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

doi:10.19438/j.cjoms.2025.04.011

Abstract

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

CLC Number:

R739.8

Hao Guihua, Yang Ying, Yang Jiebin, Shi Wentao, Shen Chaoqun, Hou lili, Zhao Xiaomei. Influencing factors of sleep disorder and its correlation with quality of life in patients with newly diagnosed oral and maxillofacial head and neck tumors[J]. China Journal of Oral and Maxillofacial Surgery, 2025, 23(4): 384-389.

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