首页|期刊导航|中南医学科学杂志|晚期肺癌患者睡眠质量的影响因素分析

晚期肺癌患者睡眠质量的影响因素分析OA

Analysis of influencing factors on sleep quality in patients with advanced lung cancer

中文摘要英文摘要

目的 分析晚期肺癌患者睡眠质量的影响因素.方法 选取 110 例晚期肺癌患者,根据匹兹堡睡眠质量指数(PSQI)得分,将其分为睡眠良好组(PSQI≤7 分)19 例与睡眠障碍组(PSQI>7 分)91 例.比较两组一般资料和PSQI得分.采用单因素分析及Logistic回归分析晚期肺癌患者睡眠质量的影响因素.采用Pearson相关分析PSQI总分与其各维度得分的相关性.结果 两组病程≥3 年、家庭人均月收入≤3 000 元、药物不良反应、疼痛、咳嗽、焦虑占比以及PSQI得分比较,差异有显著性(P<0.05).晚期肺癌患者PSQI总分为(8.62±4.245)分.PSQI总分与各维度(睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍)得分均呈显著正相关(P<0.001).家庭人均月收入较低和药物不良反应是晚期肺癌患者睡眠质量的独立危险因素(P<0.05).结论 家庭人均月收入较低和药物不良反应是晚期肺癌患者睡眠质量的影响因素.

Aim To analyze the influencing factors of sleep quality in patients with advanced lung cancer.Methods A total of 110 patients with advanced lung cancer were selected and divided into a good sleep group(PSQI score≤7)with 19 cases and a sleep disorder group(PSQI score>7)with 91 cases based on the Pittsburgh Sleep Quality Index(PSQI).The general characteris-tics and PSQI scores of the two groups were compared.Univariate analysis and Logistic regression were used to identify factors influ-encing sleep quality in patients with advanced lung cancer.Pearson correlation analysis was employed to assess the relationship be-tween the total PSQI score and its various dimensions.Results There was a significant difference in the proportion of patients with a disease course of≥3 years,per capita monthly income≤RMB 3 000,adverse drug reactions,pain,cough,anxiety,and PSQI scores between the two groups(P<0.05).The total PSQI score for patients with advanced lung cancer is(8.62±4.245)points.The total score of PSQI is significantly positively correlated with the scores of various dimensions(sleep quality,falling asleep time,sleep duration,sleep efficiency,sleep disorders,hypnotic drugs,daytime dysfunction)(P<0.001).Low per capita monthly house-hold income and adverse drug reactions were independent risk factors for sleep quality in patients with advanced lung cancer(P<0.05).Conclusion Low per capita monthly household income and adverse drug reactions are factors affecting the sleep quality of patients with advanced lung cancer.

彭丽;张滢;李水冰;李瑶;张思瑶;韩露

湘潭市中心医院 肿瘤一科,湖南 湘潭 411100湘潭市中心医院 呼吸与危重症医学科,湖南 湘潭 411100湘潭市中心医院 肿瘤一科,湖南 湘潭 411100湘潭市中心医院 肿瘤一科,湖南 湘潭 411100湘潭市中心医院 肿瘤一科,湖南 湘潭 411100湘潭市中心医院 肿瘤一科,湖南 湘潭 411100

医药卫生

晚期肺癌睡眠质量影响因素

advanced lung cancersleep qualityinfluencing factors analysis

《中南医学科学杂志》 2026 (2)

229-232,4

湖南省自然科学基金项目(2025JJ81124)湖南省卫生健康委一般指导课题项目(202214013464)

10.15972/j.cnki.43-1509/r.2026.02.009

评论