帕金森病患者睡眠障碍现况调查及护理对策

目的:分析帕金森(PD)患者睡眠障碍的临床现状及相关影响因素,并提出护理对策。方法:采用匹兹堡睡眠质量指数量表(PSQI)、爱泼沃斯嗜睡量表(ESS)及相关调查表分别对68例PD患者睡眠及相关因素进行评定和计算。结果:68例PD患者中,睡眠障碍发生率为76.47%;其中入睡困难40例,睡眠破碎38例,睡眠运动障碍32例,白天过度嗜睡20例。多因素逐步线性回归分析显示,PSQI总分与UPDRS-Ⅲ评分、HAD评分、左旋多巴日平均剂量、MMSE评分及年龄相关。结论:PD患者睡眠障碍发生率高,其状况与病情严重程度、认知状态、抑郁、年龄、多巴胺能药物应用等因素有关。加强临床护理与治疗,可有效改善患者睡眠障碍,提高生活质量。

Objective：To investigate the current level of sleep disorders in patients with Parkinson s disease （PD）, and to annalyze the influential factors related to it and to raise the nursing strategies. Methods：Sleep disorders of 68 patients with PD were evalu- ated by Pittsburgh sleep quality index （ PSQI ）, Epworth sleepiness scale （ ESS ） and other information questionnaire tables. Results：The incidence of sleep disorders among 68 patients with PD was76. 47% ;difficulties in the initiation of sleep, fragmentedsleep, sleepbehaviordisorders, excessivedaytimesleepinessEDS. Multivariate linear regression analysis showed that PSQI was related to UPDRS - Ⅲ scores, HAD scores, MMSE scores, dosage of levodopa and age. Conclusion：The incidence of sleep disorders was high in Parkinson, s disease, the level of sleep disorders was associated with the disease severity, cognition state, depression, age and the dosage of dopamine. Strengthening clinical nursing can ameliorating effectively sleep disorders of patients with PD.