新型冠状病毒肺炎成人重型患者睡眠现况调查及其影响因素分析  

Investigation the Sleep Status and Influencing Factors of Severe Adult Patients with COVID-19

作　　者：徐进[1] 刘炜[2] 刘宜晖 方婷 王莎莎 熊芙蓉[4] 刘忠纯[5] 蔡忠香[6] XU Jin;LIU Wei;CAI Zhongxiang(People's Hospital of Wuhan University,Wuhan,430060,China)

机构地区：[1]武汉大学人民医院东院静配中心,湖北武汉430060 [2]武汉大学人民医院东院心内二科,湖北武汉430060 [3]武汉大学人民医院重症医学科,湖北武汉430060 [4]武汉大学人民医院东院重症医学科,湖北武汉430060 [5]武汉大学人民医院精神卫生中心,湖北武汉430060 [6]武汉大学人民医院护理部,湖北武汉430060

出　　处：《中国社会医学杂志》2021年第6期638-643,共6页Chinese Journal of Social Medicine

基　　金：国家重点研发计划项目(2018YFC1314600)。

摘　　要：目的了解新型冠状病毒肺炎(coronavirus disease 2019,COVID-19)成人重型患者住院期间的睡眠现况,为开展针对性干预措施提供参考。方法采用便利抽样法,选取武汉大学人民医院2020年2月17日—4月4日收治的90例COVID-19成人重型患者作为研究对象;采用睡眠状况自评量表(SRSS)和汉密尔顿焦虑量表(HAMA)进行问卷调查。结果51人(56.67%)睡眠出现障碍,33人(36.67%)、16人(17.78%)和2人(2.22%)分别存在轻度、中度和重度睡眠障碍,各睡眠障碍发生率均高于全国常模。其中入睡困难、噩梦惊醒和服药情况因子得分及SRSS总分均明显高于常模(P<0.01);中、重度和总睡眠障碍发生率与常模的差异有统计学意义(P<0.05);Logistic回归分析发现,胸闷、肌痛、治疗缓解情况、住院天数和焦虑是COVID-19重型患者睡眠障碍的主要影响因素。结论COVID-19成人重型患者的睡眠障碍发生率较高,医护人员应重视其睡眠问题,并结合睡眠现况从缓解患者胸闷及肌痛、提高治疗效果、控制住院天数在1月内和减轻焦虑等方面采取干预措施,以改善COVID-19成人重型患者的睡眠质量。Objective To understand the sleep status of severe adult patients with COVID-19 during hospitalization and provide reference for targeted interventions.Methods A total of 90 adult patients with severe COVID-19 who were admitted to the People's Hospital of Wuhan University from February 17 to April 4,2020 were selected as study subjects by the convenience sampling method.Self-rating Sleep Status Scale(SRSS)and Hamilton Anxiety Scale(HAMA)were used for the questionnaire survey.Results 51(56.67%)had sleep disorders,33(36.67%),16(17.78%)and 2(2.22%)had mild,moderate and severe sleep disorders respectively,and the incidence of each sleep disorder was higher than the national norm.Among them,the score of sleep difficulty,nightmare waking,medication status factor and SRSS total score were significantly higher than the norm(P<0.01).The incidences of moderate,severe and total sleep disorders were significantly different from the norm(P<0.05).Logistic regression analysis found that chest tightness,myalgia,treatment remission,length of hospital stay and anxiety were the main influencing factors for sleep disorders in severe COVID-19 patients.Conclusion The incidence of sleep disorders in severe adult patients with COVID-19 is relatively high,and medical staff should pay attention to their sleep problems and take intervention measures to improve the sleep quality of severe adult patients with COVID-19 in terms of alleviating chest tightness and myalgia,improving the treatment effect,controlling the length of hospitalization within one month and alleviating anxiety.

关 键 词：新型冠状病毒肺炎 成人重型患者 睡眠质量 睡眠状况自评量表 

分 类 号：R183.3[医药卫生—流行病学] R563.19[医药卫生—公共卫生与预防医学]