在头癌幸存者中,失眠与患者报告的结果相关
Purva H Rumde1, Daniel R Awad2, Jinhong Li3
1School of Medicine, University of Pittsburgh, School, Pittsburgh, PA, USA.
概括
失眠影响34.5%的头癌幸存者,显著影响他们的生活质量,增加焦虑和抑郁等症状. 早期对睡眠问题的查在幸存者护理中至关重要.
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:
- 头癌 (HNC) 幸存者面临着独特的挑战.
- 患者报告的结果 (PROs) 对于评估幸存者护理的有效性至关重要.
- 失眠是癌症幸存者的常见但经常被忽视的问题.
研究的目的:
- 为了确定头癌 (HNC) 幸存者的失眠患病率.
- 在这个人群中确定与失眠相关的危险因素.
- 探索失眠和患者报告的关键结果之间的关系.
主要方法:
- 对827名因状细胞癌接受治疗的HNC幸存者的横截面分析.
- 使用了经过验证的问卷,包括失眠严重性指数和华盛顿大学生活质量.
- 采用多变量回归分析来评估失眠和PROs之间的关联.
主要成果:
- 总共有34.5%的HNC幸存者报告失眠 (21.4%的下值,13.1%的临床).
- 失眠与较差的身体和社会情感生活质量有显著的联系.
- 焦虑,抑郁,消化不良和部残疾的症状增加与失眠有关.
结论:
- 在头癌幸存者中,失眠非常普遍.
- 失眠会对生活质量产生负面影响,并加剧症状负担.
- 建议在HNC幸存者护理中进行失眠常规查,以指导支持性干预.
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