风湿性疾病住院患者睡眠质量及影响因素调查分析  

Investigation of sleep quality and influencing factors in hospitalized patients with rheumatic diseases

作　　者：霍春燕[1] 王丽[1] 任莉[1] 刘俊英[1] 郝京菁[1] 魏丽杰[1] 赵瑾[1] 孟晓君[1] 公茂娟[1] 吕雷蕾 朱慧[1] 

机构地区：[1]北京大学第一医院风湿免疫科,100034

出　　处：《中华现代护理杂志》2016年第4期506-509,共4页Chinese Journal of Modern Nursing

基　　金：北京大学第一医院科研基金Fund program:Peking University First Hospital Scientific Research Fund

摘　　要：目的：探讨风湿性疾病住院患者的睡眠质量及影响睡眠质量的因素。方法2013年11月—2014年10月采用匹兹堡睡眠质量指数（ PSQI ）问卷和自行设计的影响睡眠因素问卷，对125例北京市某三级甲等医院住院的风湿性疾病患者的睡眠情况进行调查。结果125例风湿性疾病住院患者PSQI总分为7-12分35例占28.0%；〉12分6例占4.8%；睡眠时间〉7 h者93例占74.4%，睡眠效率〉85%者115例占92.0%，睡眠质量差者113例占90.4%，入睡时间差者101例占80.8%，存在睡眠障碍的患者120例占96.0%，有日间功能障碍者111例占88.8%，而使用过催眠药物的患者只有13例占10.4%。风湿性疾病患者组的PSQI得分高于国内常模，差异有统计学意义（P〈0.01）；患者是否应用糖皮质激素与PSQI总分的差异无统计学意义（P〈0.05）。年龄〉60岁、不继续工作或学习、住院前睡眠情况差的患者睡眠质量差的比例更高（P〈0.01）；用物不舒适影响患者睡眠质量（P〈0.01）。影响患者睡眠的首要因素是心理因素。结论风湿性疾病住院患者睡眠质量差，心理因素是影响睡眠的主要因素，糖皮质激素不是绝对影响睡眠的因素。老年人、住院前睡眠质量好的患者应引起护士的注意，使用自己的睡眠用物可以改善睡眠质量，评估和评价患者睡眠情况可以发现潜在的问题。Objective To discuss the sleep quality of hospitalized patients with rheumatic diseases and the factors affecting the quality of sleep. Methods With Pittsburgh sleep quality index （ PSQI） questionnaire and the self-designed questionnaire about the factors affecting sleep were used to survey 125 patients with rheumatic disease from November 2013 to October 2014 in a level three class A hospital in Beijing city. Results Rheumatoid disease inpatients PSQI scores between 7 to 12 points had 35 cases, accounted for 28. 0%, more than 12 points having 6 cases, accounted for 4. 8%, PSQI various dimensions of 93 patients with seven hours of sleep time and accounted for 74. 4%, sleep efficiency more than 85% having 115 patients and accounted for 92. 0%, but the poor quality of sleep group with 113 cases and accounted for 90. 4%, sleep time group 101 cases of patients and accounted for 80. 8%, patients with sleep disorders in 120 cases, accounted for 96%, 111 cases of patients with daytime dysfunction, accounted for 88. 8%, and used hypnotic drugs in patients with only 13 cases, accounted for 10. 4%, group of patients with rheumatic disease of the Pittsburgh sleep quality index was higher than normal group （P〈0. 01）; there was no significant difference in the total score of PSQI and in patients with glucocorticoid （P 〈0. 05）. The percentage of poor sleep quality was in patients with more than sixty years old, not continue to work or study and poor sleep before hospitalization, and sleep quality of patients affected by physical discomfort （P〈0. 01）;the primary factors affected patients′sleep was psychological factors. Conclusions The hospitalized patients with rheumatoid disease sleep quality are poor, while psychological factors are the main factors affecting sleep and corticosteroids is not absolutely the influencing factors of sleep. The elderly, the length of sleep before good quality patients should attract the attention of nurses. Using your own sleep drugs can improve sleep quality. Evaluation a

关 键 词：风湿性疾病 睡眠质量 影响因素 调查研究 

分 类 号：R473.5[医药卫生—护理学]