Correlation between sleep disorder and postoperative quality of life in patients with liver cancer:a longitudinal study
10.3969/j.issn.1671-8283.2024.01.003
- VernacularTitle:肝癌患者睡眠障碍与术后生活质量相关性的纵向研究
- Author:
Fanrong LI
1
;
Xinhua ZHAO
;
Juan TANG
;
Chunhua PANG
;
Lijie YANG
;
Shuangshuang WEI
;
Xuemei YOU
Author Information
1. 广西医科大学附属肿瘤医院肝胆外科,广西南宁,530021
- Keywords:
hepatocellular carcinoma;
sleep disorder;
quality of life;
longitudinal study
- From:
Modern Clinical Nursing
2024;23(1):14-20
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the sleep disorders and its effects on the changes in quality of life in patients with liver cancer from the hospital admission to 6 months after surgery and to analyse the correlation between the sleep disorder and quality of life.Methods A total of 214 patients who underwent surgery for liver cancer for the first time were included in the study.Demographic questionnaire,Pittsburgh sleep quality index(PSQI),and functional assessment of cancer therapy-hepatobiliary(FACT-Hep)were used for the investigation at admission and at 1,3 and 6 months after surgery.Multiple linear regression was employed to analyse the correlation between the sleep disorders at the admission and its effect on quality of life up to 6 months after surgery.Results Toally 214 patients finished the study at admission and 209 finished the study 1 month after surgery,and 208 finished the stuoly 3 months after surgery,and 205 patients finished the study 6 months after surgery.The scores of both of PSQI at admission and the quality of life at 6 months after surgery varied across the tested time points with a statistically significant difference(both P<0.001).The overall level of sleep disorder in the patients showed a characteristic pattern with initially increasing and then decreasing,and the quality of life presented a characteristic tendency of starting from high to low and then gradually increasing.It showed that the sleep disorder at admission was attributive to the poorer quality of life at 6 months after surgery.The hierarchical regression analysis showed that among the patients at BCLC Stage A,sleep disorder at admission was the influencing factor of the quality of life at 6 months after surgery.Conclusions The sleep disorder and quality of life in the patients who had surgical operations for hepatocellular carcinoma both changed dynamically from admission to the 6 months after surgery.The quality of life was poor in the patients with sleep disorder at admission.Therefore,medical staff should enhance the sleep management at admission,conduct dynamic assessment of the sleep disorder and quality of life of the patients,and then develop continuity nursing measures to improve the quality of life after surgery.
