海洛因依赖者睡眠质量及其相关因素分析

Subject sleeping qualitr of heroin dependent patients in methadone maintain treatment and relevant factors

目的了解进入美沙酮维持治疗的海洛因依赖者睡眠质量情况并分析其出现睡眠问题的原因。方法使用匹兹堡睡眠质量指数(PSQI)、汉密顿焦虑量表(HAMD)和自编基本情况调查表对入美沙酮维护治疗的海洛因依赖者进行调查,资料采用SPSS 10.0软件进行分析。结果PSQI总平均分为14.93±3.31,以PSQI总分>8分作为判断睡眠质量问题的标准,有97.5%的海洛因依赖者存在的睡眠质量问题,睡眠不佳主要体现在睡眠障碍(97.6%)、睡眠质量(90.3%)和日间功能障碍(86.4%)。焦虑总分和每天的花费与PSQI总分存在显著相关,P<0.05。其中,焦虑总分对PSQI总分有显著的预测作用。结论海洛因依赖者睡眠质量较差,社会因素、心理因素对海洛因依赖者的睡眠质量有着直接影响。

Objective To learn the sleeping quality of heroin dependent patients in methadone maintain treatment and analyze the cause. Methods Investigation was carried out with PSQI, HAMA （ Hamilton Anxiety Scale） and self-made ques-tionnaire among heroin dependent patients;SPSS10.0 software was adopted to analyze the data. Results The total average score of PSQI was 14.39±3.31, 97.5% of the heroin dependent had sleeping quality problems （ PSQI 〉 8 was used as the judging standard. Bad sleeping quality mainly concentrated on sleeping disorder （97.6%）, sleeping quality （90.3%） and daytime function barrier （ 86.4% ） . Significant correlation existed between anxiety/ cost and total PSQI score （ P 〈 0. 05 ） . The total anxiety score has significant anticipation to total PSQI score. Conclusion Social and psychological factors have direct influ-ence on the sleeping quality of the heroin dependent patients.