Analysis Of Influencing Factors On Sleep Quality And Mood Changes In Patients With Primary Bronchial Lung Cancer Before And After Chemotherapy

Objective:This article aims to explore the changes in sleep quality and mood before and after chemotherapy in patients with primary bronchial lung cancer,and to analyze their influencing factors.Methods:From March 2018 to March 2019,a total of 110 patients with a primary diagnosis of primary bronchial lung cancer were confirmed in the Second Hospital of Shanxi Medical University(hereinafter referred to as our hospital),including 60 males and 50 females;basic data of the above patients were collected.,Including age,gender,education,type of lung cancer,whether to undergo surgery,etc.The sleep quality before and after chemotherapy was assessed by the Self-Sleep State of Sleep Scale(SRSS),and the mood changes before and after chemotherapy were assessed by the Anxiety and Depression Scale(SAS and SDS).The results were summarized for statistical analysis.Results:The sleep quality SRSS score(33.58 ± 9.04)of patients after chemotherapy was higher than that before chemotherapy(15.46 ± 7.44)(P <0.05).The number of patients with SRSS score> 30 after chemotherapy(35)was higher than that before chemotherapy(6)(P <0.05),indicating that chemotherapy can cause sleep disorders in patients with primary bronchial lung cancer.The SAS score(48.15 ± 1.33)after chemotherapy is higher than the SAS score(25.55 ± 13.45)before chemotherapy(P <0.05),and the SAS score after chemotherapy> The number of 50(42)is higher than the number before chemotherapy(8)(P <0.05),which indicates that chemotherapy can cause anxiety in patients with primary bronchial lung cancer;the SDS score(44.65 ± 14.83)after chemotherapy is higher than that before chemotherapy(27.43 ± 14.70)(P <0.05),the number of patients with SDS score> 50 after chemotherapy(48)was higher than the number before chemotherapy(11)(P <0.05),indicating that chemotherapy can cause depression in patients with primary bronchial lung cancer;chemotherapy The majority of patients with post-sleep disorder were older,older,and had a longer course of chemotherapy(P <0.05);patients with negative emotions after chemotherapy had a lower educational level(P <0.05).Multivariate Logistic regression analysis showed that whether surgical resection and cultural level were important factors affecting sleep quality and emotional changes(P <0.05).Conclusion:Chemotherapy for lung cancer patients can cause sleep disorders and negative emotions.Whether surgical resection and education level are important factors affecting sleep quality in patients with lung cancer.