The characteristics and related factors of insomnia among postoperative patients with gastric cancer: a cross-sectional survey

Support Care Cancer. 2021 Dec;29(12):7315-7322. doi: 10.1007/s00520-021-06295-6. Epub 2021 May 27.

Abstract

Purpose: This study aims to explore the characteristics and related factors of insomnia of patients after operation for gastric cancer.

Methods: A cross-sectional survey was carried out and finally 115 patients with insomnia after operation for gastric cancer were included. The general information, gastric cancer-related information, sleep quality, and other symptoms were investigated.

Results: ① The Pittsburgh sleep quality index score of most insomnia patients after gastric cancer surgery was 11-15 points, and the sleep quality rating was "poor". ② The sleep quality of patients with insomnia after surgery for gastric cancer is related to the number of chemotherapy cycles, fatigue, and depression. ③ The probability of reduced sleep quality with the number of chemotherapy cycles >6 is 3.640 times that of ≤6. The probability of reduced sleep quality during moderate to severe fatigue was 4.390 times that of patients with no or mild fatigue.

Conclusion: Attention to related factors may be associated with improvement of sleep quality in patients with gastric cancer after surgery.

Keywords: Characteristics; Gastric cancer; Insomnia; Postoperative; Related factors.

MeSH terms

  • Cross-Sectional Studies
  • Depression / epidemiology
  • Depression / etiology
  • Fatigue
  • Humans
  • Sleep
  • Sleep Initiation and Maintenance Disorders* / epidemiology
  • Sleep Initiation and Maintenance Disorders* / etiology
  • Stomach Neoplasms* / epidemiology
  • Stomach Neoplasms* / surgery