苏州某三甲医院心内科住院患者睡眠质量及影响因素调查分析

Survey on the sleep quality and its influencing factors in the hospitalized patients in the department of cardiology of a certain grade Ⅲ-A hospital in Suzhou city

目的:调查分析苏州某三甲医院心内科住院患者睡眠质量及影响因素,探讨改善住院患者睡眠质量的方法。方法:选取心内科住院患者261例采用访谈、问卷调查表及匹兹堡睡眠质量指数量表(PSQI)调查其睡眠质量,并分析其影响因素。结果:住院期间主观睡眠质量、睡眠潜伏期、睡眠时间、睡眠障碍、睡眠效率、昼夜睡眠倒置及总分患者得分均高于住院前得分(均P<0.05)。有慢性疾病史的患者住院期间和住院前睡眠质量均高于无慢性疾病史患者(均P<0.05)。有住院经历或者重大手术史的患者比没有类似经历的患者住院期间睡眠质量分数高(P<0.05)。住院时间<2周患者的睡眠质量分数高于住院时间≥2周的患者(P<0.05),睡眠时间接受治疗和护理(午夜)比没有接受任何治疗或护理的睡眠质量分数高(P<0.05)。此外,患者住在单人病房的住院期间睡眠质量分数均高于那些住在拥挤病房(双人或以上)的患者(P<0.05)。结论:心内科患者在住院期间睡眠质量差,受内源性因素和外源性因素两方面影响,其中外源性环境因素是最主要的原因。

Objective：To investigate and analyze the sleep quality and its influencing factors in the hospitalized patients in the depart-ment of cardiology of a certain gradeⅢ-A hospital in Suzhou city in order to find the methods to improve the sleep quality of inpatients. Methods：The interview,questionnaire survey and the Pittsburgh sleep quality index（ PSQI）were adopted to investigate the sleep quality of 261 inpatients in the department of cardiology and analyze its influencing factors. Results：The subjective sleep quality,sleep latency,sleep time and sleep disorders,sleep efficiency,irregular sleep circadian rhythm and the total scores of the patients were better,milder and higher during hospitalization than those before hospitalization（P〈0. 05）;the sleep quality of those patients who had a history of chronic illness was better than that of the patients without the history of chronic disease during and before hospitalization（P〈0. 05）;the score of sleep quality was higher in those patients who had the experience of hospitalization and receiving major operation than the patients without the experience（P〈0. 05）;the score of sleep quality was higher in those patients who were hospitalized within two week than those patients more than two week（P〈0. 05）;the score of sleep quality was higher in those patients who received treatment and nursing care（at mid-night）than the patients without treatment and nursing care（P〈0. 05）;In addition,the score of sleep quality was higher in those patients who lived in a single room than the patients in a crowded room（P〈0. 05）. Conclusion：The sleep quality is poor in the hospitalized patients in the department of cardiology,which is influenced by both endogenous and exogenous factors. The main factor is the exogenous factor.