在患有妇科恶性瘤的患者中评估术后自我报告的睡眠质量
Ria M Desai1, Jason Silberman2, Emma Reasner1,3
1Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
概括
妇科癌症患者的睡眠质量差是常见的,在住院期间情况恶化. 诸如癌症类型,心理健康和疼痛管理等因素会影响睡眠,突出干预的领域.
科学领域:
- 在瘤学瘤学.
- 睡眠医学 睡眠医学
- 心理社会健康 心理健康
背景情况:
- 术后睡眠障碍在癌症患者中很普遍.
- 了解影响睡眠质量的因素对于改善患者结果至关重要.
研究的目的:
- 在妇科恶性瘤中评估患者报告的术后睡眠质量.
- 识别与睡眠不良相关的人口,临床和心理社会因素.
主要方法:
- 在接受手术的妇科恶性瘤患者的前性研究.
- 使用匹兹堡睡眠质量指数 (PSQI) 和理查兹-坎贝尔睡眠问卷 (RCSQ) 评估睡眠质量.
- 根据PSQI (<5) 或RCSQ (>50) 评分来定义"良好的"睡眠.
主要成果:
- 56.1%的患者报告说手术前睡眠不好,通常是由于夜和血管运动症状.
- 睡眠不足与癌症类型 (宫/癌),手术前使用睡眠药物以及并发性焦虑/抑郁症有关.
- 在住院期间,睡眠质量显著下降,与阿片类药物使用相关的良好术后睡眠.
结论:
- 妇科癌症患者的术后睡眠质量受癌症类型,心理健康,疼痛管理和医院环境的影响.
- 在住院期间,睡眠质量会恶化.
- 针对这些因素提供了改善患者睡眠和康复的机会.
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