The prevalence of sleep disorders and related factors in patients with oral and maxillofacial malignant tumors

doi:10.19439/j.sjos.2026.04.013

Abstract

Abstract: PURPOSE: To investigate the current status of sleep disorders in patients with oral and maxillofacial malignant tumors and analyze the influencing factors, so as to provide a basis for clinical intervention. METHODS: A convenience sampling method was used to recruit 487 patients with oral and maxillofacial malignant tumors in Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine from December 2023 to December 2024. The Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HADS), and European Organization for the Research and Treatment of Cancer Quality of Life Questionnaire Head and Neck 35 (EORTC QLQ-H&N35) were used to evaluate sleep quality, psychological state, and symptom burden. Spearman rank correlation analysis and multivariate logistic regression analysis were used to explore the correlation. RESULTS: 84.6% of the patients had sleep disorders, and the use rate of hypnotic drugs in the recurrence group was significantly higher than that in the primary group (P<0.05). The total PSQI score in the recurrence group was positively correlated with sensory perception and dry mouth (P<0.05). The total PSQI scores of the two groups were positively correlated with pain, swallowing, speech, eating during social communication, dental problems, mouth opening, social interaction, disease perception, and the use of painkillers (P<0.05), and negatively correlated with weight loss (P<0.05). Multivariate logistic regression analysis showed that unemployment, smoking, anxiety, oral pain, speech disorders, dental problems, and disease perception were risk factors for sleep disorders in newly diagnosed patients; unemployment, swallowing disorders, and disease perception were risk factors for sleep disorders in recurrent patients. CONCLUSIONS: The incidence of sleep disorders in patients with oral and maxillofacial malignant tumors is high, which is closely related to psychological state, oral dysfunction, and disease perception. Early intervention in symptom clusters is needed clinically to improve sleep quality and quality of life.

Key words: Oral and maxillofacial malignant tumors, Sleep disorders, Influencing factors, Psychological symptoms, Logistic regression analysis

CLC Number:

R739.8

Yang Ying, Hao Guihua, Zhao Xiaomei, Gan Xing, Hou Lili. The prevalence of sleep disorders and related factors in patients with oral and maxillofacial malignant tumors[J]. Shanghai Journal of Stomatology, 2026, 35(4): 426-432.

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