Published online Oct 26, 2020. doi: 10.12998/wjcc.v8.i20.4735
Peer-review started: May 9, 2020
First decision: June 7, 2020
Revised: June 19, 2020
Accepted: September 9, 2020
Article in press: September 9, 2020
Published online: October 26, 2020
Processing time: 170 Days and 3.5 Hours
Glioma is a very common primary intracranial malignant tumor with an incidence rate ranging from 5/100000 to 8/100000. The 5-year mortality rate is the third highest among systemic tumors after pancreatic cancer and lung cancer. Thus, glioma poses a substantial threat to human health. However, as the patient returns home and the postoperative time increases, environmental factors and physical pain will change, and the patient's sleep quality may also change accordingly.
Since there has not been any relevant research on the sleep quality of postoperative glioma patients, the results of this study can provide guidance for interventions to improve the sleep quality of postoperative glioma patients.
The purpose of this study was to understand the sleep quality of postoperative glioma patients at home.
In this study, postoperative glioma patients were investigated, and follow-up calls were conducted by telephone to conduct a questionnaire survey. The questionnaire used was the Pittsburgh Sleep Quality Index (PSQI), and nurses used standardized guidance language while conducting the survey. For those with a low education level and other factors that led them to be unable to complete the survey independently, the inquiry survey method was used to collect the data, and the nurse recorded each item in a unified manner. Questions that the interviewee did not understand were answered without suggestion.
The mean total PSQI score of postoperative glioma patients was 5.19 ± 3.39, which was higher than that of the normal group. The results also showed that the subjective sleep quality of patients with a postoperative time of 1-2 years was worse than that of the group with a postoperative time of more than 2 years (P < 0.05). Older patients had worse sleep latency and sleep duration than younger patients (P < 0.05). Patients who received postoperative radiotherapy/chemotherapy had worse sleep disturbance and daytime dysfunction than patients without postoperative radiotherapy/chemotherapy (P < 0.05).
The sleep quality of postoperative glioma patients at home is worse than that of normal adults. These patients find it difficult to fall asleep and have sleep disturbances. The sleep quality of patients differs depending on age, the length of postoperative time, and the use of postoperative radiotherapy/chemotherapy.
This study is a telephone follow-up survey and a statistical analysis of the sleep quality of postoperative glioma patients. Future studies should examine sleep disorders in glioma patients from multiple angles, reduce the impact of radiotherapy and chemotherapy on patients' sleep, and assist patients in taking measures that are beneficial to sleep. Future research should also explore the relationship between the patient's sleep quality and family and social support and continue to explore feasible nursing-based intervention methods to ensure that patients receive comprehensive, effective, and high-quality nursing services. With joint efforts, the sleep quality of postoperative glioma patients can be improved.