原发性失眠症患者家庭功能和应对方式与睡眠质量的关系

Family function and trait coping style relate with sleep quality in patients with primary insomnia

目的了解家庭生活事件、家庭功能等对原发性失眠症的影响。方法向在社区卫生服务站就诊，持续3个月以上的原发性失眠者和无失眠者各56例发放家庭功能量表、匹茨堡睡眠质量指数量表和特质应对反应方式问卷。失眠者问卷回收48份，作为病例组；无失眠者问卷回收52份，作为对照组。对问卷进行分析。结果病例组与对照组的睡眠质量差异有统计学意义（Х^2=10．75，P〈0．05）；两组的特质应对反应方式差异有统计学意义（Х^2=4．03，P〈0．05）；消极应对反应方式与睡眠质量的关联性，经卡方检验Х^2=4．05，P〈0．05。两组的家庭功能差异无统计学意义（Х^2=3．39，P〉0．05）。结论生活事件、家庭功能障碍是通过患者的特质应对反应方式影响患者睡眠后_旨的。

Objective To understand the effects of life event and family function on primary insomnia. Methods Fifty-six patients with primary insomnia for more than three months and 56 patients without it, were asked to the questions listed on Family APGAR） Index （FAI）, Pittsburgh Sleep Quality Index （PSQI） and Trait Coping Style Questionnaire （TCSQ） when they visited community health care service, Forty-eight patients with insomnia （case group ） and 52 non-insomnia ones （control group ） responded to the questions. Data were analyzed by SSPS version 10. 0 software. Results There was statistically significant difference in sleep quality （Х^2 = 10. 75, P 〈 0. 005 ） and in trait coping style response （Х^2 = 4.03, P 〈 0. 05 ） between the two groups. Negative coping response associated with sleep quality （Х^2 =4.05,P〈0. 05）. No statistical difference in family function between the two groups was found （Х^2= 3.39 ,P 〉 0. 05 ）. Conclusions Sleep quality was influenced by life events and disturbance of family function through trait coping style response in patients with insomnia.