与正常人群相比,癌症幸存者的睡眠问题的患病率和决定因素:一个PROFILES注册研究
Charles David1, Sandra Beijer1, Floortje Mols1,2
1Department of Research and Development, Netherlands, Comprehensive Cancer Organisation , Godebaldkwartier 419, 3511 DT, Utrecht, the Netherlands.
Journal of cancer survivorship : research and practice
|July 23, 2024
概括
癌症幸存者比一般人群更容易遇到睡眠问题. 身体活动,吸烟,酒精,疲劳和抑郁等可改变的因素会影响睡眠质量.
科学领域:
- 在瘤学瘤学.
- 睡眠医学 睡眠医学
- 心理社会瘤学
背景情况:
- 睡眠障碍是癌症幸存者常见的担忧.
- 了解睡眠问题的患病率和决定因素对于改善幸存者护理至关重要.
研究的目的:
- 为了确定与正常人群相比,癌症幸存者的睡眠问题患病率.
- 确定与癌症幸存者的睡眠问题相关的人口统计学,临床,生活方式和心理社会因素.
主要方法:
- 一组6736名癌症幸存者和415名匹配对照人从EORTC QLQ-C30问卷中填写了一个单一的睡眠项目.
- 用层次的多项逻辑回归分析来确定睡眠问题的决定因素.
主要成果:
- 癌症幸存者 (17%) 的睡眠问题患病率明显高于正常人群 (11%).
- 患病率因癌症类型 (10-26%) 而异,但并非因生存时间而异.
- 女性性别,超重状态,并发症,吸烟史,以前的酒精消费,疲劳,焦虑,抑郁和认知疾病的感知与睡眠问题的可能性增加有关.
结论:
- 睡眠问题在癌症幸存者中更为普遍,需要临床关注.
- 可修改的决定因素包括身体活动,吸烟,饮酒,疲劳,焦虑,抑郁和疾病感知.
- 针对这些生活方式和心理社会因素的干预措施可以改善癌症幸存者的睡眠和整体幸福感.
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