山东省农村地区癫痫患者睡眠质量及影响因素研究  

A study on sleep quality and its influencing factors in epilepsy patients in rural areas of Shandong province.

作　　者：王明进 由炜[2] 胡丽丽[2] WANG Mingjin;YOU Wei;HU Lili(Zaozhuang Mental Health Center, Zaozhuang 277000,China)

机构地区：[1]枣庄市精神卫生中心,山东枣庄277000 [2]山东省精神卫生中心

出　　处：《精神医学杂志》2019年第6期437-441,共5页Journal of Psychiatry

基　　金：山东省医药卫生科技发展计划项目(编号:2017WS475)。

摘　　要：目的了解山东省农村地区癫痫患者的睡眠质量及影响因素,并提供改善对策。方法采用分层随机抽样的方法用匹兹堡睡眠质量指数(PSQI)对山东省8个区县农村地区的癫痫患者开展了调查,发放问卷1000份,收回995份。结果山东省农村地区癫痫患者56.78%睡眠质量很好,30.25%睡眠质量一般。女性PSQI总分及睡眠时间、睡眠效率和睡眠障碍评分均低于男性(P<0.05)。癫痫患者不同性别、年龄、经济情况、驾驶行为、癫痫发作频次PSQI评分比较差异有统计学意义(P<0.05)。随着年龄段的增长,PSQI评分也逐步增加(P<0.05),家庭月平均收入<500元的患者PSQI评分高于其他患者(P<0.05),无驾驶行为的患者PSQI评分高于驾驶行为的患者(P<0.05),随着发作频次的增加,PSQI评分也增加(P<0.05)。性别、经济情况、发作频次、病程和驾驶行为是睡眠质量的影响因素(P<0.05)。女性、经济情况中等(500~1000元)、短病程、低发作频率和有驾驶行为是睡眠质量的保护性因素。结论山东省农村地区癫痫患者睡眠质量一般,建议政府出台救治救助政策,基层医疗机构加强健康宣教,改善患者癫痫症状,逐步提高睡眠质量。Objective To explore the sleep quality and its influencing factors in epileptics in rural areas of Shandong province,and to provide improvement measures.Methods Tratified random sampling method and Pittsburgh Sleep Quality Index(PSQI)were used to investigate epilepsy patients in rural areas of 8 districts and counties in Shandong province.A total of 995 questionnaires were collected from 1000 questionnaires issued.Results 56.78%epileptics in rural areas of Shandong province had good sleep quality,and 30.25%epileptics’sleep quality was not so good.The total score and factor scores of sleep time,sleep efficiency and sleep disorder of PSQI in females were significantly lower than those in males(P<0.05).There existed significant differences in the total scores of PSQI among epileptics of different genders,ages,economic conditions,driving behaviors and epilepsy seizure frequencies(P<0.05).The total scores of PSQI increased with the increase of ages and with the increase of seizure frequencies(P<0.05).The total score of PSQI in patients with average monthly household income<500 yuan was significantly higher than that in patients with other incomes(P<0.05).Patients without driving behaviors had higher PSQI score than those patients with driving behaviors(P<0.05).Gender,economic condition,seizure frequency,disease course and driving behavior were influencing factors for sleep quality(P<0.05).Female,middle economic condition(500~1000 yuan),short disease course,low seizure frequency and having driving behavior were protective factors for sleep quality.Conclusion The sleep quality of epileptics in rural areas of Shandong province is not so good.Government is suggested to introduce treatment and relief policies,and primary medical institutions should strengthen health education to improve the epileptic symptoms and gradually improve the sleep quality.

关 键 词：癫痫 睡眠质量 农村地区 

分 类 号：R742.1[医药卫生—神经病学与精神病学]