老年慢性肌肉骨骼疼痛患者睡眠特征潜在剖面分析及其生活质量差异比较  

Latent profile analysis of sleep characteristics and its differences with quality of life in elderly patients with chronic musculoskeletal pain

作　　者：羊彩虹 刘佳 冯雅娟 吕佳慧 吴星 YANG Caihong;LIU Jia;FENG Yajuan;LYU Jiahui;WU Xing(School of Nursing,Xinjiang Medical University,Urumqi 830011,Xinjiang,China;The Seventh Affiliated Hospital of Xinjiang Medical University,Urumqi 830028,Xinjiang,China)

机构地区：[1]新疆医科大学护理学院,新疆乌鲁木齐830011 [2]新疆医科大学第七附属医院,新疆乌鲁木齐830028

出　　处：《护士进修杂志》2024年第16期1694-1700,共7页Journal of Nurses Training

摘　　要：目的基于潜在剖面分析(latent profile analysis,LPA),探讨老年慢性肌肉骨骼疼痛(chronic musculoskeletal pain,CMP)患者睡眠质量的潜在亚型,并分析各亚型在生活质量上的差异。方法采用便利抽样法,选取2023年1-7月就诊于新疆医科大学第一附属医院疼痛科和关节外科的508例老年CMP患者为研究对象,采用一般资料调查表、匹兹堡睡眠质量指数量表、世界卫生组织生命质量测定量表简表进行调查。结果老年CMP患者睡眠质量可分为4个亚型:低睡眠效率型(29.70%)、睡眠良好型(51.80%)、睡眠时间不足-高用药型(14.80%)、主观睡眠不良-睡眠紊乱型(3.70%),4个类别患者匹兹堡睡眠质量指数量表得分比较,差异有统计学意义(P<0.05)。文化程度、现存疼痛程度、疼痛发作情况、疼痛部位数量、口服镇痛药物情况及规律运动情况在不同类别间比较,差异有统计学意义(P<0.05)。4个类别患者世界卫生组织生命质量测定量表得分比较,差异有统计学意义(P<0.05)。结论老年CMP患者睡眠质量可分为4个潜类别,不同类别群体在生活质量上表现各异。应重点关注文化程度低、疼痛程度重、疼痛部位多、疼痛持续发作、长期口服镇痛药物和无规律运动的患者,并根据不同类别患者的特征进行合理的睡眠卫生教育和心理支持,以便更好地应对并缓解睡眠稳态失衡问题,提高生活质量。Objective To explore potential subtypes of sleep quality in elderly patients with chronic musculoskeletal pain(CMP)based on latent profile analysis(LPA)and to analyze the differences in quality of life among subtypes.Methods A total of 508 elderly patients with CMP who attended the department of painology and department of joint surgery of the First Affiliated Hospital of Xinjiang Medical University from January to July 2023 were selected as the research objects by using convenience sampling method,and a questionnaire survey was conducted using the general information questionnaire,the Pittsburgh sleep quality index(PSQI),and the World Health Organization quality of life questionnaire abbreviated version(WHOQOL-BREF)in them.Results The sleep quality of elderly patients with CMP could be classified into 4 subtypes:Low sleep efficiency type(29.70%),good sleep type(51.80%),insufficient sleep time-high medication use type(14.80%),and subjective poor sleep-sleep disorders type(3.70%).The differences in PSQI scores of the patients in the 4 subtypes were statistically significant when compared among the categories(P<0.05).Differences in literacy,degree of existing pain,pain episodes,number of pain sites,oral analgesic medication,and regular exercise status were statistically significant between categories(P<0.05).Differences in WHOQOL-BREF scores among 4 subtypes patients were statistically significant(P<0.05).Conclusion The sleep quality of elderly patients with CMP can be classified into 4 latent categories,and the different groups of categories perform differently in terms of quality of life.Patients with low literacy,severe pain,multiple pain sites,persistent pain episodes,long-term analgesic medication and irregular exercise,and provide reasonable sleep hygiene education and psychological support should be focused on,and according to the characteristics of different categories of patients,the reasonable sleep hygiene education and the psychological support are made to better cope with and alleviate the problem of i

关 键 词：慢性肌肉骨骼疼痛 老年人 睡眠质量 生活质量 潜在剖面分析 护理 

分 类 号：R473.59[医药卫生—护理学]