Wang Gang, Zhang Quanquan, Pan Shengjie
Department of General Surgery, The First Affiliated Hospital of Soochow University, Suzhou, China.
Department of Neurology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Front Neurol. 2025 Apr 23;16:1536736. doi: 10.3389/fneur.2025.1536736. eCollection 2025.
This study investigates the prevalence of negative emotions and sleep disturbances in gastric cancer patients, explores their relationship, and suggests targeted interventions to enhance their physical and mental well-being.
A total of 650 gastric cancer patients from the First Affiliated Hospital of Soochow University (March 2020 to March 2023) were included. Negative emotions, including anxiety and depression, were assessed using the Positive and Negative Affect Schedule (PANAS), while sleep quality was evaluated using the Pittsburgh Sleep Quality Index (PSQI). Descriptive statistics and Pearson correlation analysis were employed to analyze the data and explore the relationship between negative emotions and sleep quality.
Of the 650 patients, 533 (82%) exhibited negative emotions, and 560 (86.15%) experienced sleep disturbances. A significant positive correlation was found between negative emotion scores and sleep quality (r = 0.682, < 0.05). Patients with poor sleep quality had significantly higher negative emotion scores ( < 0.05). Factors such as gender, age, tumor stage, and education level influenced negative emotion scores, while room type significantly impacted sleep quality ( < 0.05).
Negative emotions and sleep disturbances are common and interrelated in gastric cancer patients. Addressing psychological factors, particularly anxiety and depression, is crucial for improving sleep quality and overall recovery. Integrated psychological and sleep management interventions should be incorporated into routine care to improve patients' quality of life and treatment outcomes.
本研究调查胃癌患者负面情绪和睡眠障碍的患病率，探讨它们之间的关系，并提出针对性干预措施以提高患者的身心健康水平。
纳入苏州大学附属第一医院2020年3月至2023年3月期间的650例胃癌患者。使用正负性情绪量表（PANAS）评估焦虑和抑郁等负面情绪，同时使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量。采用描述性统计和Pearson相关分析对数据进行分析，探讨负面情绪与睡眠质量之间的关系。
650例患者中，533例（82%）表现出负面情绪，560例（86.15%）存在睡眠障碍。负面情绪得分与睡眠质量之间存在显著正相关（r = 0.682，P < 0.05）。睡眠质量差的患者负面情绪得分显著更高（P < 0.05）。性别、年龄、肿瘤分期和教育水平等因素影响负面情绪得分，而病房类型显著影响睡眠质量（P < 0.05）。
负面情绪和睡眠障碍在胃癌患者中普遍存在且相互关联。解决心理因素，尤其是焦虑和抑郁，对于改善睡眠质量和整体康复至关重要。应将综合心理和睡眠管理干预纳入常规护理，以提高患者的生活质量和治疗效果。
