耐药结核病患者睡眠质量影响因素调查及管理对策分析  

Factors affecting the sleep quality of patients with drug-resistant TB and strategies for sleep management

作　　者：邬亚红[1] 水小芳[2] 陈文宇[2] 潘稚芬[1] 许金美[1] 张红燕[1] 刘加良[2] 

机构地区：[1]嘉兴市第一医院结核科,浙江嘉兴314001 [2]嘉兴市第一医院呼吸科,浙江嘉兴314001

出　　处：《健康研究》2017年第3期252-255,共4页Health Research

基　　金：嘉兴市重点学科呼吸科(04-Z-11)建设项目

摘　　要：目的对耐药结核病患者的睡眠质量进行评估,探讨该类患者睡眠管理的解决方案。方法评估结核科住院治疗的耐药结核病患者睡眠质量,应用自制问卷调查对该类患者睡眠质量的影响因素,并制定针对性的睡眠管理措施进行干预,10 d后比较患者干预前后的睡眠质量。结果调查结果显示,病程、临床症状、药物副反应、对治疗的信心以及病房环境是影响耐药结核病患者睡眠质量的主要因素,经干预10 d后,患者的睡眠质量较干预前明显改善(P<0.01)。结论加强对耐药结核病患者的睡眠质量管理,制订有效的管理干预措施,能够有效提高该类患者的睡眠质量,促进疾病康复。Objective To develop a scientific strategy for sleep management for patients with drug-resistant tuberculosis in light of an assessment of their sleep quality. Method The sleep quality of inpatients with drug-resistant tuberculosis TB was firstly assessed. Then a self-designed sleep quality questionnaire was used to survey the factors affecting the sleep quality of the patients. Next, a corresponding intervention program was developed to intervene the sleep of the patients. 10 days after intervention, the sleep quality of the patients was compared with that before intervention. Findings The results of the survey indicated that duration of symptoms, drug side effects, patients＇ confidence in the treatment and the ward environment are the main factors affecting the quality of sleep of patients with drug-resistant tuberculosis. The sleep quality of the patients as observed 10 days after intervention was significantly better than that before intervention （P 〈 0. 01 ）. Conclusion Optimized management of the sleep quality of drug-resistant TB patients can effectively improve their sleep quality and facilitate the patients＇ recovery from the diseases.

关 键 词：耐药结核病 睡眠质量 影响因素 管理对策 

分 类 号：R248.1[医药卫生—中医临床基础]