烧伤后创面部位瘙痒患者睡眠质量现状及相关因素分析  

Sleep quality and related factors in patients with itching in burn wound sites

作　　者：戴晶晶 林燕婷 黄秋芳 林芳[1] 刘安娜[1] 李琳[1] DAI Jingjing;LIN Yanting;HUANG Qiufang;LIN Fang;LIU Anna;LI Lin(Department of Burns and Wound Repair,Fujian Medical University Union Hospital,Fuzhou 350001,China)

机构地区：[1]福建医科大学附属协和医院烧伤与创面修复科,福建福州350001

出　　处：《健康研究》2023年第2期168-172,共5页Health Research

基　　金：福建省医疗“创双高”建设经费(闽卫医政[2021]76号)。

摘　　要：目的了解烧伤后创面部位瘙痒患者出院后睡眠状况及相关影响因素,为构建有针对性的管理措施提供理论依据。方法选取75例瘢痕瘙痒患者为研究对象,利用一般资料调查表、12项目瘙痒严重程度评估量表(12-item pruritus severity assessment scale,12-PSS)和匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)进行调查。采用Spearman相关方法分析PSQI各维度得分与12-PSS各维度得分之间的相关性。结果研究对象PSQI总分为(3.59±1.92)分,其中2例(2.67%)存在睡眠质量不佳(PSQI总分>7分),瘙痒强度、程度、频率、持续时间、对日常生活及情绪的影响及瘙痒总分与睡眠质量呈正相关(P<0.01)。不同年龄组间睡眠障碍维度的差异有统计学意义(P<0.05);烧伤程度不同的患者,睡眠质量维度、入睡时间维度、日间功能障碍维度和睡眠质量总分差异有统计学意义(P<0.05)。结论大部分烧伤患者出院后存在瘙痒问题,以轻度为主,较少患者存在睡眠质量问题。医护人员应关注烧伤后患者的瘙痒问题,采取针对性措施提高其出院后生活质量。Objective To investigate the sleep quality and related factors in patients with itching in burn wound sites after discharge,and to provide a theoretical basis for the development of targeted management measures.Methods A total of 75 patients with scar pruritus were selected as the study subjects.General information questionnaire,12-item Pruritus Severity Assessment Scale(12-PSS),and Pittsburgh Sleep Quality Index(PSQI)were used for investigation.Spearman correlation was used to analyze the correlation between the scores of PSQI and 12-PSS in various dimensions.Results The total PSQI score of the study subjects was(3.59±1.92)points,among which 2 cases(2.67%)had poor sleep quality(PSQI total score>7 points).The intensity,degree,frequency,duration,influence on daily life and emotions,and total score of pruritus were positively correlated with sleep quality(P<0.01).The differences in sleep disorder dimensions among different age groups were statistically significant(P<0.05);patients with different burn degrees had significant differences in sleep quality dimensions,sleep onset time dimensions,daytime dysfunction dimensions,and total sleep quality scores(P<0.05).Conclusion Most burn patients have itching problems after discharge,mainly mild,and few patients have sleep quality problems.Medical staff should pay attention to the itching problems of burn patients and take targeted measures to improve their quality of life after discharge.

关 键 词：烧伤 瘙痒 睡眠质量 相关因素 

分 类 号：R473.6[医药卫生—护理学]