在大型多中心门诊瘤病患者群体中,睡眠困难的患病率和相关值,通过基于实践的查确定
Sarah N Price1, Laurel Zeng2, Wei Sha2
1Wake Forest University Winston Salem, NC United States.
Cancer research communications
|February 21, 2026
概括
睡眠困难在癌症患者中很常见,影响36%. 关键因素包括痛苦,疼痛,焦虑,抑郁和财务担忧,强调需要更好的查和干预措施.
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:
- 睡眠障碍在癌症护理中经常被不充分识别和治疗.
- 有效的查和干预策略对于治疗瘤患者睡眠困难至关重要.
研究的目的:
- 在一个大型的学术癌症中心确定患者报告的睡眠困难的患病率和相关性.
- 为制定针对睡眠障碍的有针对性的查和干预计划提供信息.
主要方法:
- 从20416名癌症患者 (1/2017-6/2024) 的应急查数据的回顾性分析.
- 睡眠困难以0-10级评价;临床显著性定义为≥5.
- 多变量回归模型检查了与睡眠困难相关的社会人口统计学,医疗和心理社会因素.
主要成果:
- 36%的患者报告临床显著的睡眠困难 (≥5).
- 最强的相关性包括痛苦 (OR=3.06),疼痛 (OR=2.80),焦虑 (OR=2.31),抑郁 (OR=1.69),财务问题 (OR=1.35) 和40-64岁 (OR=1.35).
- 在上部消化道,尿生殖道,胸部和血液癌症中观察到更高的睡眠困难概率.
结论:
- 睡眠困难在癌症患者中很普遍,并且与心理社会困扰,疼痛和特定癌症类型有显著联系.
- 这些发现强调了需要综合护理途径来解决瘤学中的睡眠问题.
- 进一步研究睡眠轨迹和有效干预措施是有必要的.
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