介入科住院患者睡眠质量及其干扰因素的调查分析

Investigation and analysis on sleeping quality of inpatients in intervention therapy department and related Factors

目的了解介入科住院患者的睡眠质量及干扰睡眠的因素,为采取护理干预措施提高住院患者的睡眠质量,促进其康复提供理论依据。方法采用汉化的匹兹堡睡眠质量指数(PSQI)及睡眠干扰因素问卷对患者睡眠质量进行测评,以PSQI>7分为我国成人睡眠质量有问题的参考值,即总分>7分为睡眠质量差,总分越高,睡眠质量越差。将患者术前与术后的PSQI总分与正常人PSQI总分比较。结果住院患者术前及术后PSQI总分分别为(8.92±5.53)分及(10.25±4.17)分,住院患者中术前有58.04%,术后有75.43%的患者存在睡眠质量问题。主要影响因素依次为身体不适、担心病情、环境噪音、病室不适、经济负担、夜间治疗。结论介入科患者的睡眠质量明显下降,环境、生理和社会心理因素与睡眠质量密切相关。

Objective To explore the sleeping quality of inpatients in intervention therapy deparyment and the related factors in order to adopt nursing intervention to improve their sleeping quality and provide theory evidence for their recovery. Methods PSQI（for Chinese） and ＂questionnaire of intervention factors of sleeping＂ were used to measure the patients＇ sleeping quality. PSQI〉7 was the reference index that meant person had poor sleeping quality. The more score of PSQI was, the poorer sleeping quality people had. The total scores of PSQI of the patients before and after the operation were compared with the total scores of PSQI of health people. Results The total scores of PSQI of the patients before and after the operation were （8. 92±5, 53） scores and （10. 25±4. 17） scores. Among the inpatients, 58. 04% of them had poor sleeping quality before the operation and 75.43% had the problem after the operation. The main related factors were： the patients felt uncomforted, they worried about their condition, environment noise, discomfort ward, economic problem and night disturbance of treatment. Conclusions The sleeping quality of inpatients in intervention therapy department is decreased obviously and there are correlation among sleeping quality and environment factor, physiological factor and mental factor.