体育活动和负性心理状态在睡眠质量与脑卒中患者认知功能间的中介作用  

The mediating role of physical activity and negative psychological state between sleep quality and cognitive func⁃tion in stroke patients

作　　者：宗蓓蓓[1] 李倩[1] 许晓艳 ZONG Beibei;LI Qian;XU Xiaoyan(Department of Rehabilitation Medicine,Zibo Central Hos-pital,Zibo 255000,China)

机构地区：[1]淄博市中心医院康复医学科,山东淄博255000 [2]山东省日照市妇幼保健院中医科,山东日照276827

出　　处：《中风与神经疾病杂志》2024年第5期430-435,共6页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨体育活动和负性心理状态在睡眠质量与脑卒中患者认知功能间的中介作用。方法选取2021年1月—2022年12月收治淄博市中心医院的119例诊断为急性缺血性脑卒中(AIS)患者,采用自制量表进行问卷调查,采用Pearson相关性分析体育活动及负性情绪与睡眠质量、认知功能的相关性,分层回归法分析体育活动及负性情绪的中介作用。结果117例患者匹兹堡睡眠质量指数(PSQI)得(8.39±1.20)分。两组患者性别、年龄、体育活动评分、医院焦虑抑郁量表(HADS)及蒙特利尔认知评估量表(MoCA)评分对比,差异具有统计学意义(P<0.05)。Pearson相关性分析结果显示:睡眠质量评分与体育活动及认知功能评分呈负相关(r=-0.677,-0.750;P<0.001),与负性情绪评分呈正相关(r=0.585,P<0.001)。分层回归法分析显示,体育活动及负性情绪在睡眠质量与认知功能之间存在中介作用(P<0.05)。结论AIS患者30 d后的睡眠质量较差;睡眠质量与体育活动、负性情绪及认知功能具有较好相关性;体育活动及负性情绪在睡眠质量与认知功能之间存在中介作用。Objective To investigate the mediating role of physical activity and negative psychological state between sleep quality and cognitive function in stroke patients.Methods A total of 119 patients who were admitted and diagnosed with acute ischemic stroke(AIS)in Zibo Central Hospital from January 2021 to December 2022 were selected,and a self-made scale was used to conduct a questionnaire survey.A Pearson correlation analysis was used to investigate the correlation of physical activity and negative emotions with sleep quality and cognitive function,and the hierarchical regression method was used to investigate the mediating role of physical activity and negative emotions.Results The 117 patients had a Pittsburgh Sleep Quality Index of(8.39±1.20).There were significant differences between the two groups in sex,age,physical activity score,Hospital Anxiety and Depression Scale score,and Montreal Cognitive Assessment Scale score(P<0.05).The Pearson correlation analysis showed that sleep quality score was negatively correlated with physical activity score and cognitive function score(r=−0.677 and−0.750,P<0.001)and was positively correlated with negative emotion score(r=0.585,P<0.001).The hierarchical regression analysis showed that physical activity and negative emotions had a mediating role between sleep quality and cognitive function(P<0.05).Conclusion AIS patients have poor sleep quality after 30 days.There is a good correlation between sleep quality and physical activity/negative emotions/cognitive function,and physical activity and negative emotions plays a mediating role between sleep quality and cognitive function.

关 键 词：负性情绪 睡眠质量 急性缺血性脑卒中 蒙特利尔认知评估量表 

分 类 号：R338.63[医药卫生—人体生理学] R749.1[医药卫生—基础医学]