Analysis On Difference Of Sleep Status In Patients With Oral Cancer After Operation

Objective:The object of this study to explore the sleep status of the patients with oral cancer and analyse on difference of sleep status after operation,find a way in evaluating the degree of sleep disorders.Methods:The subjects of this study consisted of forty-one inpatients with oral cancer.The survey parameters used the Self-Rating Depression Scale (SDS)and the Self-Rating anxiety Scale(SAS)to determine psychical health before operation,the Pittsburgh Sleep Quality Index(PSQI)to evaluate sleeping status after operation,surgical time and detect the serum concentration of cortisol in ten patients before and after operation. After calculating descriptive statistics using these variables,T-test,χ~2-test and correlation coefficients were calculated by SPSS 10.0.Results:1 Sleep disorders were occurred in 92.7%of the patients.43.90%of the patients with oral cancer had the symptom depression.24.39%of the patients with oral cancer had the symptom anxiety.2 Calculation of correlation coefficients between anxiety and PSQI, revealed a significant correlation between anxiety and sleep quality, fall-asleep time.Calculation of correlation coefficients between surgical time and PSQI,revealed a significant correlation between surgical time, fall-asleep time,sleep obstruction,and total score.3 Sleep obstruction,and sleep medication in the female patients were significantly more than the male patients(p＜0.05).Sleep time,and sleep efficiency in the patients aging more than sixty were significantly more than the patients aging from thirty to forty-nine(p＜0.05).4 Sleep time,sleep efficiency,and total score in the patient with PCA (patients controlled analgesia)pump were significantly more than the non-PCA pump(p＜0.05).The factors of PSQI and total score were no significantly different between the patients with tracheotomy and the patients without tracheotomy.The same result also took place between the patients in single-person room and the patients in three-person room.5 Linear regression analysis showed a significant negative correlation between the degree of sleep disorders and absolute value of cortisol minus between preoperative day and postoperative first day.Conclusion:1 Sleep disorders was observed in 92.7%of patients with oral cancer after operation.2The complexity and the time of the operation were the major influence on sleep in patients with oral cancer after operation.Psychical health and pain also affected the sleep.3 Analgesia was benefit to improve the sleep of the patient after operation.4 The change in serum concentration of cortisol may be an objective indicator in valuating the degree of sleep disorders.