Impact of Hospice Care Plus Estazolam on Sleep and Psychological Distress in Advanced Gastrointestinal Cancer: A Real-World Observational Study - Summary - MDSpire

Impact of Hospice Care Plus Estazolam on Sleep and Psychological Distress in Advanced Gastrointestinal Cancer: A Real-World Observational Study

  • By

  • Hu, Lihong

  • Cao, Donghui

  • Yuan, Xiaoya

  • Wang, Xiangtuan

  • Yuan, Haifeng

  • May 15, 2026

  • 0 min

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Objective:

To retrospectively evaluate the effects of hospice care combined with estazolam on sleep quality and psychological status in patients with advanced gastrointestinal cancer.

Key Findings:
  • The hospice-care plus estazolam group showed significant improvements in sleep quality (PSQI, P < .001), anxiety (SAS, P < .001), and depression (SDS, P < .001).
  • Cohen's d for sleep quality was large (d = 1.15), indicating substantial effect sizes.
  • The ESAS appetite subscale showed a moderate-to-large effect (Cohen's d = 0.758), while other ESAS and QLQ-C30 subscales had Cohen's d values above 1.0.
Interpretation:

The combined treatment of hospice care and estazolam is associated with significant clinical improvements in sleep, psychological state, and overall quality of life in patients with advanced gastrointestinal cancer.

Limitations:
Conclusion:

This retrospective analysis suggests that hospice care combined with estazolam is associated with significantly better sleep quality, psychological well-being, and overall quality of life in patients compared to routine nursing with estazolam alone.

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