STUDY ON INFLUENCING FACTORS AND NURSING INTERVENTION EFFECT OF SLEEP DISORDERS IN ESOPHAGEAL CANCER PATIENTS AFTER RADIOTHERAPY

Zhe Xu¹, Jinli Li², Songbing Qin¹, Chunyan Huang^{1, *}

¹Department of Radiation Oncology, The First Affiliated Hospital of Soochow University, Suzhou, 215000, Jiangsu Province, China - ²State Key Laboratory of Radiation Medicine and Protection, Soochow University, Suzhou, 215123, Jiangsu Province, China

Objective: The purpose was to study the influencing factors and nursing intervention effect of sleep disorders in esophageal cancer patients after radiotherapy. 

Methods: 197 esophageal cancer patients treated with radiotherapy in the radiology department of The First Affiliated Hospital of Soochow Universityfrom July 2017 to July 2019 were selected as the study objects, and divided into sleep disorder group (n=100) and non-sleep disorder group (n=97) according to Athens Insomnia Scale (AIS) scores to analyze the influencing factors of sleep disorders and the effect of nursing interventionafter radiotherapy. 

Results: There were differences in payment methods, tumor staging, beliefs, pain and anxiety between the two groups of patients (P<0.05). Multivariate retrospective analysis showed that tumor staging, pain and anxiety were the main influencing factors for sleep disorders in esophageal cancerpatients after radiotherapy. VASscore, PSQI score and HAMA score of patients in sleep disorder group after intervention were significantly lower than those before intervention (P<0.001). The somatic role, social function, activity, emotional role and total score of patients in sleep disorder groupafter intervention were significantly higher than those before intervention (P<0.001). 

Conclusion: Tumor staging, pain and anxiety are the mainfactors affecting sleep disorders in esophageal cancer patients after radiotherapy. Clinical nursing intervention can effectively improve the sleep quality of patients with sleep disorders, alleviate anxiety, and improve the life quality, with significant effect, which is worthy of promotion and application.