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Analysis of preoperative sleep quality and related influencing factors in cancer patients

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Abstract

Purpose

The sleep disturbance in cancer patients is more prevalent, and it significantly affects these patients’ recovery after the operation. However, the clinical characteristics regarding sleep quality are scarce. This study aimed to evaluate the quality of preoperative sleep quality and its risk factors in different cancer patients requiring elective surgery.

Patients and methods

Cancer patients who were scheduled for elective surgery were selected. The demographic data, basic preoperative diseases, and factors related to the preoperative hospital environment were also recorded. Self-made questionnaires (such as gender, age, and personal history), and the Anxiety Self-Assessment Scale were used to assess the patient's underlying condition. The modified Pittsburgh Sleep Quality Index (PSQI) was used to evaluate the preoperative sleep status.

Results

A total of 297 patients completed the investigation. The incidence of preoperative sleep disturbance in cancer patients was 47.8%. Multiple logistic regression showed that patients with PSQI ≥ 7 were associated with females (odds ratios [95% confidence intervals]): 1.815 [1.031–3.193], p = 0.039), and the ward space was confined (3.127 [1.016–9.625], p = 0.047), which increased the possibility of sleep disturbance in cancer patients. Meanwhile, increased anxiety levels (1.323 [1.261–1.439], p < 0.001) significantly increased the likelihood of sleep disorders in cancer patients.

Conclusion

47.8% of sleep disturbance in cancer patients before surgery. Female patients, preoperative anxiety, and confined ward environment were independent risk factors of subjective sleep disturbance.

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Acknowledgements

Thanks for the guidance and help from Wenzhou Medical University.

Funding

This work was supported by the Major Science and Technology Projects of Wenzhou Science and Technology Bureau (No. 2021Y0335) and Clinical Research Application Project of Health Department of Zhejiang Province (No2022KY894).

Author information

Authors and Affiliations

  1. Department of Anesthesiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China

    Zihan Wang, Wenwen Du, Shenhui Jin, Yurun Zhu, Chonglei Quan, Xi Zhang, Yuping Feng, Yunchang Mo & Junlu Wang

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  1. Zihan Wang
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  2. Wenwen Du
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  3. Shenhui Jin
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  9. Junlu Wang
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Zihan Wang, Wenwen Du, and Shenhui Jin. The first draft of the manuscript was written by Zihan Wang, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Junlu Wang.

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Ethics approval

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Clinical Research Ethics Committee of the First Affiliated Hospital of Wenzhou Medical University. No. KY2021-102.

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Cite this article

Wang, Z., Du, W., Jin, S. et al. Analysis of preoperative sleep quality and related influencing factors in cancer patients. Support Care Cancer 31, 4 (2023). https://doi.org/10.1007/s00520-022-07483-8

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