失眠与癌症患者的预后之间的关联:一个前性队列研究
Wala Ben Kridis1, Loay Dhouibi2, Afef Khanfir2
1Department of medical oncology, Habib Bourguiba university hospital, university of Sfax, Sfax, Tunisia walabenkridis@yahoo.fr.
BMJ supportive & palliative care
|January 13, 2026
概括
失眠在癌症患者中非常普遍,影响了78%. 这种睡眠障碍,以及疼痛和焦虑,显著预测了较差的生存率,需要在瘤治疗中进行综合性症状管理.
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:
- 失眠是癌症患者常见的抱怨.
- 在这个人群中,疼痛和焦虑等相关症状经常与失眠并存.
- 失眠对癌症患者生存的影响仍然是一个需要进一步研究的领域.
研究的目的:
- 为了确定成年癌症患者失眠的患病率.
- 评估癌症患者的失眠和整体存活率之间的关联.
- 识别失眠,疼痛和焦虑作为潜在的预测者生存结果.
主要方法:
- 对100名成人癌症患者进行了前性队列研究.
- 经过验证的工具,包括失眠症状问卷和失眠严重程度指数,用于数据收集.
- 使用卡普兰-梅尔分析和考克斯回归模型来评估生存结果.
主要成果:
- 观察到不眠症的高患病率,78%的患者报告睡眠障碍.
- 失眠与较差的整体存活率 (p<0.0001) 有显著的相关性.
- 多变量分析确定失眠 (HR=2.85,p=0.02) 和转移性疾病 (HR=3.21,p=0.01) 作为减少生存的独立预测因素.
结论:
- 失眠在癌症患者中非常普遍,是减少整体存活时间的重要独立预测因素.
- 在这个群体中,疼痛和焦虑是失眠的常见触发因素.
- 系统的查和对失眠和相关症状的综合管理在瘤治疗中至关重要,以改善患者的治疗结果.
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