喉癌术后患者睡眠质量、焦虑及抑郁状况的调查研究.docVIP

喉癌术后患者睡眠质量、焦虑及抑郁状况的调查研究 　　[摘要] 目的 调查研究喉癌术后患者睡眠质量、焦虑及抑郁发生率、相关性和影响因素。 方法 采用焦虑自评量表（SAS）、抑郁自评量表（SDS）、匹兹堡睡眠质量指数（PSQI）对74例喉癌术后患者进行调查。 结果 睡眠障碍率为43.24%，焦虑率为35.14%，抑郁率为39.19%。不同年龄、性别睡眠障碍率差异有统计学意义，不同年龄、性别、文化程度及手术类型焦虑率和抑郁率差异均有统计学意义（P 0.05）。焦虑组PSQI各因子评分和睡眠障碍率显著高于非焦虑组（P 0.05），抑郁组PSQI各因子评分和睡眠障碍率均显著高于非抑郁组（P 0.05）。PSQI与SAS、SDS评分呈正相关（P 0.05）。性别、焦虑、抑郁是睡眠质量的主要影响因素，性别、文化程度是焦虑的主要影响因素，性别、文化程度及手术类型是抑郁的主要影响因素（P 0.05）。 结论 喉癌术后患者睡眠质量较差，焦虑和抑郁情况较明显，性别、焦虑和抑郁与睡眠质量密切相关，性别、文化程度及手术类型与焦虑和抑郁密切相关。 　　[关键词] 喉癌；睡眠障碍；焦虑；抑郁 　　[中图分类号] R739.65 [文献标识码] B [文章编号] 1673-9701（2013）25-0007-03 　　The research of sleep quality， anxiety and depression in patients with laryngeal carcinoma 　　ZHENG Zhuojun HUANG Jing WANG Xiuhua 　　Department of Head and Neck Surgery， Zhejiang Cancer Hospital， Hangzhou 310022， China 　　[Abstract] Objective To research sleep quality， anxiety and depression incidence， relevance and impact factor of laryngeal cancer patients after surgery. Methods Uesed SAS， SDS， PSQI to research 74 cases of laryngeal carcinoma patients. Results Sleep disorders rate was 43.24%， anxiety rate was 35.14%， depression rate was 39.19%. Different age， sex， sleep disorders rate difference were statistically significant， differences of anxiety and depression rate of different ages， gender， education level and type of surgery were statistically significant（P 0.05）. The anxiety group PSQI each factor score and sleep disorders rate were significantly higher than the non-anxiety group （P 0.05）， depression group PSQI each factor score and sleep disorders rate were significantly higher than the non-depressed group （P 0.05）. The PSQI with SAS， SDS were positively correlated （P 0.05）. Gender， anxiety， and depression were the main factors affecting the quality of sleep； sex， education were the main factors of anxiety； sex， educational level and type of surgery were the main factors of depression（P 0.05）. Conclusion Patients with laryngeal carcinoma have poor sleep quality and more obvious anxiety and depres