慢性阻塞性肺疾病急性加重期患者反刍思维与睡眠质量的临床现状及其相关性研究  

The current situation of the rumination and sleeping quality of patients with acute exacerbation of chronic obstructive pulmonary disease and their relationship

作　　者：邓妍[1] 黄珍玲[1] 周建仪[1] 刘绍辉[1] 

机构地区：[1]佛山市中医院急诊科,广东佛山528000

出　　处：《中国临床护理》2017年第5期374-377,共4页Chinese Clinical Nursing

基　　金：佛山市科技局资助项目(编号:2014AB00319)

摘　　要：目的探讨慢性阻塞性肺疾病(chronic obstructive pulmonary disease,COPD)急性加重期患者反刍思维及睡眠质量的相关性。方法采用一般人口学资料调查表、反刍思维量表(ruminative response scale,RRS)和匹兹堡睡眠质量问卷(Pittsburgh sleep quality index,PSQI)对116名COPD急性加重期患者进行横断面调查。结果COPD急性加重期患者的反刍思维总得分为(3.32±1.04)分,PSQI得分为(13.65±3.67)分,2者的得分及各因子均明显高于国内常模(P<0.05),且2者呈正相关关系(r=0.122~0.405,P<0.05)。结论 COPD急性加重期患者的反刍思维和睡眠障碍均处于较高水平,且2者呈正相关性,临床医护人员在进行睡眠护理的同时,应积极纠正患者的负性思维方式,以提高患者对疾病的适应水平和睡眠质量。Objective To study the current situation of the rumination and sleeping quality of patients with acute exacerbation of chronic obstructive pulmonary disease （COPD） and their relationship. Methods A cross-sectional survey of 116 COPD patients with acute exacerbations was performed using a self-designed general demographic data questionnaire, ruminative response scale （RRS） ,Pittsburgh sleep quality index（PSQI）. Results The RRS score of COPD patients with acute exacerbations was 3.32±1.04, and the PSQI score was 13.65±3.67, both of them and their factor scores were significantly higher than that in the domestic norm. The RRS score was positively correlated with the PSQI score（r = 0. 122 -0. 405, P d0.05）. Conclusion The rumination and sleep disturbances of the patients with acute exacerbation of COPD are all in a high level, and there is a positive correlation between them. The clinical doctors and nurses should actively correct the negative thinking style of patients during their sleep care to promote the adaptation level and sleep quality of the patients.

关 键 词：慢性阻塞性肺疾病 反刍思维 睡眠质量 

分 类 号：R563.9[医药卫生—呼吸系统]