Articles Vol. 67 No. CĐ2-NCKH 05/03/2026

INSOMNIA AMONG PATIENTS AFTER VIDEO-ASSISTED THORACOSCOPIC LUNG RESECTION AT THE DEPARTMENT OF THORACIC AND VASCULAR SURGERY, BACH MAI HOSPITAL IN 2025

Phung Van Thang1,2, Dang Thi Loan3,4, Luong Thi Hoa1,2, Don Huong Giang1,2, Tran Thu Thuy1,2
1 Bach Mai Hospital
2 Bệnh viện Bạch Mai
3 Thang Long University
4 Trường Đại học Thăng Long
DOI: 10.52163/yhc.v67iCD2.4422
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Keywords
insomnia; video-assisted thoracoscopic lung resection; Insomnia Severity Index.
Abstract

Objective: To assess insomnia and identify associated factors among patients after video-assisted thoracoscopic lung resection at Bach Mai Hospital in 2025.

Methods: A cross-sectional study was conducted on 103 postoperative patients. Insomnia was evaluated on postoperative day 3 using the Insomnia Severity Index (ISI). Sociodemographic characteristics, clinical factors, pain level, psychological status, and environmental influences were also collected.

Results: All patients experienced insomnia following surgery. Moderate insomnia accounted for the majority (77.7%), followed by mild (17.4%) and severe insomnia (4.9%). Psychological anxiety, postoperative pain, underlying comorbidities, and environmental factors were significantly associated with postoperative insomnia in this patient group.

Conclusion: Insomnia is highly prevalent among patients after video-assisted thoracoscopic lung resection. Early detection and targeted nursing interventions are essential to improve sleep quality and enhance postoperative recovery among this population.

References
[1]
Burger, P., Van den Ende, E. S., Lukman, W., Burchell, G. L., Steur, L. M. H., Merten, H., Nanayakkara, P. W. B., & Gemke, R. J. B. J. (2022). Sleep in hospitalized pediatric and adult patients - A systematic review and meta-analysis. Sleep medicine: X, 4, 100059. https://doi.org/10.1016/j.sleepx.2022.100059 Google Scholar
[2]
van Zuylen, M. L., Meewisse, A. J. G., Ten Hoope, W., Eshuis, W. J., Hollmann, M. W., Preckel, B., Siegelaar, S. E., Stenvers, D. J., & Hermanides, J. (2022). Effects of surgery and general anaesthesia on sleep-wake timing: CLOCKS observational study. Anaesthesia, 77(1), 73–81. https://doi.org/10.1111/anae.15564 . Google Scholar
[3]
Halle, I. H., Westgaard, T. K., Wahba, A., Oksholm, T., Rustøen, T., & Gjeilo, K. H. (2017). Trajectory of sleep disturbances in patients undergoing lung cancer surgery: a prospective study. Interactive cardiovascular and thoracic surgery, 25(2), 285–291. https://doi.org/10.1093/icvts/ivx076 . Google Scholar
[4]
Chen, X., Hu, Y., Fan, J., & Li, Y. (2023). Post-Operative Poor Sleep Quality and Its Associated Factors Among Non-Small Cell Lung Cancer Patients: A Cross-Sectional Study. Cancer management and research, 15, 1283–1295. https://doi.org/10.2147/CMAR.S430436 . Google Scholar
[5]
Trang, P. T., Loan, Đăng T. ., Thắng, P. V., Khánh, N. G., Hòa, L. T., & Kiên, N. T. (2025). 4. Thực trạng mất ngủ và một số yếu tố liên quan trên người bệnh trước phẫu thuật tại khoa Phẫu thuật lồng ngực, Bệnh viện Bạch Mai. Tạp Chí Y học Cộng đồng, 66(CĐ10-HNKH Trường ĐH Phenikaa). https://doi.org/10.52163/yhc.v66iCD10.2607 Google Scholar
[6]
Morin, C. M., Belleville, G., Bélanger, L., & Ivers, H. (2011). The Insomnia Severity Index: psychometric indicators to detect insomnia cases and evaluate treatment response. Sleep, 34(5), 601–608. https://doi.org/10.1093/sleep/34.5.601 Google Scholar
[7]
Phan, T. A. D.; Nguyễn, T. C. M.; Đinh, T. H. N.; Lê, T. T. T., Thực trạng rối loạn giấc ngủ ở bệnh nhân sau phẫu thuật ung thư vú tại Bệnh viện Ung Bướu Nghệ An. Tạp chí Khoa học Điều dưỡng 2020, 3 (5), 55-61. Truy vấn từ https://jns.vn/index.php/journal/article/view/274 Google Scholar
[8]
Nguyen Van, T., Luong Manh, T., Nguyen Thi, D., Vu Thi, D., & Nguyen Tran, T. (2023). Clinical and subclinical symptoms of patients after minimally invasive mitral valve replacement surgery at Bach Mai Hospital. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 41, 12-22. https://doi.org/10.47972/vjcts.v41i.861 Google Scholar
[9]
Wang, H.; Luo, M.; Yang, Y.; Li, S.; Liang, S.; Xu, R.; Zhu, J.; Song, B., Gender differences in postoperative pain, sleep quality, and recovery outcomes in patients undergoing visual thoracoscopic surgery. Heliyon 2024, 10 (19), e39015. https://doi.org/10.1016/j.heliyon.2024.e39015 Google Scholar
[10]
Chen, M., Huang, Y., Zhang, J., Wu, Z., Lin, C., Zheng, B., Chen, C., & Li, W. (2024). Impact of preoperative anxiety on postoperative outcomes in patients undergoing minimally invasive thoracoscopic surgery: A prospective cohort study. European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 50(10), 108605. https://doi.org/10.1016/j.ejso.2024.108605 Google Scholar