匹兹堡睡眠质量指数（PSQI）在癌症患者中的应用：心理测量特征及影响睡眠质量的因素

IF 1.8 4区医学 Q3 ONCOLOGY

Cancer Investigation Pub Date : 2025-01-01 Epub Date: 2025-01-03 DOI:10.1080/07357907.2024.2446941

Andreas Hinz, Michael Friedrich, Thomas Schulte, Katja Petrowski, Ana N Tibubos, Tim J Hartung

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引用次数: 0

摘要

目的：癌症患者经常报告睡眠问题。匹兹堡睡眠质量指数（PSQI）由19个项目组成，用于评估睡眠问题。本研究的主要目的是分析PSQI在肿瘤学研究中的有用性。方法：选取1733例混合诊断的肿瘤患者作为研究对象。除PSQI外，还采用以下问卷：失眠严重程度指数（ISI）、Jenkins睡眠量表（JSS）和EORTC QLQ-SURV100睡眠量表。结果：PSQI内部一致性为α = 0.79。在PSQI子量表中，主观睡眠质量与其他睡眠工具的相关性最强（r在0.68至0.77之间）。总的来说，69.2%的样本睡眠不佳；患者PSQI总分与一般人群样本差异的效应量d = 0.83。女性患者比男性患者（d = -0.49）和年轻患者（d = 0.21）经历更多的睡眠问题。结论：PSQI的子维度提供了癌症患者睡眠状况的详细信息，可推荐用于临床实践。

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The Pittsburgh Sleep Quality Index (PSQI) Applied to Cancer Patients: Psychometric Properties and Factors Affecting Sleep Quality.

Objective: Cancer patients frequently report sleep problems. The Pittsburgh Sleep Quality Index (PSQI) is a 19-item instrument for assessing sleep problems. The main objective of this study was to analyze the usefulness of the PSQI in oncological research.

Methods: A sample of 1,733 cancer patients with mixed diagnoses were included. In addition to the PSQI, the following questionnaires were adopted: the Insomnia Severity Index (ISI), the Jenkins Sleep Scale (JSS) and the sleep scale of the EORTC QLQ-SURV100.

Results: The internal consistency of the PSQI was α = 0.79. Of the PSQI subscales, the subjective sleep quality correlated most strongly with the other sleep instruments (r between 0.68 and 0.77). In total, 69.2% of the sample were poor sleepers; the effect size of the difference between the PSQI total scores of the patients and a general population sample was d = 0.83. Female patients experienced more sleep problems than male patients (d = -0.49), and younger patients (<60 years) reported more sleep problems than older patients (≥60 years) (d = 0.21).

Conclusions: The PSQI can be recommended for use in clinical practice since its sub-dimensions provide detailed information on the sleep situation of cancer patients.

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来源期刊

Cancer Investigation 医学-肿瘤学

CiteScore

3.80

自引率

4.20%

发文量

审稿时长

8.5 months

期刊介绍： Cancer Investigation is one of the most highly regarded and recognized journals in the field of basic and clinical oncology. It is designed to give physicians a comprehensive resource on the current state of progress in the cancer field as well as a broad background of reliable information necessary for effective decision making. In addition to presenting original papers of fundamental significance, it also publishes reviews, essays, specialized presentations of controversies, considerations of new technologies and their applications to specific laboratory problems, discussions of public issues, miniseries on major topics, new and experimental drugs and therapies, and an innovative letters to the editor section. One of the unique features of the journal is its departmentalized editorial sections reporting on more than 30 subject categories covering the broad spectrum of specialized areas that together comprise the field of oncology. Edited by leading physicians and research scientists, these sections make Cancer Investigation the prime resource for clinicians seeking to make sense of the sometimes-overwhelming amount of information available throughout the field. In addition to its peer-reviewed clinical research, the journal also features translational studies that bridge the gap between the laboratory and the clinic.