急性脑血管病患者睡眠质量和相关因素分析  

Investigation of Sleep Quality and Correlation Factors of Acute Cerebral Vascular Disease

作　　者：梅川[1] 王真真[2] 钟伟丽[3] 牛富生[2] 

机构地区：[1]解放军第458医院院部,广州510602 [2]解放军第458医院神经心理科 [3]南方医科大学中西医结合医院门诊部

出　　处：《中国卒中杂志》2012年第9期685-689,共5页Chinese Journal of Stroke

摘　　要：目的研究急性脑血管病患者的睡眠质量和相关因素。方法对急性脑血管病组和健康对照组进行匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)量表测定,比较两组的各项分值差异;进一步对急性脑血管患者进行艾森克人格特征问卷(Eysenck personality questionaire,EPQ)和简易应对方式问卷调查,并与患者的PSQI进行相关分析。结果急性脑血管病患者PSQI平均得分13.12±2.73分,PSQI>7分者126例(54.07%)。急性脑血管病组患者睡眠质量、入睡时间、睡眠时间、睡眠障碍、睡眠药物、日间功能和睡眠质量指数得分均明显高于对照组患者,差异有显著性(P均<0.001)。Logistic回归分析显示,增龄、左侧病变、前循环病变是影响急性脑血管病患者睡眠质量的独立危险因素,同时急性脑血管病患者的睡眠质量与患者个性特点和积极、消极应对分值具有相关性。结论急性脑血管病患者睡眠障碍发生率较高,其睡眠质量受年龄、左右侧别、病变血管、个性特点和应对方式等多个因素的影响。Objective To study the sleep quality and correlation factors in acute cerebral vascular disease. Methods Two hundred and thirty-three acute cerebral vascular disease patients were evaluated by Pittsburgh sleep quality index（PSQI）, Eysenck personality questionaire（EPQ） and simplified coping style questionaire. One hundred and eighty-nine persons of normal control group were evaluated by PSQI, Results The average score of PSQI of the acute cerebral vascular disease patients was 13.12±2.73, and the incidence of sleep disorder（total PSQI score〉7 points） was 54.07%. There was significant difference（P〈0.001 ） between the acute cerebral vascular disease patients and the control group in the score of the sleep index and six factors of PSQI. The result of logistic regression analysis indicates that age, diseased region and criminal blood vessel were independently associated with the sleep quality in acute cerebral vascular disease patients. Conclusions Sleep quality is a serious problem in acute cerebral vascular disease patients. It is influenced by age, diseased region, criminal blood vessel, personality characteristics and coping styles.

关 键 词：脑血管病:匹兹堡睡眠质量指数量表 睡眠质量 个性 应对方式 

分 类 号：R743.3[医药卫生—神经病学与精神病学]