者睡眠的危险因素以及心理弹性变化轨迹  

Change Track of Psychological Elasticity,and Influencing Factors of Sleep in Patients with Head and Neck Tumor Based on Logistic Regression Analysis

作　　者：杨娜娜 李鹏[1] Yang Nana;Li Peng(The Second Ward of Thyroid Disease in Head and Neck,Henan Cancer Hospital,Zhengzhou,Henan,450000,China)

机构地区：[1]河南省肿瘤医院头颈部甲状腺二病区,河南郑州450000

出　　处：《黑龙江医学》2024年第16期1947-1950,共4页Heilongjiang Medical Journal

摘　　要：目的:探讨基于logistic回归分析影响头颈部肿瘤患者睡眠的危险因素以及心理弹性变化轨迹与睡眠之间的相关性。方法:回顾性分析2021年1月—2022年12月河南省肿瘤医院收治的850例头颈部肿瘤患者的临床资料。采用肿瘤心理弹性量表(RS-SC)和匹兹堡睡眠质量指数(PSQI)对患者的睡眠情况和心理弹性变化轨迹进行分析,并将PSQI得分>7分的患者纳入睡眠质量异常组(n=160),PSQI得分≤7分者纳入睡眠质量正常组(n=690)。分析影响头颈部肿瘤患者睡眠质量的风险因素。结果:放疗后,患者的RS-SC评分短暂升高,随着治疗时间的延长,RS-SC评分呈现逐渐降低的趋势,其PSQI得分整体呈先下降后上升的趋势。本研究纳入患者的睡眠质量异常率为18.82%;文化程度较低、放疗晚期、生理因素、环境因素、心理因素及频繁疼痛等因素均是影响头颈部肿瘤者睡眠质量异常的危险因素(OR=1.143、1.125、1.339、1.670、1.250、10.740,P<0.05)。结论:在头颈部肿瘤患者接受治疗期间患者心理弹性和睡眠质量均会发生明显改变,其中文化程度、放疗阶段、疼痛、心理、环境及生理因素均与其睡眠质量相关,应针以上风险因素为患者制定更为科学的干预方案。Objective:To explore the risk factors influencing the sleep of patients with head and neck cancer based on logistic regression analysis,and the correlation between the change track of psychological resilience and sleep.Methods:A total of 850 patients with head and neck tumors admitted to the hospital from January 2021 to December 2022 were selected as the observation objects.Tumor Resilience Scale(RS-SC)and Pittsburgh Sleep Quality Index(PSQI)were used to analyze the patients’sleep situation and the change track of psychological resilience,and patients with PSQI score>7 were included in the abnormal sleep quality group(n=160),and those with PSQI score≤7 were included in the normal sleep quality group(n=690)to analyze the risk factors affecting sleep quality of patients with head and neck tumors.Results:After radiotherapy,the RS-SC score of patients increased temporarily,and with the extension of treatment time,the RS-SC score showed a gradual decline trend.The overall PSQI score gradually decreased and then gradually rose.The abnormal rate of sleep quality of patients included in this study was 18.82%.Low education level,late radiotherapy,physiological factors,environmental factors,psychological factors and frequent pain were all risk factors for abnormal sleep quality of patients with head and neck tumors(OR=1.143,1.125,1.339,1.670,1.250,10.740;P<0.05).Conclusion:During the treatment of head and neck cancer patients,their psychological resilience and sleep quality changed obviously.Among them,education level,radiotherapy frequency,frequent pain,psychological,environmental and physiological factors were all related to their sleep quality,so more scientific intervention plan should be made for patients based on the above risk factors.

关 键 词：LOGISTIC回归 头颈部肿瘤 睡眠 危险因素 心理弹性 

分 类 号：R739.91[医药卫生—肿瘤]