Şenol Vesile, Temircan Zekeriya
Department of Nutrition and Dietetics, School of Health Science, Kapadokya University, Nevşehir, Turkey.
Department of Psychology, Faculty of Humanities, Kapadokya University, Nevşehir, Turkey.
Ewha Med J. 2024 Jan;47(1):e5. doi: 10.12771/emj.2024.e5. Epub 2024 Jan 31.
The present study aims to examine the frequency of sleep disorders and the level of sleep quality, as well as their relationship with health-related quality of life in cancer patients.
This multi-center cross-sectional survey included 333 cancer patients ranging in age from 16 to 72 years, between June 15, 2017, and August 30, 2018 at the Ankara Oncology Hospital and Erciyes University Kemal Dedeman Oncology Hospital Polyclinic. Data were collected via various surveys conducted through face-to-face interviews, including following measurement tools: Short Form 36 Health Questionnaire, the Pittsburgh Sleep Quality Index, the Epworth Sleepiness, and the Berlin Sleep Questionnaire for obstructive sleep apnea. Face-to-face interviews were carried out with patients who presented for an initial examination or follow-up and were awaiting their appointments.
The most commonly reported sleep disorders were daytime sleepiness (36.9%), sleep respiratory disorders (34.8%), insomnia (29.4%), and parasomnias (28.8%). Good sleepers were found to have significantly higher physical (40.20±10.08 vs. 33.21±8.06; P<0.001) and mental component scores (43.54±8.25 vs. 38.20±7.52; P<0.001) than poor sleepers. Conversely, individuals with insomnia (P<0.01), daytime sleepiness (P<0.001), sleep-respiratory disorders (P<0.05), and bruxism (P<0.001) showed significantly lower scores in both physical and mental components. Additionally, those with restless legs syndrome had a significantly lower physical component score (P<0.001), and those with parasomnias had significantly lower mental component scores.
Cancer patients exhibited moderate average sleep quality scores, with over half of them demonstrating low quality sleep patterns. Sleep disorders significantly impacted their health-related quality of life.
本研究旨在调查癌症患者睡眠障碍的发生率、睡眠质量水平，以及它们与健康相关生活质量的关系。
这项多中心横断面调查纳入了2017年6月15日至2018年8月30日期间在安卡拉肿瘤医院和埃尔西耶斯大学凯末尔·德德曼肿瘤医院综合门诊就诊的333例年龄在16至72岁之间的癌症患者。通过面对面访谈进行的各种调查收集数据，包括以下测量工具：简短健康调查问卷36项、匹兹堡睡眠质量指数、爱泼华嗜睡量表和用于阻塞性睡眠呼吸暂停的柏林睡眠问卷。对前来进行初次检查或随访并等待预约的患者进行面对面访谈。
最常报告的睡眠障碍是日间嗜睡（36.9%）、睡眠呼吸障碍（34.8%）、失眠（29.4%）和异态睡眠（28.8%）。发现睡眠良好者的身体（40.20±10.08 vs. 33.21±8.06；P<0.001）和精神成分得分（43.54±8.25 vs. 38.20±7.52；P<0.001）显著高于睡眠不佳者。相反，失眠患者（P<0.01）、日间嗜睡患者（P<0.001）、睡眠呼吸障碍患者（P<0.05）和磨牙症患者（P<0.001）的身体和精神成分得分均显著较低。此外，患有不宁腿综合征的患者身体成分得分显著较低（P<0.001），患有异态睡眠的患者精神成分得分显著较低。
癌症患者的平均睡眠质量得分中等，其中超过一半表现出低质量睡眠模式。睡眠障碍显著影响了他们的健康相关生活质量。
