CAJ | 학술논문

目的：探讨放射治疗（简称放疗）鼻咽癌患者失眠状况及其影响因素。方法自行设计鼻咽癌患者睡眠状况及影响因素调查表，了解102例放疗鼻咽癌患者失眠状况及其影响因素。结果放疗鼻咽癌患者失眠发生率为42.2%；单因素分析显示，放射性口干症、恶心、医院环境噪音、放射性口腔黏膜炎、担心工作受影响、担心疾病预后、打嗝、呕吐、担心拖累家人对患者失眠有影响（均P＜0.05）。多因素分析显示，放射性口腔黏膜炎、医院环境噪音和担心工作受影响是患者失眠独立危险因素。结论放疗鼻咽癌患者失眠发生率高，其中放射性口腔黏膜炎、医院环境噪音和担心工作受影响是患者失眠的危险因素。
목적：탐토방사치료（간칭방료）비인암환자실면상황급기영향인소。방법자행설계비인암환자수면상황급영향인소조사표，료해102례방료비인암환자실면상황급기영향인소。결과방료비인암환자실면발생솔위42.2%；단인소분석현시，방사성구간증、악심、의원배경조음、방사성구강점막염、담심공작수영향、담심질병예후、타격、구토、담심타루가인대환자실면유영향（균P＜0.05）。다인소분석현시，방사성구강점막염、의원배경조음화담심공작수영향시환자실면독립위험인소。결론방료비인암환자실면발생솔고，기중방사성구강점막염、의원배경조음화담심공작수영향시환자실면적위험인소。
Objective To investigate the incidence of insomnia in patients with nasopharyngeal carcinoma during radiotherapy and analyze the influencing factors.Method A sleep quality questionnaire for patients with nasopharyngeal carcinoma during radiotherapy was designed and used for the investigation of the incidence of insomnia as well as the influencing factors related to insomnia.Results The incidence of insomnia was 42.2%.Univariate analysis revealed that radioactive xerostomia,nausea,hospital environmental noise,radioactive oral mucositis,worry about job,worry about prognosis,burp,vomiting,worry about family influence were related to insomnia in nasopharyngeal carcinoma patients during radiotherapy;multivariate analysis showed that radioactive oral mucositis,environmental noise and job stress were the independent factors leading to insomnia(All P<0.05).Conclusions There is a high incidence of insomnia in patients with nasopharyngeal carcinoma during radiotherapy.Radioactive oral mucositis,environmental noise and job stress might be the independent factors relative with insomnia during radiotherapy.