実践に基づくスクリーニングで特定された,大規模な多センターの外科医腫瘍学集団における睡眠障害の流行率と相関値

Sarah N Price¹, Laurel Zeng², Wei Sha²

¹Wake Forest University Winston Salem, NC United States.

Cancer research communications

|February 21, 2026

まとめ

睡眠障害は,がん患者の間で一般的であり,36%に及ぶ. 重要な要因には,苦痛,痛み,不安,うつ,財政的な懸念が含まれ,より良いスクリーニングと介入の必要性を強調しています.

科学分野:

腫瘍学腫瘍学
スリープ・メディシン (睡眠医学)
心理社会的腫瘍学

背景:

睡眠障害は,がんのケアにおいて,しばしば十分に認識されず,十分に治療されていない.
効果的なスクリーニングと介入戦略は,腫瘍学患者の睡眠障害の管理に不可欠です.

研究の目的:

大規模な学術癌センターで,患者が報告した睡眠障害の有病率を決定し,相関関係を特定する.
睡眠障害に対する標的型スクリーニングと介入プログラムの開発を図る.

主な方法:

20,416人のがん患者からのストレススクリーニングデータの遡及分析 (1/2017-6/2024).
睡眠障害は0から10のスケールで評価され,臨床的に有意なものは≥5と定義されています.
多変数回帰モデルでは,睡眠障害に関連する社会人口統計学,医療,心理社会的要因を調査した.

主要な成果:

36%の患者が臨床的に有意な睡眠障害 (≥5) を報告した.
最も強い相関関係には,苦痛 (OR=3.06),痛み (OR=2.80),不安 (OR=2.31),うつ病 (OR=1.69),財政的懸念 (OR=1.35),および40-64歳 (OR=1.35) が含まれていた.
睡眠障害の確率が高いのは,上部消化器系,泌尿器系,胸部,および血液学的癌で観察されました.

結論:

睡眠障害は,がん患者の間で多く見られ,心理的社会的苦痛,痛み,および特定のがんのタイプと有意に関連しています.
発見は,腫瘍学における睡眠問題に対処する統合ケア経路の必要性を強調しています.
睡眠経路と効果的な介入に関するさらなる研究が必要である.

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