Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2019, Vol. 33 ›› Issue (4): 76-81.doi: 10.6040/j.issn.1673-3770.0.2018.244

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Survey of overall sleep quality in 142 patients with laryngectomy

DING Jie, SUN Yan   

  1. Department of Otorhinolaryngology Head and Neck Surgery, Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong, China
  • Online:2019-07-20 Published:2019-07-22

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Abstract: Objective To investigate sleep quality in post-laryngectomy patients. Methods In total, 142 post-laryngectomy patients and 48 healthy controls were recruited into this study between May 2015 and February 2016 from the Department of Otorhinolaryngology & Head and Neck Surgery of the Affiliated Hospital of Qingdao University. The Pittsburgh Sleep Quality Index(PSQI)and SRSS were used to evaluate sleep quality and the results of these measures were statistically analyzed. Results Both the average PSQI score and the average SRSS score were higher in the experimental group(7.20±3.84, and 24.92±5.80, respectively)than the control group(4.42±1.61, 18.27±3.39, respectively, P<0.01). The average PSQI score in patients who received chemoradiotherapy after laryngectomy(7.65±4.39), did not significantly differ from the score of those who did not(6.92±3.45, P=0.295). Similarly, the average SRSS score in patients who received chemoradiotherapy after laryngectomy(25.56±6.11)did not significantly differ from the score of those who did not(24.52±5.60, P=0.297). The average PSQI scores of patients who underwent extubation after partial laryngectomy, non-extubation after partial laryngectomy, or total laryngectomy(6.90±3.33, 8.80±5.44, 7.20±3.98, respectively)were not significantly different from one another(P=0.215). There were similarly no significant differences between the average SRSS scores of patients who underwent extubation after partial laryngectomy, non-extubation after partial laryngectomy, or total laryngectomy(24.05±4.92, 27.80±8.00, 25.40±6.10, respectively, P=0.055). In 142 cases of post-laryngectomy, 92 cases(64.79%)had differing degrees of pain and discomfort, 135 patients(95.07%)reported dry mouth and using the toilet at night, and 112 patients(78.87%)had difficulty falling asleep after waking up. Conclusion The overall sleep quality of post-laryngectomy patients is poor. The main causes of poor sleep quality are physical pain, psychological disorders caused by the disease itself, and sequelae and complications caused by treatment.

Key words: Laryngeal neoplasms, Surgical procedures, operative, Sleep quality

CLC Number: 

  • R739.65
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