胆囊切除术患者睡眠质量影响因素调查研究

The influencing factors of sleep quality in patients with cholecystectomy

目的探讨胆囊切除术患者睡眠质量影响因素。方法采用自编问卷调查、抑郁自评量表(SDS)、焦虑自评量表(SAS)、社会支持评定量表(SSRS)和匹兹堡睡眠质量指数问卷(PSQI)对2010年6月～2012年6月在我院普外科住院治疗的26例胆囊切除术患者进行测评,运用Logistic回归分析法找出胆囊切除术患者睡眠质量影响因素。结果 26例胆囊切除术患者PSQI总分为(7.62±2.56)分。PSQI总分≥8有12例患者,占46.15%,多因素Logistic回归分析显示经济压力大、术后并发症、焦虑抑郁情绪是胆囊切除术患者睡眠质量的危险因素,社会支持评定量表总分高是胆囊切除术患者睡眠质量的保护因素。结论胆囊切除术患者普遍存在睡眠质量,受多方面因素的影响,我们采取针对性的干预措施调整患者的睡眠,改善患者的睡眠质量。

Objective To investigate the influencing factors of sleep quality in patients with eholecystectomy. Methods Self questionnaire, the Self-Rating Depression Scale （SDS）, Anxiety Rating Scale （SAS）, Social Support Rating Scale （SSRS） and the Pittsburgh Sleep Quality Index questionnaire（PSQI） from June 2010 to 2012 June eholeeystectomy pa- tients 26 cases of general surgery hospitalization in our hospital for evaluation, using logistic regression analysis method to find the factors that affect the quality of sleep in patients eholecystectomy. Results All of 26 cholecystectomy in pa- tients with the PSQI total score （7.62±2.56） points. PSQI total score ≥ 8 of 12 patients, accounting for 46.15%, Mul- tivariate Logistic regression analysis showed that the economic pressure,postoperative complications,anxiety and de- pression are risk factors of cholecystectomy in patients with sleep quality,social support rating scale total score high protection factors of cholecystectomy in patients with sleep quality. Condusion Cholecystectomy prevalence of sleep quality in patients affected by a variety of factors,we have taken targeted interventions to adjust the patient＇s sleep, improve the patient＇s quality of sleep.