摘要
目的:分析甲状腺癌患者围手术期的睡眠状况、危险因素及个性化护理措施。方法:选取2022年3月至2024年3月厦门大学附属第一医院收治的685例行手术治疗的甲状腺癌患者作为研究对象,分别在入院时、住院期间用匹兹堡睡眠质量指数(PSQI)量表评定患者的睡眠质量,并通过单因素及多因素Logistic回归分析法调查影响患者睡眠的因素。结果:甲状腺癌患者住院期间的PSQI评分较入院时高(P<0.05)。经单因素分析得知,年龄、性别、住院时间、助眠药、心情、疼痛是影响患者睡眠的主要因素(P<0.05)。经多因素Logistic回归分析发现,心情评分>8分、未使用助眠药、住院时间>6 d、女性、疼痛评分4~6分、年龄>49岁为其高危因素。结论:甲状腺癌患者住院期间的睡眠质量较入院时更差,且受各种因素影响,故有必要开展个性化护理干预,以提高患者睡眠质量。
Objective:To analyze the sleep status,risk factors,and personalized nursing interventions for thyroid cancer patients during the perioperative period.Methods:A total of 685 thyroid cancer patients who underwent surgical treatment at the First Affiliated Hospital of Xiamen University from March 2022 to March 2024 were selected as the research subjects.The Pittsburgh Sleep Quality Index(PSQI)was used to evaluate the sleep quality of the patients at admission and during hospitalization.Univariate and multivariate logistic regression analyses were conducted to identify factors influencing sleep.Results:The PSQI scores of thyroid cancer patients during hospitalization were higher than those at admission(P<0.05).Univariate analysis revealed that age,gender,length of hospital stay,use of sleep aids,mood,and pain were the main factors affecting sleep(P<0.05).Multivariate Logistic regression analysis identified the following high-risk factors:mood score>8,non-use of sleep aids,hospital stay>6 days,female gender,pain score 4-6,and age>49 years.Conclusion:The sleep quality of thyroid cancer patients deteriorates during hospitalization and is influenced by various factors.Therefore,it is necessary to implement personalized nursing interventions to improve patients′sleep quality.
作者
林燕育
杜丹丹
LIN Yanyu;DU Dandan(Department of General Surgery,The First Affiliated Hospital of Xiamen University,Xiamen 361000,China)
出处
《世界睡眠医学杂志》
2025年第1期143-146,共4页
World Journal of Sleep Medicine
关键词
甲状腺癌
围手术期
睡眠质量
现状
危险因素
个性化护理
量表
调查
Thyroid cancer
Perioperative period
Sleep quality
Current Status
Risk factors
Personalized nursing
Scale
Investigation
