慢性阻塞性肺疾病病人睡眠状况调查分析

INVESTIGATION AND ANALYSIS OF SLEEPING STATUS OF PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASES

目的了解慢性阻塞性肺疾病(COPD)病人睡眠状况及其影响因素,研究其规律性,为提供针对性干预措施提供依据。方法采用睡眠状况自评量表(SRSS)对112例COPD病人进行问卷调查。结果COPD病人SRSS评分与全国常模比较,差异有统计学意义(t=2.584,P<0.01)。81.5%的COPD病人存在不同程度的失眠,主要表现为睡眠质量差、睡眠不稳和失眠后反应。引起失眠的主要原因有严重的躯体症状、严重的心理负担、夜间治疗以及白天睡眠过多。结论改善COPD病人动脉血氧分压、治疗原发病、减少夜间不适当的刺激,重视健康教育和建立有效的社会支持网是提高其睡眠质量的关键。

Objective To study the sleeping status of patients with chronic obstructive pulmonary disease （COPD） and explore its regularity. Methods Self-Rating Sleeping Scale （SRSS） was used to survey 112 patients with COPD. Results 81.50% of the patients with COPD had diffierent degrees of insomnia, who had significantly higher values of SRSS than those of the normal population （t= 2. 584, P〈0.01）. The main causes of insomnia were severe somatizations, severe psychological pressure, night-time treatment and excessive daytime sleepiness. Conclusion The key to improve the quality of sleep in patients with COPD includes the improvement of arterial oxygen, better treatment of the primary disease, reduce night-time unfit stimulation, pay attention to health education and establishment of an effective social support network.