摘要
目的:分析70例食管癌根治术后患者睡眠情况及相关因素。方法:选取2017年1月至2020年1月南京大学医学院附属盐城第一医院收治的食管癌根治术后患者70例作为研究对象,采用问卷调查方式调查影响食管癌根治术后患者睡眠异常的原因,并分析睡眠异常的危险因素。结果:70例食管癌根治术后患者中50例(71.43%)存在睡眠异常,其中睡眠异常患者对疾病的恐惧、术后切口疼痛、术后管道、睡眠体位要求、睡眠环境差与无睡眠障碍的患者比较,差异均有统计学意义(P<0.05);多因素非条件Logistic回归分析比较发现对疾病的恐惧、术后切口疼痛、术后管道、睡眠体位要求、睡眠环境差等为食管癌术后患者睡眠异常的危险因素。结论:70例食管癌根治术后患者睡眠障碍发病率较高,患者对疾病的恐惧、术后切口疼痛、术后管道、睡眠体位要求、睡眠环境差等为主要的危险因素,应引起临床充分重视。
Objective:To analyze sleep status and its related factors in the 70 patients after radical surgery for esophageal carcinoma.Methods:A total of 70 patients after radical surgery for esophageal carcinoma was enrolled from January 2017 to January 2020 in the 1st Yancheng Hospital affiliated to Nanjing Medical School.The questionnaire survey was applied and the risk factors of sleep disorders were analyzed.Results:There were 50(71.43%)cases with sleep disorders.The differences in pain fear,postoperative incision pain,postoperative tubes,requirements for sleep postures and sleep environment were statistically significant between patients with and without sleep disorders(P<0.05).It was found by multivariate unconditional logistic regression analysis that disease fear,postoperative incision pain,postoperative tubes,requirements for sleep postures and poor sleep environment were risk factors of sleep disorders.Conclusion:The incidence of sleep disorders is high in the 70 patients after radical surgery for esophageal carcinoma.The risk factors mainly include disease fear,postoperative incision pain,postoperative tubes,requirements for sleep postures and poor sleep environment,which should be fully paid attention to.
作者
刘磊
LIU Lei(The First Yancheng Hospital Affiliated to Nanjing Medical School,Yancheng 224000,China)
出处
《世界睡眠医学杂志》
2021年第1期16-17,共2页
World Journal of Sleep Medicine
关键词
食管癌根治术
睡眠质量
影响因素
Radical surgery for esophageal carcinoma
Sleep quality
Influence factors