ĐÁNH GIÁ CHẤT LƯỢNG GIẤC NGỦ BỆNH NHÂN PHẪU THUẬT SỌ NÃO TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objective: Evaluation of sleep quality outcomes in patients after craniotomy at hanoi medical university hospital. Method: Descriptive study of patients undergoing craniotomy at Ha Noi University Hospital 01/2024 to 01/2025. Results: The mean age was 55.2 ± 12.8 years, the proportion of men was 58.8% and women was 41.2%, brain tumor surgery (45%), traumatic brain injury surgery (30%), cerebral hemorrhage surgery (25%), the mean postoperative time was 5.7 ± 2.3 days, the mean total Pittsburgh quality sleeping Index (PSQI) score of the study group was 8.2 ± 3.5, the proportion of patients with poor sleep quality (PSQI > 5) was 75%, high pain level had a 3.05 times higher risk of poor sleep quality than the group with low pain level (OR = 3.05; 95% CI: 1.07 – 8.69; p = 0.037), high Hospital Anxiety and Depression Scale (HADS) anxiety score had a nearly 4 times higher risk of poor sleep quality than the low HADS group (OR = 3.92; 95% CI: 1.07 – 8.69; p = 0.037), high HADS anxiety score had a nearly 4 times higher risk of poor sleep quality than the low HADS-A group (OR = 3.92; 95% CI: 1.07 – 8.69; p = 0.037). 95% CI: 1.32 – 11.61; p = 0.014), there was no statistically significant association between poor sleep and: Age, gender, postoperation 3 days. Conclusions: Quality of sleeping after craniotomy is generally poor, and pain and anxiety factors need to be addressed to improve sleep.