The Effect of Postoperative Pain on Sleep Quality in Patients with Brain Tumor Surgery

Sema Kocasli, Emine Öner Karaveli, Ercan Bal
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Abstract

This descriptive study investigated the effect of postoperative pain on sleep quality in patients who underwent brain tumor surgery in neurosurgical clinics.The study population consisted of all patients who underwent surgery for a brain tumor between April and October 2022 in the neurosurgical units of a university hospital and a city hospital. The sample consisted of 90 volunteers. Data were collected using a patient information form, the Numerical Rating Scale for Pain (NRS), and the Richards-Campbell Sleep Scale (RCSQ). The data were analyzed using the number, percentage, mean, standard deviation, correlation, and regression analysis. Participants had a mean age of 47.36±16.17 years. Half of the participants were men (50%). Less than half of the participants had a primary school degree (44.4%). Most participants were married (82.2%). Less than half of the participants slept ≥8 hours before hospitalization (43.3%). Most participants had no sleep problems (88.9%) and were not on sleeping pills (98.8%). Participants’ pain scores significantly differed by measurement times (ꭓ2=60.715; p=0.000). They had significantly lower mean second- (4.20±2.58) and third-measurement (3.13±2.36) NRS scores than the first-measurement NRS score (5.57±2.83) in the morning. In the morning, they had a significantly lower mean third-measurement NRS score (3.13±2.36) than the second-measurement NRS score (4.20±2.58). There was a weak negative correlation between the mean first-measurement RCSQ score and the first-measurement NRS (morning) and NRS (evening) scores (p<0.05).There is a negative correlation between sleep quality and pain in patients who underwent surgery for a brain tumor
脑肿瘤手术患者术后疼痛对睡眠质量的影响
本描述性研究调查了在神经外科诊所接受脑肿瘤手术的患者术后疼痛对睡眠质量的影响。研究人群包括2022年4月至10月期间在大学医院和城市医院的神经外科部门接受脑肿瘤手术的所有患者。样本由90名志愿者组成。使用患者信息表、疼痛数值评定量表(NRS)和Richards-Campbell睡眠量表(RCSQ)收集数据。采用数量、百分比、平均值、标准差、相关性和回归分析对数据进行分析。参与者平均年龄47.36±16.17岁。一半的参与者是男性(50%)。不到一半的参与者拥有小学学历(44.4%)。大多数参与者已婚(82.2%)。不到一半的参与者在住院前睡眠时间≥8小时(43.3%)。大多数参与者没有睡眠问题(88.9%),也没有服用安眠药(98.8%)。受试者的疼痛评分因测量次数而有显著差异(ꭓ2=60.715;p = 0.000)。上午第二次NRS评分(4.20±2.58)分、第三次NRS评分(3.13±2.36)分均低于第一次NRS评分(5.57±2.83)分。上午第三次NRS平均评分(3.13±2.36)明显低于第二次NRS平均评分(4.20±2.58)。首次测得RCSQ均分与首次测得NRS(早上)和NRS(晚上)得分呈弱负相关(p<0.05)。在接受脑肿瘤手术的患者中,睡眠质量与疼痛呈负相关
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