慢性失眠患者体力活动状况及影响因素分析

Physical activity and influencing factors of patients with chronic insomnia

目的研究慢性失眠患者体力活动状况及影响因素分析。方法对象为中山大学附属第三医院精神科门诊慢性失眠患者90例及健康对照组82例,研究组年龄(40.3±8.4)岁,男性42例,女性48例,失眠病程(4.02±2.25)年。采用国际体力活动问卷中文版长卷调查其体力活动状况。睡眠相关量表评定包括匹茨堡睡眠质量指数量表(pittsburgh sleep quality index,PSQI)、Epworth嗜睡量表(epworth sleepiness scale,ESS)、疲劳量表-14(fatigue scale,FS-14)、睡眠个人信念和态度量表(beliefs and attitudes about sleep scale,DBAS)。结果研究组体力活动活动活跃程度依次为:低39例(42.9%)、中34例(37.4%)、高17例(18.7%),对照组依次为低15例(18.3%)、中39例(47.6%)、高28例(34.1%),两组差异有统计学意义(χ2=12.268,P=0.000);对研究组体力活动活跃程度影响因素进行logistic回归分析,结果显示,体力活动水平和DBAS分呈正相关,和PSQI分、FS-14分呈负相关(P<0.05)。结论慢性失眠患者体力活动水平偏低,改善其睡眠质量、日间疲劳症状及纠正其歪曲认知可能有利于提高体力活动水平。

Objective To analyze the physical activity and influencing factors of patients with chronic insomnia. Methods International physical activity questionnaire （IPAQ） as well as Pittsburgh sleep quality index （PSQI）, Epworth sleepiness scale （ESS）, Fatigue scale-14 （FS-14）, Beliefs and atlitudes about sleep scale （DBAS） were applicd to evaluate the physical activity of 90 patients with average age of 40.3%8.4 years and median illness duration of 4.02 ± 2.25 years. 82 healthy controls were also included. All patients were diag nosed and treated in the Third Affiliated Hospital of Sun Yat-sen University. Results The differences of physical activity in all three levels were statistically significant with 18, 7%, 37.4% and 42.9% of patients vigorously active, moderately active and inactive compared to 34.1%, 47.6 and 18.3% of healthy controls （P〈0.05） . I,ogistic regression analysis showed that physical activity level was positively correlated to DBAS score, while negatively correlated to PSQI and FS 14 scores （P〈0.05） . Conclusion Patients with chronic insomnia are relatively physically inactive because of sleep deprivation. Therefore, it is critical to improve sleep quality and to relieve daytime fatigue symptom in order to improve physical activity.