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
[1] TsaySL, Rong JR, LinPF. Acupoints massage in improving the quality of sleep and quality of sleep and quality of life in patients with end-stage renal disease[J]. J Adv Nurs, 2003,42(2):134-142.
[2] 汪向东.心理卫生评定量表手册[M].北京:中国心理卫生杂志社,1999:375-378.
[3] 李建明,尹素凤,段建勋,等.睡眠状况自评量表(SRSS)[J].健康心理学杂志,2000,8(3):351-353.
[4] Duffy SA, Khan MJ, Ronis DL, et al. Health behaviors of head and neck cancer patients the first year after diagnosis[J]. Head Neck, 2008, 30(1):93-102.
[5] Jellema AP, Slotman BJ, Doornaert P, et al. Impact of radiation-induced xerostomia on quality of life after primary radiotherapy anong patients with head and neck cancer[J]. Int J Radiat Oncol Biol Phys, 2007, 69(3):751-760.
[6] Rogers LQ, Courneya KS, Robbins KT, et al. Factors associated with fatigue,sleep,and cognitive function among patients with head and neck cancer[J]. Head Neck, 2008, 30(10):1310-1317.
[7] Mystakidou K, Parpa E, Tsilika E, et al. The relationship of subjective sleep quality, pain, and quality of life in advanced cancer patients[J]. Sleep, 2007, 30(6):737-742.
[8] McMillan SC, Tofthagen C, Morgan MA. Relationships among pain,sleep disturbances,and depressive symptoms in outpatients from a comprehensive cancer center[J]. Oncol Nurs Forum, 2008, 35(4):309-318.
[9] Massie MJ. Prevalence of depression in patients with cancer[J]. J Natl Cancer Inst Monogr, 2004, 32(6):57-71.
[10] Boscolo-Rizzo P, Maronato F, Marchiori C, et al. Long-term quality of life after total laryngectomy and postoperative radiotherapy versus concurrent chemoradiotherapy for laryngeal preservation[J]. Laryngoscope, 2008, 118(2):300-306.
[11] Rada R. Obstructive sleep apnea and head and neck neoplasms[J]. Otolaryngol Head Neck Surg, 2005, 132(5):794-799.
[12] Andrew G, Sonia A, David L, et al. Predictors of Poor Sleep Quality Among Head and Neck Cancer Patients[J]. Laryngoscope, 2010, 120(6):1166-1172.
[13] Stein MB, Belik SL, Jacobi F, et al. Impairment associated with sleep problems in the community: relationship to physical and mental health comorbidity[J]. Psychosom Med, 2008, 70(8):913-919.
[14] Lu K, Chen J, Wu S, et al. Interaction of Sleep Duration and Sleep Quality on Hypertension Prevalence in Adult Chinese Males[J]. J Epidemiol, 2015, 25(6):415-422.
[15] Bruno RM, Palagini L, Gemignani A, et al. Poor sleep quality and resistant hypertension[J]. Sleep Medicine, 2013, 14(11):1157-1163.
[16] De Boer MF, McCormick LK, Pruyn JFA, et al. Physical and psychosocial correlates of head and neck cancer: a review of the lit erature[J]. Otolaryngol Head Neck Surg, 1999, 120(3):427-436.
[17] Sateia MJ, Lang BJ. Sleep and cancer:recent developments[J]. Curr Oncol Rep, 2008, 10:309-318.
[18] McCall VW, Reboussin BA, Cohen W. Subjective messurement of insomnia and quality of life in depressed inpatients[J]. J Sleep Res, 2000, 9(1):43-48.
[19] Tsuno N, Besset A, Ritchie K. Sleep and depression[J]. J Clin Psychiatry, 2005, 66(5):1254-1269.
[20] Galm T, Kulkarni A, Ahmad I. Laryngeal carcinoma metastasis to the orbit:case report[J]. J Laryngol Otol, 2011, 125(5):533-535.
[21] Zhang L, Samet J, Caffo B, et al. Cigarette smoking and nocturnal sleep architecture[J]. Am J Epidemiol, 2006, 164(6):529-537.
[22] Lobo LL, Tufik S. Effects of alcohol on sleep parameters of sleep-deprived healthy adults[J]. Sleep, 1997, 20(1):52-59.
[23] Duffy SA, Ronis DL, McLean S, et al. Pretreatment health behaviors predict survival among patients with head and neck squamous cell carcinoma[J]. J Clin Oncol, 2009, 27(12):1969-1975.
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