老年喉癌患者术后睡眠质量、生活质量与其焦虑程度的相关性分析

Correlation analysis between postoperative sleep quality and quality of life and anxiety level in elderly patients with laryngeal cancer

中文关键词: 老年  喉癌  焦虑  睡眠质量  生活质量  相关性

英文关键词: elderly  laryngeal cancer  anxiety  sleep quality  quality of life  correlation

中文摘要:

      目的 分析老年喉癌患者术后睡眠质量、生活质量与其焦虑程度的相关性.方法 回顾性分析于2020年1月 2023年6月电子科技大学医学院附属绵阳医院收治的158例行喉癌手术老年患者的病例资料.依据术后24 h焦虑症状自评量表(SAS)评分将其分为对照组(无焦虑,n=32,SAS评分＜50分)、轻度组(轻度焦虑,n=36,SAS评分50～59分)、中度组(中度焦虑,n=45,SAS评分60～69分)、重度组(重度焦虑,n=45,SAS评分≥70分).采用头颈癌患者生命质量量表(QLICP-HN)、匹兹堡睡眠质量指数(PSQI)量表分别评估手术后患者生存质量、睡眠质量,比较不同焦虑程度QLICP-HN、PSQI各维度评分,采用Pearson相关分析法分析生存质量、睡眠质量与患者焦虑程度的关系.结果 轻、中、重度组患者术后QLICP-HN各领域躯体功能、心理功能、社会功能、共性症状与不良反应评分均低于对照组,且中、重度组低于轻度组,重度组低于中度组,差异均有统计学意义(P＜0.05);轻、中、重度组术后PSQI量表睡眠质量、睡眠率、睡眠障碍、睡眠时间、入睡时间及总评分均高于对照组(P＜0.05),且中、重度组高于轻度组,重度组高于中度组(P＜0.05);Pearson相关分析法分析结果显示,老年喉癌手术患者焦虑程度与PSQI评分正相关,与QLICP-HN各领域评分负相关(P＜0.05).结论 老年喉癌患者术后焦虑程度与其睡眠质量、生存质量可能有相关性,焦虑程度越低,则生存质量越高,睡眠质量越好.

英文摘要:

      Objective To analyze the correlation between postoperative sleep quality and quality of life and anxiety lev-el in elderly patients with laryngeal cancer.Methods A retrospective analysis was conducted on clinical data from 158 elderly patients who underwent laryngeal cancer surgery in Mianyang Hospital Affiliated to Medical College,University of Electronic Science and Technology of China between January 2020 and June 2023.They were divided into four groups based on Self-Rat-ing Anxiety Scale(SAS)score at 24 h postoperatively:control group(without anxiety,n=32,SAS score＜50),mild anxie-ty group(n=36,SAS score 50-59),moderate anxiety group(n=45,SAS score 60-69),and severe anxiety group(n=45,SAS score ≥70).Postoperative quality of life and sleep quality were assessed by the Quality of Life Instrument for Head and Neck Cancer Patients(QLICP-HN)and Pittsburgh Sleep Quality Index(PSQI),respectively.The scores of QLICP-HN and PSQI in various dimensions were compared among the four groups.Pearson correlation analysis was used to evaluate relation-ships between anxiety level and sleep quality and quality of life.Results The postoperative scores of QLICP-HN in various di-mensions(physical function,psychological function,social function,common symptoms,and side effects)in the mild,mod-erate and severe anxiety groups were significantly lower than those in the control group;the moderate and severe anxiety groups were lower than the mild anxiety group;the severe anxiety group was lower than the moderate anxiety group(P＜0.05).The postoperative scores of PSQI in various dimensions(sleep quality,sleep efficiency,sleep disturbances,sleep duration,sleep latency,and total score)in the mild,moderate and severe anxiety groups were significantly higher than those in the control group(P＜0.05);the moderate and severe anxiety groups were higher than the mild group,and the severe group was higher than the moderate anxiety group(P＜0.05).Pearson correlation analysis showed that the anxiety level in elderly patients with laryngeal cancer after surgery was positively correlated with PSQI score and negatively correlated with QLICP-HN scores in va-rious dimensions(P＜0.05).Conclusion Postoperative anxiety level in elderly laryngeal cancer patients may correlate with their sleep quality and quality of life.The lower the anxiety level,the higher the quality of life and the better the sleep quality.