350例老年糖尿病足患者睡眠质量评估及影响因素调查分析

Study of Sleep Quality and Factors in Elderly Patients with Diabetic Foot in 350 Cases

目的对老年糖尿病足患者睡眠质量进行评估，并研究影响老年糖尿病足患者睡眠质量的因素。方法应用匹兹堡睡眠质量指数（PSQI）和自制睡眠影响因素调查问卷对2005年1月～2013年6月在笔者医院住院治疗的350例老年糖尿病足患者睡眠质量进行测评，并使用相关统计软件进行数据分析。结果350例患者PSQI总均分为5～19（11．76±5．78）分。无睡眠障碍患者117例，占33．43％；有睡眠障碍患者233例，占66．57％。其睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍等因子得分均高于国内常模，其差异存在统计学意义（P均〈0．05）。Logistic多因素回归分析，治疗因素、生理因素、心理因素与老年糖尿病足患者睡眠质量均存在显著的相关性。结论治疗因素、生理因素、心理因素是影响老年糖尿病足患者睡眠质量的重要因素，加强对该类患者的睡眠质量管理，制订有效的护理干预措施，能够有效提高老年糖尿病足患者睡眠质量，促进疾病康复。

Objective To evaluate sleep quality in elderly patients with diabetic foot and study the factors. Methods The Pitts- burgh Sleep Quality Index and homemade sleep questionnaire factors are required to fill out in 350 cases of elderly patients with diabetic foot treated in our hospital from January 2005 to June 2013, SPSS 17.0 used for data analysis. Results PSQI score were divided into 5 - 19 （11.76 ± 5.78） in 350 cases. 117 patients without sleep disorders, accounting for 33.43% ; 233 cases of sleep disorders, accounting for 66.57%. The scores of sleep quality, sleep time, sleep time, sleep efficiency, sleep disorders, sleep medication, daytime dysfunction in PSQI were higher than the national norm and there were statistically significant differences （P 〈 0.05 ）. There were significant correla- tions between therapeutic factors, physiological factors, psychological factors and sleep quality in elderly patients with diabetic foot in lo- gistic regression analysis. Conclusion Therapy, physical, psychological are important factors that affect the quality of sleep in elderly patients with diabetes foot. It can improve sleep quality in elderly patients with diabetic foot and promote recovery from disease through strengthening the management of the quality of sleep and developing effective care interventions.