护理学报2025，Vol.32Issue(16)：5-11,7.DOI:10.16460/j.issn2097-6569.2025.16.005
原发性颅脑肿瘤成人患者术后睡眠障碍的现状及影响因素分析
Analysis of the prevalence and influencing factors of postoperative sleep disorders in adult patients with primary brain tumor
摘要
Abstract
Objective To investigate the prevalence and determinants of postoperative sleep disorders(PSD)in adult patients with primary brain tumors,with the aim of informing clinical nursing interventions.Methods A convenience sample of 217 adult patients who underwent surgery for primary brain tumors was recruited.Data were collected using the General Information Questionnaire,Pitts-burgh Sleep Quality Index(PSQI),Barthel Index(BI),Generalized Anxiety Disorder 7-item scale(GAD-7),Dysfunctional Beliefs and Attitudes about Sleep Scale(DBAS),and Numeric Rating Scale(NRS).Logistic regression analysis was performed to identify factors associated with PSD.Results PSD occurred in 101 patients(46.5%).Higher body mass,tumor location in the sellar region,brain-stem,or frontal lobe,1-5 days of postoperative monitoring in the neurosurgical intensive care unit(NSICU),and pain were significant risk factors for PSD.Conversely,better activities of daily living and positive sleep-related beliefs and attitudes were protective factors(P<0.05).Conclusion PSD is relatively common among adult patients with primary brain tumors.Elevated body mass,specific tumor locations,1-5 days NSICU monitoring,and pain increase the risk of PSD,whereas functional independence and positive sleep-related beliefs may reduce vulnerability.Early assessment and screening of sleep quality in high-risk patients,along with the implementation of safe and effective interventions,are essential to improve postoperative outcomes.关键词
颅脑肿瘤/睡眠障碍/影响因素/神经外科Key words
primary brain tumor/sleep disorders/influencing factors/neurosurgery分类
医药卫生引用本文复制引用
王云吉,谢亭平,唐丽,王晓艳,邓瑛瑛,郑晓霞,李欣男,胡俊,周宏珍..原发性颅脑肿瘤成人患者术后睡眠障碍的现状及影响因素分析[J].护理学报,2025,32(16):5-11,7.基金项目
南方医院院长基金(2023H003) （2023H003）
