突发性聋住院患者睡眠质量影响因素分析

Analysis of the influence factors for the sleep quality in hospitalized patients with sudden deafness

目的:探讨突发性聋住院患者的睡眠质量及其影响因素,为改善突发性聋住院患者的睡眠质量提供依据。方法:采用匹兹堡睡眠质量指数(PSQI)量表和自制调查表对138例突发性聋住院患者进行调查分析。结果:突发性聋患者PSQI得分为(11.4±3.1)分,74.6%的患者睡眠质量存在问题。Logistic回归分析显示,突发性聋住院患者夜间睡眠质量的影响因素有耳鸣、应用激素后的反应、担心治疗效果、听力损失程度、眩晕、护士夜间查房或操作等因素,其中耳鸣和应用激素后的反应是主要影响因素。结论:突发性聋住院患者睡眠障碍发生率高,应针对患者睡眠的影响因素采取有效措施提高患者的睡眠质量。

Objective： To explore the status and the risk factors of sleep quality in hospitalized patients with sudden deafness and provide evidence for improving sleep quality. Methods： A total of 138 hospitalized patients with sudden deafness were investigated by Pittsburgh sleep quality index and self-designed questionnaire. Results： The patients who total score of PSQI was（ 11.4 ± 3.1 ） , 74.6% had sleep disorders. Logistic regression analysis indicated that the factors of sleep quality were tinnitus, the reaction of corticosteroids, worrying about therapeutic effects, the degree of hearing loss, vertigo and the activities of nurses. The main impact factors of sudden deafness were tinnitus and the reaction of corticosteroids. Conclusion： The incidence of sleep disorders is high in hospitalized patients with sudden deafness. Effective interventions should be taken for patients according to the influencing factors, in order to improve patients＇ sleep quality.