社区居民新型冠状病毒感染与睡眠问题的关系  

Relationship between novel coronavirus infection and sleep problems in community residents

作　　者：陈志科 吴月 陈震雷 朱盛 李艳娟 CHEN Zhike;WU Yue;CHEN Zhenlei;ZHU Sheng;LI Yanjuan(The Fifth Hospital of Ruian,Ruian 325200,Zhejang Province,China;Hangzhou Hospital of Traditional Chinese Medical,Hangzhou 310013,China)

机构地区：[1]瑞安市第五人民医院,浙江瑞安325200 [2]杭州市中医院,杭州310013

出　　处：《中国心理卫生杂志》2024年第7期599-603,共5页Chinese Mental Health Journal

基　　金：疫情相关焦虑障碍风险预测模型建立及多模态诊疗新方案的研究(82090034);基于循证的失眠中医辨证施护临床决策支持系统的研发与应用(LGF22H270018)。

摘　　要：目的:了解新型冠状病毒感染(COVID-19)爆发期间居民的睡眠问题发生情况,分析睡眠问题发生是否与新型冠状病毒感染有直接关联。方法:选取4810名社区居民,包括1116例新型冠状病毒核酸检测阳性者(核酸检测阳性组)和3694例新型冠状病毒核酸检测阴性者(核酸检测阴性组),采用睡眠自评量表(SRSS,总分≥23阳性)、广泛性焦虑量表(GAD-7,总分≥5阳性)和病人健康问卷(PHQ-9,总分≥5阳性)进行评测。结果:SRSS量表、GAD-7量表和PHQ-9量表筛查阳性率分别为30.5%、33.7%和27.2%。Logistic回归分析显示,控制性别、年龄段、GAD筛查阳性、PHQ筛查阳性等因素后,核酸检测阳性与SRSS筛查阳性呈正向关联(OR=1.73,95%CI:1.48~2.03)。结论:核酸检测阳性组睡眠问题发生率高于核酸检测阴性组,睡眠问题发生与新型冠状病毒感染可能有关联。Objective:To explore the prevalence of sleep problems among residents in the city of Ruian during the outbreak of novel coronavirus pneumonia(COVID-19),and to investigate whether the presence of sleep problems was related to the infection of COVID-19.Methods:Totally 4810 community residents(1116 residents tested positive for COVID-19 and 3694 residents tested negative for COVID-19)were chosen by stratified convenience sampling.All participants were assessed with the Sleep Self-Rating Scale(SRSS,total score≥23 SRSS screen-positive),Generalized Anxiety Scale(GAD-7,total score≥5 GAD-7 screen-positive)and 9-item Patient Health Questionnaire(PHQ-9,total score≥5 PHQ-9 screen-positive).Results:The screen-positive rates of SRSS,GAD-7 and PHQ-9 were 30.5%,33.7%and 27.2%,respectively.Logistic regression analysis showed that the infection of COVID-19 was significantly associated with the SRSS screen-positive(OR=1.73,95%CI:1.48-2.03),after controlling for the confounding variables of gender,age group,GAD-7 screen-positive and PHQ-9 screenpositive.Conclusion:The prevalence of sleep problems was higher in the residents tested positive for COVID-19 than in those tested negative for COVID-19.The occurrence of sleep problems may be directly associated with the infection of COVID-19.

关 键 词：新型冠状病毒感染 心理健康 睡眠问题 睡眠自评量表 广泛性焦虑量表 病人健康问卷 

分 类 号：B845.67[哲学宗教—心理学] R338.63[医药卫生—人体生理学]