中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2025, Vol. 23 ›› Issue (4): 384-389.doi: 10.19438/j.cjoms.2025.04.011

• 论著 • 上一篇    下一篇

初诊口腔颌面头颈肿瘤患者睡眠障碍的影响因素及与生活质量的相关性

郝桂华1,2, 杨盈3, 杨杰彬3, 史文涛4, 沈超群1, 侯黎莉1, 赵小妹1   

  1. 1.上海交通大学医学院附属第九人民医院 护理部,上海 200011;
    2.上海交通大学护理学院,上海 200025;
    3.成都中医药大学护理学院,四川 成都 611137;
    4.上海交通大学医学院临床研究中心,上海 200011
  • 收稿日期:2024-10-08 修回日期:2025-03-21 出版日期:2025-07-20 发布日期:2025-08-04
  • 通讯作者: 赵小妹,E-mail: zhxm58327107@126.com
  • 作者简介:郝桂华（1985-）,女,在读博士研究生, E-mail: haoguihua666@126.com
  • 基金资助:
    上海申康医院发展中心研究型医师创新转化能力培训项目（SHDC2023CRS001）;上海交通大学医学院护理学科建设人才培养计划项目学科骨干（SJTUHLXK2024）;上海交通大学医学院附属第九人民医院优秀护理人才领英计划（JYHRC22-L02）;上海交通大学医学院附属第九人民医院护理院级基金（JYHL2023MS01）;上海申康医院发展中心管理项目（2024SKMR-30）

Influencing factors of sleep disorder and its correlation with quality of life in patients with newly diagnosed oral and maxillofacial head and neck tumors

Hao Guihua1,2, Yang Ying3, Yang Jiebin3, Shi Wentao4, Shen Chaoqun1, Hou lili1, Zhao Xiaomei1   

  1. 1. Department of Nursing, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011;
    2. Shanghai Jiao Tong University School of Nursing. Shanghai 200025;
    3. School of Nursing, Chengdu University of Traditional Chinese Medicine. Chengdu 611137, Sichuan Province;
    4. Clinical Research Center, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China
  • Received:2024-10-08 Revised:2025-03-21 Online:2025-07-20 Published:2025-08-04

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摘要： 目的：探讨初诊口腔颌面头颈肿瘤患者发生睡眠障碍的影响因素,并分析睡眠障碍与生活质量间的相关性。方法：对2023年5月—2024年4月就诊于上海交通大学医学院附属第九人民医院的217例初诊口腔颌面头颈肿瘤患者进行问卷调查,主要包括社会经济及疾病资料调查表、匹兹堡睡眠质量指数量表、Epworth嗜睡量表、医院焦虑抑郁量表、头颈肿瘤生活质量量表。以是否发生睡眠障碍将患者分为睡眠障碍组和正常组,采用单因素分析及logistic多因素分析探讨影响口腔颌面头颈肿瘤患者睡眠的相关因素,采用Spearman相关分析探讨睡眠障碍与生活质量的关系。结果：217例患者中,186例（85.7%）存在睡眠障碍。Logistic回归分析发现,家庭月收入（OR：3.707,95%CI：1.085~12.666,P<0.05）、焦虑抑郁得分（OR：1.180,95%CI：1.082~1.288,P<0.05）是发生睡眠障碍的独立危险因素。两组患者白天嗜睡情况无统计学差异。Spearman相关分析发现,初诊口腔颌面头颈肿瘤患者睡眠质量与生活质量呈正相关（r=0.359,P<0.001）。结论：初诊口腔颌面头颈肿瘤患者睡眠障碍发生率高,且导致患者睡眠质量差的因素多,需加强干预,以改善患者睡眠情况,进而提高生活质量。

关键词: 初诊, 口腔颌面头颈肿瘤, 睡眠障碍, 影响因素, 生活质量

Abstract: PURPOSE: To explore the influencing factors of sleep disorder in newly diagnosed patients with oral and maxillofacial head and neck tumors, and analyze the correlation between sleep disorder and quality of life. METHODS: A total of 217 newly diagnosed patients with oral and maxillofacial head and neck cancer in Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from May 2023 to April 2024 were investigated by questionnaires, including socioeconomic and disease data questionnaire, Pittsburgh Sleep Quality Index(PSQI), Epworth Sleepiness Scale(ESS), Hospital Anxiety and Depression Scale(HADS), Head and Neck Cancer Quality of Life Scale. The patients were divided into sleep disorder group and normal group according to whether they had sleep disorder. Univariate analysis and logistic multivariate analysis were used to explore the related factors affecting sleep in patients with oral and maxillofacial head and neck tumors, and Spearman correlation analysis was used to explore the relationship between sleep disorder and quality of life. RESULTS: Of the 217 patients, totally 186 had sleep disorder (85.7%). Logistic regression analysis showed that monthly family income (OR: 3.707, 95%CI: 1.085-12.666, P<0.05) and anxiety and depression score (OR: 1.180, 95%CI: 1.082-1.288, P<0.05) were independent risk factors for sleep disorders. There was no significant difference in daytime sleepiness between the two groups. Spearman correlation analysis showed that sleep quality was positively correlated with quality of life in patients with newly diagnosed oral and maxillofacial head and neck tumors(r=0.359, P<0.001). CONCLUSIONS: The incidence of sleep disorders in patients with primary diagnosis of oral and maxillofacial head and neck tumors is high and there are a number of factors that lead to the patients' poor quality of sleep, which need to be strengthened with interventions in order to improve the patients' sleep situation and the patients' quality of life.

Key words: Primary diagnosis, Oral and maxillofacial head and neck tumors, Sleep disorders, Influencing factors, Quality of life

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