Huang Yang, Jiang Zi-Juan, Deng Juan, Qi Yu-Juan
Department of Neurosurgery, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China.
World J Clin Cases. 2020 Oct 26;8(20):4735-4742. doi: 10.12998/wjcc.v8.i20.4735.
The sleep quality of patients with postoperative glioma at home has not been reported worldwide. In this study, the sleep quality of postoperative glioma patients at home was explored through telephone interviews.
To investigate the sleep quality of patients with postoperative glioma.
Glioma patients who were treated and operated on at Nanjing Brain Hospital from May 2012 to August 2019 were selected as participants convenience sampling. A total of 549 patients were recruited by telephone, and 358 of those patients responded to the Pittsburgh Sleep Quality Index (PSQI).
The total PSQI score was 5.19 ± 3.39 in all patients with postoperative glioma, which was higher than that of the normal group. There were 135 patients with poor sleep quality (PSQI > 7), which accounted for 37.7% of all respondents. The scores of the seven dimensions of the PSQI were sleep latency (1.22 ± 1.05), sleep disturbance (1.12 ± 0.98), subjective sleep quality (1.03 ± 0.92), habitual sleep efficiency (1.02 ± 0.91), daytime dysfunction (0.95 ± 0.43), sleep persistence (0.83 ± 0.76), and use of sleeping medication (0.25 ± 0.24). The results showed that the subjective sleep quality of the patients who underwent an operation 1-2 years ago was worse than that of the patients who underwent an operation more than 2 years ago ( 0.05). Older patients had worse sleep latency and sleep duration scores than younger patients ( 0.05). Sleep disturbance and daytime dysfunction were worse in patients who received postoperative radiotherapy/ chemotherapy ( < 0.05).
The sleep quality of patients with postoperative glioma at home is worse than that of normal adults. Moreover, difficulty falling asleep and sleep disorders are common complications among these patients, and age, postoperative duration, and postoperative chemoradiotherapy could affect sleep quality.
全球范围内尚未有关于术后胶质瘤患者在家中的睡眠质量的报道。在本研究中，通过电话访谈对术后胶质瘤患者在家中的睡眠质量进行了探究。
调查术后胶质瘤患者的睡眠质量。
选取2012年5月至2019年8月在南京脑科医院接受治疗及手术的胶质瘤患者作为研究对象，采用方便抽样法。通过电话共招募了549例患者，其中358例患者对匹兹堡睡眠质量指数（PSQI）进行了回应。
所有术后胶质瘤患者的PSQI总分为5.19±3.39，高于正常组。睡眠质量差（PSQI>7）的患者有135例，占所有受访者的37.7%。PSQI七个维度的得分分别为入睡时间（1.22±1.05）、睡眠障碍（1.12±0.98）、主观睡眠质量（1.03±0.92）、睡眠习惯效率（1.02±0.91）、日间功能障碍（0.95±0.43）、睡眠持续性（0.83±0.76）和使用睡眠药物情况（0.25±0.24）。结果显示，手术1 - 2年前的患者主观睡眠质量比手术2年以上的患者差（P<0.05）。老年患者的入睡时间和睡眠时间得分比年轻患者差（P<0.05）。接受术后放疗/化疗的患者睡眠障碍和日间功能障碍更严重（P<0.05）。
术后胶质瘤患者在家中的睡眠质量比正常成年人差。此外，入睡困难和睡眠障碍是这些患者常见的并发症，年龄、术后时间以及术后放化疗会影响睡眠质量。
